Ito J, Morioka T
Department of Orthopaedic Surgery, Yokohama Municipal Citizen's Hospital, 56 Okazawa-cho, Hodogaya-ku, Yokohama 240-0062, Japan.
Int Orthop. 2003;27(4):228-31. doi: 10.1007/s00264-003-0459-4. Epub 2003 Jun 25.
Patients with a large or massive tear of the rotator cuff were, when possible, treated with the McLaughlin procedure. A patch graft was used when it was impossible to perform this procedure. The patch group (group P) consisted of nine patients with nine shoulders (six men, three women) with a mean age of 62.8+/-6.9 years. The McLaughlin group (group M) consisted of 12 patients with 12 shoulders (ten men, two women) with a mean age of 52.3+/-8.6 years. Mean follow-up was 2 years 11 months in group P and 4 years 2 months in group M. Using the shoulder scoring system of the Japanese Orthopaedic Association (JOA score), the total score improved post-operatively in both groups. In group P, the post-operative score was 91.7 (pre-operative score 47.9) and in group M 92.0 (pre-operative score 54.2). Tears recurred in three shoulders within 2 months of the McLaughlin procedure, and these patients were excluded from the study. The rate of 're-tearing' was lower with a patch graft (0/13) than with the McLaughlin procedure (3/17).
对于肩袖出现大面积或巨大撕裂的患者，若有可能，采用麦克劳林手术进行治疗。若无法实施该手术，则使用补片移植。补片组（P组）包括9例患者的9个肩部（6例男性，3例女性），平均年龄为62.8±6.9岁。麦克劳林组（M组）包括12例患者的12个肩部（10例男性，2例女性），平均年龄为52.3±8.6岁。P组平均随访时间为2年11个月，M组为4年2个月。采用日本骨科协会的肩部评分系统（JOA评分），两组术后总分均有所提高。P组术后评分为91.7（术前评分为47.9），M组为92.0（术前评分为54.2）。在麦克劳林手术后2个月内，有3个肩部出现撕裂复发，这些患者被排除在研究之外。补片移植的“再撕裂”率（0/13）低于麦克劳林手术（3/17）。
