[The superolateral approach for shoulder prosthesis].
We describe a superolateral approach to the shoulder for implantation of total shoulder prostheses or humeral prostheses. The advantages of this approach include preservation of the supraspinatus tendon and an excellent exposure of the posterior part of the glenoid cavity. We illustrate this approach with three clinical examples: total shoulder arthroplasty with reconstruction of the posterior part of the glenoid using a screwed autograft for central degeneration with posterior wear of the glenoid, intermediate arthroplasty for excentric degeneration with irreparable rotator cuff tears, and simple humeral arthroplasty with bone suture of the tuberosities for cephalotuberosity fracture.
Service d'Orthopédie B (B. Augereau), Hôpital Européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris.
L D
LD
Duranthon
E
E
Vandenbussche
J N
JN
Goubier
B
B
Augereau
D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D000075202:Contraindications; D005500:Follow-Up Studies; D006801:Humans; D011187:Posture; D011859:Radiography; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome