Shoulder prosthesis
The shoulder prosthesis, whether anatomical or inverted, is an increasingly common procedure in orthopaedic surgery, particularly in cases ofosteoarthritisof complex fracture or massive rotator cuff tear.
Like all joint surgery, it requires a precise assessment, a controlled technical procedure and comprehensive management by a team of specialist orthopaedic surgeons.
When should a shoulder prosthesis be considered?
A shoulder prosthesis is generally proposed in the following situations:
- Advanced glenohumeral osteoarthritis (omarthrosis),
- Complex fractures of the shoulder, particularly of the neck of the humerus,
- Massive rotator cuff tear resulting in significant loss of function,
- Post-traumatic sequelae or complications of old fractures,
- Failure of conservative treatments (infiltrations, physiotherapy).
Each patient receives a personalised assessment to determine the best treatment option for their age, activity level, history and expectations.
Types of shoulder prosthesis
Two main types of prosthesis are available:
- Anatomical prosthesis: it respects the natural structure of the joint. Indicated when the rotator cuff is intact.
- Inverted prosthesis: reversal of the shoulder configuration to compensate for rotator cuff deficiency. It is often used in cases of massive non-repairable rupture or associated arthropathy.
The choice of prosthesis is determined after a detailed clinical examination, imaging tests (X-rays, CT scan, MRI) and an informed discussion with the patient.
Procedure
The operation is performed under general anaesthetic, sometimes combined with a local anaesthetic to improve post-operative comfort. The operation lasts from 1 to 2 hours, depending on the complexity of the case.
The surgical approach is tailored to each patient in order to minimise muscle trauma and promote rapid recovery.
The average hospital stay is 2 to 4 days.
Rehabilitation after surgery
Rehabilitation is an essential step in restoring good shoulder function:
- Initial immobilisation in a splint for a few weeks,
- Early initiation of passive, then active mobilisation under the supervision of specialist physiotherapists,
- Personalised rehabilitation programme to restore strength and mobility.
Full recovery generally takes several months, with optimal results obtained between 6 months and 1 year after the operation.
Results and expectations
Prosthetic shoulder surgery allows :
- Effective pain relief,
- Improving range of movement,
- Restoring functional independence in daily life.
The results are long-lasting, although the lifespan of the prosthesis may vary according to age, level of activity and mechanical wear.
Possible complications
Like any surgical operation, the fitting of a shoulder prosthesis involves risks:
- Infection,
- Prosthesis dislocation,
- Joint stiffness,
- Nerve damage,
- Long-term wear or loosening of the implant.
These risks are minimised by a rigorous surgical technique, comprehensive care and careful monitoring after the operation.
Where to have an operation in Paris?
Our teams work in a number of leading establishments in Paris:
For consultations:
- Espace Médical Vauban
- IMSS - Institut Médical Sport Santé
- ARAGO Clinic
For interventions:
- ARAGO Clinic
You will be cared for by recognised specialists: Dr Kerboull, Dr Sailhan and Dr Zilber, experts in hip surgery.
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