Τι είναι η αρθροπλαστική ώμου;

Πρόκειται για επέμβαση αντικατάστασης της άρθρωσης του ώμου με τεχνητή πρόθεση, σε περιπτώσεις σοβαρής αρθρίτιδας ή τραυματισμών.

Πότε επιλέγεται η ανάστροφη αρθροπλαστική ώμου;

Η ανάστροφη αρθροπλαστική εφαρμόζεται όταν υπάρχει πλήρης ρήξη του στροφικού πετάλου ή αποτυχία προηγούμενης επέμβασης στον ώμο.

Ποια είναι η διάρκεια ανάρρωσης;

Η αποκατάσταση μπορεί να διαρκέσει 8–12 εβδομάδες, με φυσικοθεραπεία και σταδιακή επαναφορά της λειτουργικότητας του ώμου.

Υπάρχουν κίνδυνοι από την επέμβαση;

Όπως κάθε χειρουργείο, υπάρχουν πιθανοί κίνδυνοι όπως λοίμωξη, εξάρθρωση ή φθορά της πρόθεσης, αλλά με τις σύγχρονες τεχνικές μειώνονται σημαντικά.

Shoulder Arthroplasty

A newer shoulder replacement is called reverse total shoulder arthroplasty. This surgery was developed in Europe in the 1980s, and was approved by the Food and Drug Administration (FDA) for use in the United States in 2004. Reverse total shoulder arthroplasty is often used for people who have shoulder arthritis combined with an irreparable rotator cuff tear. It is also done for patients with very complex shoulder problems, including those who have failed previous surgical treatments.

- What is shoulder arthroplasty?

Total shoulder arthroplasty is the solution offered by modern orthopedic surgery to conditions that destroy the shoulder joint such as osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, osteonecrosis, arthropathy due to rupture of the tendon sheath, and sometimes severe fractures of the shoulder that cause severe pain and significant limitation of movement and function of the entire upper limb.

The articular surface of the humerus and the socket of the scapula (humeral head and glenoid) are removed to create space for the joint replacement.

We replace the articular surfaces in reverse of their anatomical relationship. A metal ball is placed in place of the glenoid cavity, and a concave surface made of plastic (polyethylene) is placed in place of the humeral head and is supported by a stem that enters the humeral lumen. In this way, the concave surface of the humerus moves on the corresponding sphere of the glenoid cavity, the opposite of what happens in the normal shoulder (humeral head-ball, glenoid cavity-concave surface).

Shoulder replacement surgery usually takes about two hours. The incision is usually 8 to 12cm in size and is made along the front of the shoulder joint. The surgery is usually performed under general anesthesia.

- Recovery

The results of the surgery are good in terms of pain relief, shoulder functionality, and overall patient satisfaction.

You will need to wear a sling when you leave the operating room. The time until discharge depends on many factors.

- Postoperative

Postoperatively, the patient with reverse shoulder arthroplasty participates in a special rehabilitation program and is trained by the physiotherapist in the use of his new joint.

Shoulder Arthroplasty