Shoulder Arthroplasty

Specialized management by Dr. Stéphane Vasseur

Indications

  • Disabling omarthrosis, necrosis, fracture sequelae
  • Functional cuff (anatomic) vs deficient cuff (reverse)
  • Refractory pain and stiffness

Related pathology: Shoulder arthritis

Operative principle

Prosthetic replacement of articular surfaces: hemiarthroplasty, total anatomic or reverse shoulder arthroplasty depending on cuff and bone status.

Postoperative course and rehabilitation

  • Comfort immobilization 2–4 weeks
  • Progressive mobilization, strengthening from 6–8 weeks
  • Pain and function improve over 3–6 months

Risks

  • Stiffness, dislocation (especially reverse), infection (rare)
  • Late loosening