Arthroplasty is not an optimal treatment for massive rotator cuff tears in patients who are active and without glenohumeral arthritis. Several surgical techniques have been developed for these patients, including arthroscopic rotator cuff repair with single-/double-row repair (with or without interval slides, margin convergence, graft augmentation), graft bridging, superior capsular reconstruction, tuberoplasty, and tendon transfers. Complete, tension-free, anatomic repair is ideal; however, tendon atrophy and retraction associated with massive tears often complicate repairs. All surgical treatments significantly increase patient-reported functional outcomes 1 year after intervention, with many treatments demonstrating improved mid-term and long-term outcomes. [Orthopedics. 20XX;XX(X):xxxx.]

对于活跃且没有盂肱关节炎的患者，关节成形术不是大规模肩袖撕裂的最佳治疗方法。已经为这些患者开发了几种手术技术，包括关节镜下肩袖修复和单排/双排修复（有或没有间隔滑动、边缘收敛、移植物增强）、移植物桥接、上关节囊重建、结节成形术和肌腱转移。完整、无张力、解剖修复是理想的；然而，与大量撕裂相关的肌腱萎缩和收缩通常会使修复复杂化。所有手术治疗均显着提高患者报告的干预后 1 年的功能结果，许多治疗显示改善了中期和长期结果。[骨科。20XX;XX(X):xxxx.]