Summary
A consecutive series of 28 shoulders in 26 patients, treated since 1982 by either total arthroplasty (11 shoulders) or hemiarthroplasty (17 shoulders), are reviewed. A glenoid osteotomy was also performed in five of the shoulders with a hemiarthroplasty. Overall 16 shoulders were completely satisfactory with little pain and satisfactory movement. Nine had a total arthroplasty.
The average range of shoulder elevation after total arthroplasty (121°±29°) was significantly better than after hemiarthroplasty (91°±39°). Pain was still present in seven shoulders with a hemiarthroplasty but in only one with a total joint replacement.
Résumé
Révision d'une série consécutive de 28 épaules, chez 26 patients, opérées depuis 1982, onze par arthroplastie totale et dix-sept par hémiarthroplastie humérale. 5 des malades traités par hémiarthroplastie ont également eu une ostéotomie de la glène. 16 épaules (dont 9 arthroplasties totales) ont un résultat très satisfaisant, sur le plan de l'indolence et de la mobilité.
La mobilité moyenne en élévation est significativement meilleure après arthroplastie totale (121°±29° qu'après hémiarthroplastie (91°±39°). Sept épaules sont encore plus ou moins douloureuses après hémiarthroplastie contre une seule après prothèse totale.
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Bell, S.N., Gschwend, N. Clinical experience with total arthroplasty and hemiarthroplasty of the shoulder using the Neer prosthesis. International Orthopaedics 10, 217–222 (1986). https://doi.org/10.1007/BF00454400
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DOI: https://doi.org/10.1007/BF00454400