Table 1.

Surgical Steps in Endoscopic Bioinductive Patch Augmentation for Proximal Hamstring

1.Diagnostic endoscopy, ischial bursectomy, and sciatic neurolysis are performed.

2.Alternate a motorized shaver and 90° radiofrequency ablator to maintain hemostasis.

3.The graft is hydrated for 1 minute on the back table and prepared for implantation.

4.Make an accessory proximal portal in line with direct posterior portal for staple fixation.

5.Introduce the graft through the direct posterior portal, centered on the proximal hamstring.

6.Soft-tissue biodegradable staples are placed through the graft into the underlying tendon.

7.Stability of the graft is checked before instruments are removed and closure is performed.