Strength and limitations
rupture
In this study, we not only reported on patient reported outcome in patients after hamstring repair but also included objective quantitative functional parameters. Combining subjective satisfaction results and clinical scores with muscle strength measurements provided important insight into the outcome of a modified surgical technique. Because hamstring rupture is not a very common injury, only 17 patients were treated between 2014 and 2019 of which 13 volunteered to participate in this retrospective case series. Our patients were older than the populations in previous studies, were not athletically ambitious, and had a large variation in body mass index. Hence, the results of our study may not be readily transferrable to younger populations or athletes. As all patients at our clinic were treated with the modified procedure, we were not able to include a control group and hence we compared our results with those reported in the literature. The fact that all patients were treated by the same surgeon can be seen as strength and limitation as the treatment in this study was consistent but the influence of surgeon remains unknown. Outcome parameters were not assessed preoperatively because of the acute nature of the injuries. Nonetheless, the data presented here are promising and provide initial evidence that the described modified surgical technique produces good clinical and functional outcome in older patients.