Shoulder Prosthesis

Shoulder Prosthesis

Impingement disease, which is common in the shoulder, can cause muscle rips and joint degradation over time. It is a sickness that occurs between the ages of 60 and 70. In this type of joint degradation known as rotator cuff arthropathy, a shoulder prosthesis is employed.In this case, most of the muscles in the shoulder have deteriorated due to large chronic tears and the articular cartilage is not in good condition. As a solution, a reverse (reverse type) shoulder prosthesis is applied. Biomechanically, it is aimed to restore mobility to the shoulder thanks to the intact parts of the deltoid muscle and subscapularis muscle. Shoulder joint prostheses can also be placed after irreparable fractures of the joint or wear and tear of the joint. When multi-part fractures and fractured dislocations of the joint cannot be treated with plate-screw systems, it may be necessary to reconstruct the joint with a prosthesis. In this case, prostheses are used to preserve the bone stock after the fracture. Since the fracture usually occurs on an osteoporotic basis, shoulder prostheses are generally preferred with cement. The main factors affecting the success of all shoulder prosthesis surgeries are the height of the prosthesis, the shape of the head being the same as the anatomical head removed, and most importantly, the effective reattachment of the muscles adhering to the head on the prosthesis. These muscles are sutured around the prosthesis with thick suture materials together with their bony adhesion sites. In post-fracture prostheses, the integration of these parts, called tubercles, with the prosthesis after surgery is important for the prosthesis to gain the strength to lift the arm. For this reason, you should strictly follow the rehabilitation program and your doctor's recommendations after shoulder prosthesis. Physical therapy goes through different phases in 4-6 weeks after shoulder prosthesis.