Objective, materials and methods; Fifty-four cases among sixty-two surgeries for a massive tear of the rotator cuff, which have been done since 1976, were reviewed in this paper. Massive tears were classified into three types, i. e., massive tear in which the tendinous portion of the rotator cuff remained more than 2cm (type 1), less than 2cm but more than 1cm (type 2) and less than 1cm (type 3), postoperative follow-up period ranged from one year to ten years and ten months, and the results were evaluated using the JOA scoring system. Results; In the cases of type 1 (n=13), ten cases were evaluated as excellent (90 points or more), and three cases as good (80-90 points). In type 2 cases (n=23), where Debeyre's procedure had been applied in all cases, the results were divided into 11 excellent,8 good,1 fair (70-79 points) and 3 poor (less than 69 points). In the cases of type 3 (n=18), a trapezius muscle transfer was performed on 12 cases, of which there were 2excellent,5 good,4 fair and 1 poor result. Multiple advancement procedure was performed on the rest of the 6 cases, where the tendons of the infrasupinatus and terres minor muscles advanced anteriorly, the sbuscapuularis tendon advanced posteriorly and the remaining defect was finally covered by the suprasupinatus tendon with a muscle advancement (Debeyre's procedure). In this group, all the results were evaluated as excellent or good. Discussion and conclusion; From the results of this study, there were few problems in the cases of type 1 and 2, however, in type 3, the results were not as good as those in the other groups. A multiple advancement technique provided better results than did a trapezius transfer in type 3.
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