APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Debate: Endoscopic HS Repair

Video Transcription

Video Summary

The speaker discusses endoscopic proximal hamstring repair, emphasizing indications like retraction over 2 cm, high-demand patients, and cramping. They use endoscopic repair mainly for tendinopathies, chronic partial-thickness tears, and minimally retracted full-thickness tears, while open repair suits acute or retracted tears. The procedure involves prone positioning, multiple portals, careful sciatic nerve dissection, and anatomical tendon repair with suture anchors. In a 30-patient study, 63% returned to baseline activity, with low re-rupture rates. Endoscopic repairs offer better access, lower infection risks, and improved nerve protection, favoring this minimally invasive approach over open surgery.

Asset Caption

Chad Mather, M.D.

Keywords

endoscopic proximal hamstring repair

tendinopathies

sciatic nerve dissection

minimally invasive surgery

suture anchors