腱板広範囲断裂に対するMcLaughlin法とPatch法の手術治療成績

概要

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We performed McLaughlins procedure and the patch method as operative treatment for massive rotator cuff tears. The purpose of this study was to clarify the advantage of these two procedures. Fifteen shoulders (12 men and 3 women) of fourteen patients with massive rotator cuff tears were examined. The average age at surgery was 60.1 years old. The average follow-up period was 40.7 months. The McLaughlin procedure was performed on 5 shoulders and the patch method was performed on 10 shoulders. Tensor fascia lata was used in 5 shoulders and Marlex mesh was used in 5 shoulders. The functional outcome was assessed with the JOA score and muscle strength was measured. The average JOA score improved from 51.6 points to 88.6 points in the McLaughlin group, and 50.3 points to 87.0 points in the patch group. The muscle strength of the McLaughlin group was higher than that of the patch group. The clinical results of the patch method for massive rotator cuff tears were satisfactory as good as McLaughlin procedure.