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