Proximal Hamstring Repair — Proximal Hamstring Tendon Repair

Mammoth Orthopedic Institute / Sierra Park PT · Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C

Weight-Bearing

TDWB x1 week with crutches; PWB 50% x2-6 weeks with crutches; FWB by week 8

Key Restrictions

No active HS contraction or active hip extension x6 weeks; no hip flexion with knee extension x6 weeks; hip ROM graduated (0-45 deg x1-2 wks, 0-60 deg x2-3 wks, 0-90 deg x3-6 wks); weighted HS curls begin wk 10 (1 lb/wk to max 5 lb); walk-to-run progression wks 16-24; no sprinting until wk 20+; jump training only after 24 weeks; knee ROM restrictions per MD/op report on case-by-case basis

Timeline & Phases

3 phases (document labels Phase I, II, IV — no Phase III listed): Phase I (0-6 wks, TDWB x1 wk then PWB 50%, graduated hip ROM to 90 deg, no HS/hip ext, pool gait 2-6 wks), Phase II (6-12 wks, FWB by wk 8, HS curls begin wk 10 weighted, bridging/partial squats), Phase IV (12-24 wks, SL CKC exercises, gentle HS stretching, run wks 16-24, plyos after 24 wks)

Notes

By Timothy Crall MD (not Gilmer); document labels phases I, II, IV (Phase III absent); pool gait begins 2-6 weeks if incisions healed; RTS criteria: negative Askling-H hamstring test and tie your shoe test; knee ROM restrictions per MD op report on case-by-case basis

Surgeon / Author

Timothy Crall MD (US Ski Team Physician); Bartlett White PA-C