[Shoulder prosthesis].
In our department, 25 shoulder prostheses were laid in 24 patients. The main indication remains omarthritis with or without necrosis (13). Fifteen Neer's prostheses (13 total, 2 simple humeral ones) were laid. The posterior approach was chosen in 14 cases. Out of the 20 shoulders reviewed, 8 presented with preoperative muscle atrophy, 8 with no postoperative muscle atrophy, including 8 with posterior approaches. In 4 cases of posterior approach, postoperative atrophy of the infraspinatus muscle was noted, but these four patients were all satisfied or very satisfied. The analysis was carried out according to our grading (0 to 20) of Neer's prostheses. The overall results are excellent for simple humeral prostheses on traumatic lesions. In the other cases, the main benefit is obtained for shoulders in a stable state. The improvement remains poor for the mobility and function of the shoulder. The patients are satisfied on a whole, especially with the improvement of pain.
Kenesi
C
C
Hôpital H. Mondor, Chirurgie Orthopédique, Créteil.
Tallineau
C
C
D000328:Adult; D000368:Aged; D001168:Arthritis / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D012785:Shoulder Joint
La prothèse totale d'épaule.