The American journal of sports medicine · 2026 · 系統性回顧＋統合分析（依標題推測）
Early Versus Delayed Repair of Proximal Hamstring Tendon Ruptures: A Systematic Review and Meta-analysis
髖與鼠蹊 · 近端腿後肌腱斷裂
中文閱讀摘要
統合分析顯示，近端腘繩肌腱修復於傷後4至6週內進行，患者報告結果相似，但再撕裂及坐骨神經痛風險顯著降低。
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原始摘要
Background
Early recognition and repair of proximal hamstring tendon ruptures is critical, as delays can complicate surgical repair. However, the influence of surgical timing on patient outcomes remains unclear, with previous studies reporting variable results.
Purpose
To evaluate the effect of early versus delayed repair on clinical outcomes after primary proximal hamstring tendon repair.
Study design
Meta-analysis.
Methods
A search was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines in the PubMed, Embase, and Scopus databases. Studies were included if they (1) reported outcomes of primary proximal hamstring tendon repair, (2) had ≥12 months of follow-up, (3) included patients ≥18 years, and (4) compared early versus delayed treatment. Studies were excluded if they examined outcomes of proximal hamstring tendon repair/reconstruction using an allograft. Early repair was defined as surgery within 4 to 6 weeks of injury. Risk ratios (RRs) were calculated using a random-effects model, with significance set at P < .05.
Results
Twelve studies were included, encompassing 992 early and 728 delayed repairs. The mean patient age ranged from 29.7 to 53.8 years in the early group and from 29.2 to 51.8 years in the delayed group. The mean follow-up ranged from 24 to 58.8 months. Nine studies reported patient-reported outcomes (PROs) at the latest follow-up; 3 demonstrated ≥1 significantly higher PRO scores in the early repair group. Return-to-sport/activity was reported in 5 studies, but was heterogeneous: 1 study reported a significantly higher rate of sports cessation after delayed repair, whereas others showed no difference in return-to-sport metrics. Early repair was associated with a significantly reduced risk of postoperative sciatica (RR, 0.26; P = .009) and retear (RR, 0.51; P = .03). Risk of peri-incisional numbness (RR, 0.48; P = .37), infection (RR, 0.51; P = .43), and revision (RR, 0.63; P = .36) were not significantly different between early and delayed repair groups.
Conclusion
Patients undergoing proximal hamstring tendon repair within 4 to 6 weeks of injury can expect mostly similar PROs and a significantly lower risk of retear and sciatica compared with patients undergoing repair after 4 to 6 weeks of injury.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1177/03635465261456228
- PMID／PMCID
- 42358117
- 作者
- Akhtar M, Ramanis M, Pasko K, Wang D
- 首次發表日期
- 2026-06-26Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 卷未提供 ／ 期未提供 ／ 3635465261456228
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源尚未確認免費全文。 來源授權標示：cc by。
可回溯引用
Akhtar M, Ramanis M, Pasko K, Wang D. Early Versus Delayed Repair of Proximal Hamstring Tendon Ruptures: A Systematic Review and Meta-analysis. The American journal of sports medicine. 2026:3635465261456228. PMID: 42358117. doi:10.1177/03635465261456228
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