Introduction
Postoperative pain, rupture
Proximal hamstring rupture can affect trained athletes as well as the general population. For instance, the prevalence of proximal hamstring rupture in sports such as soccer, American football, baseball or track and field ranges from 5 to 40% and may depend on hours of sport exposure [Some undesirable postoperative functional and clinical outcomes have been reported. Postoperative pain when seated has been frequently reported as the most common postoperative complaint and is seen in up to 61% of cases [In addition, a decrease in maximum strength of the knee flexors has been described and accepted as an inevitable outcome [Based on these considerations, we aimed to improve the current surgical technique byrefixing the hamstring tendons proximal and lateral of their anatomical origin to pre-tensioning the muscle and hence.moving the insertion site of the tendons—especially of the conjoint tendon—away from the region loaded while sitting.Combining these two modifications results in a modified extraanatomical insertion point on the supero-lateral side of the ischial tuberosity (Fig. Illustration of the modified anchor placement. 