Hip Hamstring Tears: Hamstring Tendon Repair With Anchors Animation

Hip Hamstring Tears: Hamstring Tendon Repair With Anchors Animation

This animation demonstrates a hamstring tendon repair with anchors using a double-row repair technique for the treatment of a hamstring tear at the hip. Here, you see the back of a right hip with the hamstring tendon separated from the ischial tuberosity, the bony bump on the pelvis where the tendons from the hamstring muscles attach. This is the bone that can be felt under the buttocks when sitting.

The conjoint tendon, which attaches 2 of the 3 hamstring muscles to the ischial tuberosity, has completely torn off from the bone. First, a drill guide is placed up against the ischial tuberosity, and drills are inserted into the guide to drill a hole into the bone. Part of the drill guide is removed, and a hard-body anchor is inserted into the drilled hole, and the same steps are repeated for a second anchor. Both anchors are already threaded with 2 connected strands of thick, flat sutures.

A curved needle is used to pass the suture strands through the hamstring tendon and the tendon is pulled close to the bone. The connected suture strands are cut to separate them into 4 individual strands. One suture strand from each anchor is threaded into another hard-body anchor, and another hole is drilled into the ischial tuberosity.

The anchor with the threaded sutures is then inserted into the drilled hole to tack down the hamstring tendon to the bone. The same steps are repeated to make another hole, thread the remaining sutures into another anchor, and insert the anchor into the bone. Once final tension of the repair is achieved, the excess sutures are cut off, and the hamstring tendon repair is complete.