Proximal Hamstring Repair — Proximal Hamstring Tendon Repair

Massachusetts General Hospital · MGH Sports Medicine

Weight-Bearing

TDWB Phase I (0-2 wks); PWB 50% Phase II (2-6 wks); wean to FWB Phase III (6-12 wks)

Key Restrictions

Post-op hip brace limiting hip flexion to 45° at all times Phase I; hip flexion ROM limit 60° Phase I-II; brace hip flexion limit progresses to 90° by wk 6; no active hamstrings or hip extension until Phase III; D/C brace at 6-8 wks per MD; no running until Phase V (wks 16-20); no sprinting/speed work until Phase VI (wks 20-24)

Timeline & Phases

6 phases: Phase I (0-2 wks, TDWB, brace at 45 deg hip flex limit, ankle pumps/quad sets/UBE only), Phase II (2-6 wks, PWB 50%, brace progresses to 90 deg by wk 6, low DL bridge, calf raises — NO active HS or hip extension), Phase III (6-12 wks, wean to FWB, D/C brace 6-8 wks, HS curls/hip extension antigravity, step ups/downs at wk 10), Phase IV (13-16 wks, eccentric HS — ball rollout, DL/SL deadlifts, walk-to-jog prep), Phase V (16-20 wks, walk-to-jog progression, no sprinting), Phase VI (20-24 wks, sprint progressions, plyometrics, jump training at wk 22)

Notes

Revised 10/2021; hip flexion brace is critical Phase I-II; no active hamstring strengthening until Phase III (wk 6+); progression parallels non-op hamstring but significantly delayed; RTS: LSI HS >95%, glute/quad >95%, hop cluster >95%; brace D/C and crutch wean per MD; covers chronicity, retraction length, and tendon count as outcome variables. [Archived copy — original Massachusetts General Hospital URL retired in the Mass General Brigham site migration; Wayback snapshot 2026-02-28.]

Surgeon / Author

MGH Sports Medicine

Published

October 2021