抄録
Between 1983 and 1989,19 cases ( 19 shoulders ) of massive rotator cuff tear were surgically treated at our hospital. Massive tears indicate a 3 cm or more extensive tear, which runs from the ruptured end to the greater tuberosity. There were 16 males and 3 females, ranging in age from 47to 74 years ( mean: 58.4 years ). The surgical procedure selected was McLaughlin's operation in 11cases ( reinforced with the long head of the biceps in 2 cases ), Debeyre's operation in 7 and transposition of the trapezius muscle in 1.
The mean preoperative score w e re 58.8. Of the cases, the therapeutic results were poor in 5reruptured cases, which were conplicated by anterior dislocation of the shoulder and some nerve injuries. When these 5 cases were excluded, the results were good, the mean score being 88.0. The mean score after Debeyre's operation ( 91.7 ) was higher than McLaughlin's operation ( 86.7 ). Moderate restriction of adduction and internal rotation were sometimes observed in cases which underwent McLaughlin's operation. Muscle strength and endurance did not decrease in all the cases which underwent Debeyre's and McLaughlin's operations. Debeyre's operation is a good procedure for massive rotator cuff tears.
