A Novel Technique for Chronic Retracted Proximal Hamstring Rupture Reconstruction Using an Achilles Tendon Allograft in a “Clasp” Configuration

Acute hamstring injuries are not uncommonly encountered; however, chronic retracted complete proximal hamstring ruptures are a rare and potentially debilitating injury. There are very few treatment options for the chronically retracted proximal hamstring tear with a significant defect after the tendon has been fully mobilized from the surrounding scar tissue. The use of Achilles tendon allograft for the reconstruction of chronic retracted tears with a large defect has resulted in significant improvements in patient satisfaction and functional improvements. A novel surgical technique in which the Achilles tendon allograft is placed in a “clasp” configuration to reconstruct the chronically retracted proximal hamstring is described, and we believe that this easily reproducible technique significantly enhances the reconstruction options available to surgeons treating this challenging problem.