There are two types of anatomical prosthesis
The humeral prosthesis, also called hemi-arthroplasty, consists of replacing only the damaged part of the humeral head. This type of prosthesis is generally intended for younger patients who have no lesion on the glenoid and a healthy rotator cuff.
The total anatomic prosthesis is constituted on the humeral side by a metallic humeral head fixed by a stem anchored inside the humerus and on the glenoid side, by a polyethylene cup fixed by pads on the articular surface of the glenoid of the scapula.
This total anatomical prosthesis allows good recovery of joint amplitudes provided that the rotator cuff is in good condition.
- Anesthesia : General + loco regional
- Technique : open
- Hospitalization 1 to 3 days
- Immobilization elbow to the body in a splint for 2 to 3 weeks
- Immediate self-rehabilitation consists in exercising 3 times a day at home
- Immediate passive rehabilitation, 3 times a week, until recovery of passive articular mobility.
- 1st postoperative visit 6 to 8 weeks after surgery with an X-ray