Post-operative hamstring rupture rehabilitation protocol

  • complete proximal hamstring rupture (acute repair, no augmentation)
  • isolated proximal biceps femoris rupture / conjoint tendon (BF + ST) rupture
  • proximal semimemranosus rupture

Post-operative treatment:

  • Often daily surgery; patient can leave the hospital same day.
  • First knee slightly flexed while laying on bed.
  • Wound check after 2-3 days, sutures removed after 10-12 days.
  • Walking with help of two crutches during first two weeks. However, full weight bearing is allowed immediately after operation while standing and slow walking.
  • Calf and gluteus muscle activations can be started right after operation as well as isometric hamstring contractions.
  • After two weeks LPG treatment (physio) if necessary.
  • Sitting should be avoided as much as possible during first three weeks.
  • Active stretching of the hamstrings should be avoided first four / five weeks.
  • Functional strengthening / physiotherapy starts normally at 4 weeks. Gradually increasing load of the hamstrings. It is also important to concentrate on to the gluteus, calf muscles and pelvis core training.
  • Light aqua training can be started after 3-4 weeks, crosstrainer / stationary biking after 5-6 weeks, Alter-G running after 8-10 weeks, normal running after 2-3 months and return to field after 2.5-3 months from the operation.
  • Return to high level of sports after 3-5 months from the operation.

Dr. Lasse Lempainen MD, PhD
Orthopedic surgeon
Adjunct professor
Hospital Mehiläinen NEO, Turku, Finland

Yhteystiedot

Lasse Lempainen
ortopedian erikoislääkäri
urheiluortopedian dosentti

Urheilu Mehiläinen
Mehiläinen Neo Turku
Joukahaisenkatu 6
FI-20520 Turku

puhelin: 010 235 3535 tai 010 414 00
urheilumehilainen.fi