Proximal Hamstring Repair — Proximal Hamstring Primary Repair (Avulsion)

UW Health Sports Medicine · UW Health Sports Rehabilitation & Sports Medicine Physician Group

Weight-Bearing

TDWB wks 0-2; 15-40% WB wks 3-4; WBAT wks 5-6; FWB at wk 6

Key Restrictions

Axillary crutches x 6 wks; hinged knee brace (flexion angle set at surgery); avoid hip flexion + knee extension; avoid dynamic stretching; no running/impact until Phase III

Timeline & Phases

Phase I (0-6 wks: gait training, brace, TDWB progressing to WBAT) -> Phase II (6-11 wks: normalize gait, hamstring strengthening in short arc) -> Phase III (11-16 wks: eccentric strengthening, impact control, running drills) -> Phase IV (16-20+ wks: sprinting, plyometrics, sport-specific)

Notes

4-phase protocol; brace settings determined at surgery; ~75% athletes return to sport; delays for chronic repair; hip ACE wrap + spica for swelling; Biodex testing for progression (<25% deficit Phase III, <20% Phase IV); UW Health Sports Medicine, Madison WI

Surgeon / Author

UW Health Sports Rehabilitation & Sports Medicine Physician Group