Hamstring Proximal Repair 27385

synonyms:

Proximal Hamstring Repair CPT

•  27385 Suture of quadriceps or hamstring muscle rupture; primary
• 27386 Suture of quadriceps or hamstring msucle rupture; secondary, including fascial or tendon graft

Proximal Hamstring Repair Indications

• Acute Complete promimal hamstring avulsion from its ischial origin: MRI demonstrates >2cm retraction. Leads to significant long-term disability and should be repaired acutely. Generally repaired with suture anchors into the ischial origin. (Klingele KE, AJSM 2002;30:742). For repair technique see:Proximal hamstring repair.   CPT:27385 (suture of quadriceps or hamsting muscle rupture; primary).
• Chronic Complete hamstring avulsions: function generally improved with reconstruction. Sciatic nerve neurolysis is typically required. Achilles tendon allograft should be available if direct repair is not possible after mobilization. Achilles bone block is attached to the ischium withan interference screw; the allograft is then suture to the native tissues. (Larson, C)

Proximal Hamstring Repair Contraindications

Proximal Hamstring Repair Alternatives

Proximal Hamstring Repair Pre-op Planning

• A

Proximal Hamstring Repair Technique

• S

Proximal Hamstring Repair Complications

Proximal Hamstring Repair Follow-up care

• Post-op:
• 7-10 Days:
• 3 Weeks:
• 6 Weeks:
• 2 Months:
• 3 Months:
• 6 Months:
• 1Yr:

Proximal Hamstring Repair Outcomes

• (R

Proximal Hamstring Repair Review References

• Miller SL, JBJS 2009;90A Supple2:108
• Cohen S, JAAOS 2007;15:350.