Total shoulder prosthesis - Ortokinetic

Total humeral full-shell

DESCRIPTION

In shoulder replacement surgery, the damaged parts of the shoulder are removed and replaced with artificial components called a shoulder prosthesis.
As a treatment option, we can replace just the humeral head or both the humeral head and the glenoid.

WHAT CAUSES THE NEED FOR SHOULDER PROTECTION?

1. Shoulder arthrosis – occurs more frequently in patients over 50 years of age, the cartilage of the humeral head and glenoid is affected and the adjacent bone is also suffering. The patient experiences intense pain and limitation of movement;
2. Rheumatoid arthritis- is a condition in which the synovial membrane lining the joint becomes inflamed and retracted.Chronic inflammation can also affect the cartilage, leading to cartilage loss, pain and redness;
3. Post-traumatic arthrosis – occurs after severe shoulder injuries that can lead to damage to bone, cartilage, ligaments and tendons;
4. Osteonecrosis – consists of damage to the vessels that irrigate and nourish a portion of the bone, by damaging it the bone is no longer viable and resorbing leading to its destruction. Causes commonly associated with osteonecrosis are: alcoholism, prolonged cortisone treatment, physical activities such as deep-sea diving, various shoulder fractures;
5. Severe fractures.

WHEN IS SHOULDER REPLACEMENT RECOMMENDED?

  • In severe shoulder pain that makes it uncomfortable to carry out daily activities;
  • In moderate to severe pain during the night, which reduces the quality of sleep;
  • In limiting the movement or decreasing the force in the arm;
  • In the failure of conservative treatment, such as anti-inflammatory drugs, cortisone injections or medical recovery.

WHAT IS THE PREOPERATIVE PREPARATION?

  • Medical history – to detect coexisting conditions;
  • Physical examination, testing mobility, stability and muscle tone;
  • Radiologic investigations;
  • Blood tests;
  • MRI.

Total shoulder prosthesis involves replacing the affected shoulder joint with a metal ball attached to a stem and a plastic support for the glenoid. These components come in several sizes and can be fixed with medical cement or by pressing.
The glenoid implant is not indicated when:

  • glenoid has good cartilage;
  • when the glenoid bone is insufficient;
  • when rotator cuff injuries are severe and cannot be sutured.

Patients with arthrosis but with normal rotator cuff are ideal candidates for total shoulder prosthesis.

HOW DOES THE SURGERY GO?

The patient benefits from anesthesia: scalene block or general anesthesia.
The patient is placed in a supine, semi-recumbent position; an incision is made on the anterior aspect of the shoulder, starting from the coracoid to the insertion of the deltoid on the humerus, the tegument, subcutaneous cellular tissue, clavipectoral fascia, subscapular tendon (after anchoring it with 2-3 sutures) and joint capsule are incised.
Damaged bone components are removed and replaced with prosthetic components.
It is sutured in anatomical planes.

WHAT COMPLICATIONS MAY ARISE?

– Infection – is the complication that can occur with any surgery. In the case of a shoulder prosthesis, it occurs in the soft tissue surrounding the prosthesis. Infection can occur intra-operatively, after the patient has gone home or years after surgery.
Minor infections can be treated with antibiotics, but deep-seated infections require further surgery, which involves removal of the prosthesis, cleaning out the focus of infection, antibiotic treatment and then repositioning of the shoulder prosthesis.
– Problems with the prosthesis (loosening or dislocation of components);
– Nerve damage – which can occur during surgery.

Make an appointment
or visit one of our clinics.

HOW IS THE POSTOPERATIVE RECOVERY?

The recovery program is very important after total shoulder prosthesis surgery in order to achieve a full functional recovery;
Recovery starts with passive movements and after gaining muscle tone, it is moved to active movements;
After discharge from the hospital, the arm is supported in a sling for 2-4 weeks.
Postoperative wound should be dressed after 2 days and sutures should be removed after 2 weeks;
Most patients will be able to do simple activities, dressing/ undressing, eating, driving, at 2 weeks postoperatively;
Driving a car is not allowed until 2-4 weeks postoperatively.

WHAT SHOULD AND SHOULDN’T WE DO?

MUST NOT get out of bed leaning on the operated hand;
MUST follow a medical recovery program – exercises should be done 2-3 times a day;
MUST NOT lift anything heavy, heavier than a glass of water, in the first 2 weeks after surgery;
MUST avoid contact sports after shoulder replacement;
MUST NOT force the arm in extreme positions in the first 6 weeks.
Most patients, after surgery, notice an improvement in quality of life, with decreased pain, increased mobility and muscle tone, and better function of the scapula-humeral joint.

Book an appointment!

Request an appointment

Choose the quick option and book an appointment online by filling in the fields below.
An Ortokinetic representative will contact you within 24 hours to arrange the details of your medical visit.



    CONTACT US!

    Our team is at your disposal
    for any questions!

    Pipera-Tunari 58 Clinic

    021.9694 Tasta 1

    Timpuri Noi Clinic

    021.9694 Tasta 2

    Dorobanți Bitolia 14 Clinic

    021.9694 Tasta 3

    Băneasa Clinic

    021.9694 Tasta 4