[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"disease-index":3,"disease-20":121,"navigation-categories":694,"navigation-categories-fr":812},{"data":4,"meta":117},[5,11,17,23,28,34,40,46,52,58,64,70,76,82,88,94,100,106,111],{"id":6,"attributes":7},4,{"title":8,"title_en":9,"slug_en":10},"Hernie discale lombaire","Lumbar Disc Herniation","lumbar-disc-herniation",{"id":12,"attributes":13},5,{"title":14,"title_en":15,"slug_en":16},"Prothèse totale de hanche ","Total Hip Replacement","total-hip-replacement",{"id":18,"attributes":19},7,{"title":20,"title_en":21,"slug_en":22},"ménisque","Meniscus","meniscus",{"id":24,"attributes":25},8,{"title":26,"title_en":26,"slug_en":27},"Hallux Valgus","hallux-valgus",{"id":29,"attributes":30},16,{"title":31,"title_en":32,"slug_en":33},"Pathologie dégénérative cheville","Degenerative Ankle Disease","degenerative-ankle-disease",{"id":35,"attributes":36},20,{"title":37,"title_en":38,"slug_en":39},"Prothèse épaule","Shoulder Replacement","shoulder-replacement",{"id":41,"attributes":42},19,{"title":43,"title_en":44,"slug_en":45},"Pathologies de la coiffe des rotateurs ","Rotator Cuff Disorders","rotator-cuff-disorders",{"id":47,"attributes":48},18,{"title":49,"title_en":50,"slug_en":51},"Rupture du tendon d'Achille","Achilles Tendon Rupture","achilles-tendon-rupture",{"id":53,"attributes":54},9,{"title":55,"title_en":56,"slug_en":57},"Le névrome de Morton ","Morton's neuroma","morton-s-neuroma",{"id":59,"attributes":60},22,{"title":61,"title_en":62,"slug_en":63},"L’instabilité d’épaule","Shoulder Instability","shoulder-instability",{"id":65,"attributes":66},23,{"title":67,"title_en":68,"slug_en":69},"Capsulite rétractile","Adhesive Capsulitis (Frozen Shoulder)","adhesive-capsulitis-frozen-shoulder",{"id":71,"attributes":72},11,{"title":73,"title_en":74,"slug_en":75},"La Pathologie Ligamentaire","Ligament Pathology","ligament-pathology",{"id":77,"attributes":78},17,{"title":79,"title_en":80,"slug_en":81},"La prothèse totale de genou ","Total Knee Replacement","total-knee-replacement",{"id":83,"attributes":84},24,{"title":85,"title_en":86,"slug_en":87},"Principes de rééducations ","Principles of rehabilitation","principles-of-rehabilitation",{"id":89,"attributes":90},14,{"title":91,"title_en":92,"slug_en":93},"Pathologie de la Rotule","Patellar Disorders","patellar-disorders",{"id":95,"attributes":96},21,{"title":97,"title_en":98,"slug_en":99},"Fracture épaule","Shoulder Fracture","shoulder-fracture",{"id":101,"attributes":102},15,{"title":103,"title_en":104,"slug_en":105},"Pathologie ligamentaire cheville","Ankle Ligament Pathology","ankle-ligament-pathology",{"id":107,"attributes":108},6,{"title":109,"title_en":110,"slug_en":110},"coxarthrose ","coxarthrosis",{"id":112,"attributes":113},10,{"title":114,"title_en":115,"slug_en":116},"Griffes d’orteils et métatarsalgies ","Toe claws and metatarsalgia","toe-claws-and-metatarsalgia",{"pagination":118},{"page":119,"pageSize":120,"pageCount":119,"total":41},1,100,{"data":122,"meta":693},{"id":35,"attributes":123},{"title":37,"content":124,"createdAt":418,"updatedAt":419,"publishedAt":420,"summary":163,"seoTitle":163,"seoDescription":163,"author":163,"reviewedBy":163,"medicalReviewer":163,"medicalReviewedAt":163,"associatedAnatomy":163,"title_en":38,"slug_en":39,"summary_en":163,"seoTitle_en":163,"seoDescription_en":163,"content_en":421,"associatedAnatomy_en":163,"ogImage":679,"pathologie_par_articulation":680,"sources":688,"relatedSurgeries":689,"possibleTreatments":691,"signsOrSymptoms":692},[125,131,135,139,143,147,152,178,182,186,190,194,198,201,219,223,226,230,234,238,242,246,249,253,257,261,265,268,272,276,280,283,287,291,295,298,302,305,308,312,315,319,322,326,329,332,335,339,343,346,350,353,357,360,364,368,371,375,378,382,386,389,393,396,400,403,407,411,414],{"type":126,"children":127},"paragraph",[128],{"text":129,"type":130},"Une prothèse est un élément dont le rôle est de remplacer un organe dans le corps.","text",{"type":126,"children":132},[133],{"text":134,"type":130},"Il existe de très nombreuses prothèses :",{"type":126,"children":136},[137],{"text":138,"type":130},"– Les plus connues sont les prothèses articulaires : elles remplacent les éléments cartilagineux, osseux et parfois ligamentaires d’une articulation. Les plus connues sont les prothèses de hanche et de genou ; Mais on fabrique également des prothèses d’épaule, de cheville, de poignet, de coude , d’articulation des doigts, de disque intervertébral …Très peu d’articulations dans le corps n’ont pas encore de prothèses correspondantes.",{"type":126,"children":140},[141],{"text":142,"type":130},"– D’autres prothèses sont également connues : les prothèses de valves cardiaques, par exemple.",{"type":126,"children":144},[145],{"text":146,"type":130},"– Certaines prothèses sont moins connues ou moins souvent utilisées : les prothèses ligamentaires (ou ligaments artificiels), les prothèses de vaisseaux (aorte par exemple).",{"type":148,"level":6,"children":149},"heading",[150],{"text":151,"type":130},"Quand mettre en place une prothèse ?",{"type":153,"image":154,"children":175},"image",{"ext":155,"url":156,"hash":157,"mime":158,"name":159,"size":160,"width":161,"height":162,"caption":163,"formats":164,"provider":173,"createdAt":174,"updatedAt":174,"previewUrl":163,"alternativeText":159,"provider_metadata":163},".jpg","https:\u002F\u002Flircos.org\u002Fapi\u002Fuploads\u002Ffracture_epaule_1_b66312c253.jpg","fracture_epaule_1_b66312c253","image\u002Fjpeg","fracture épaule 1.jpg",25.73,400,405,null,{"thumbnail":165},{"ext":155,"url":166,"hash":167,"mime":158,"name":168,"path":163,"size":169,"width":170,"height":171,"sizeInBytes":172},"\u002Fuploads\u002Fthumbnail_fracture_epaule_1_b66312c253.jpg","thumbnail_fracture_epaule_1_b66312c253","thumbnail_fracture épaule 1.jpg",5.88,154,156,5882,"local","2024-10-13T12:13:58.373Z",[176],{"text":177,"type":130},"",{"type":126,"children":179},[180],{"text":181,"type":130},"Il existe trois grandes circonstances dans lesquelles une prothèse d’épaule est nécessaire :",{"type":126,"children":183},[184],{"text":185,"type":130},"– Certaines fractures complexes (lien vers fracture d’épaule)",{"type":126,"children":187},[188],{"text":189,"type":130},"– L’arthrose de l’épaule sans rupture de la coiffe des rotateurs, également appelée omarthrose centrée(lien vers arthrose)",{"type":126,"children":191},[192],{"text":193,"type":130},"– L’arthrose de l’épaule avec rupture de la coiffe des rotateurs, appelée omarthrose excentrée",{"type":148,"level":6,"children":195},[196],{"text":197,"type":130},"De quoi est faite une prothèse",{"type":126,"children":199},[200],{"text":177,"type":130},{"type":153,"image":202,"children":217},{"ext":155,"url":203,"hash":204,"mime":158,"name":205,"size":206,"width":161,"height":207,"caption":163,"formats":208,"provider":173,"createdAt":216,"updatedAt":216,"previewUrl":163,"alternativeText":205,"provider_metadata":163},"https:\u002F\u002Flircos.org\u002Fapi\u002Fuploads\u002Ffracture_epaule_2_f27217899e.jpg","fracture_epaule_2_f27217899e","fracture épaule 2.jpg",16.66,357,{"thumbnail":209},{"ext":155,"url":210,"hash":211,"mime":158,"name":212,"path":163,"size":213,"width":214,"height":171,"sizeInBytes":215},"\u002Fuploads\u002Fthumbnail_fracture_epaule_2_f27217899e.jpg","thumbnail_fracture_epaule_2_f27217899e","thumbnail_fracture épaule 2.jpg",4.75,175,4750,"2024-10-13T12:13:46.193Z",[218],{"text":177,"type":130},{"type":126,"children":220},[221],{"text":222,"type":130},"En fonction de l’articulation qu’elle remplace, une prothèse est constituée de plusieurs éléments différents.",{"type":126,"children":224},[225],{"text":177,"type":130},{"type":126,"children":227},[228],{"text":229,"type":130},"Au niveau de l’épaule, le principe est de remplacer la tête humérale d’une part et la glène de l’omoplate d’autre part.",{"type":126,"children":231},[232],{"text":233,"type":130},"Les éléments qui constituent une prothèse peuvent être :",{"type":126,"children":235},[236],{"text":237,"type":130},"– En métal : alliage d’acier, alliage de titane, alliage de zirconium.",{"type":126,"children":239},[240],{"text":241,"type":130},"– En polyéthylène de très haute densité : sorte de plastique ultra résistant adapté au corps humain.",{"type":148,"level":6,"children":243},[244],{"text":245,"type":130},"Mise en place de la prothèse",{"type":126,"children":247},[248],{"text":177,"type":130},{"type":126,"children":250},[251],{"text":252,"type":130},"– Le patient est en position demi-assis.",{"type":126,"children":254},[255],{"text":256,"type":130},"– L’anesthésie (lien vers ce terme) est le plus souvent générale, en association avec une anesthésie de l’épaule locale, par l’intermédiaire d’un cathéter laissé en place après l’intervention. Cette anesthésie locale supplémentaire permet de diminuer nettement les douleurs post-opératoires, au réveil de l’anesthésie générale.",{"type":126,"children":258},[259],{"text":260,"type":130},"– L’intervention dure de 1 h à 3 h selon sa complexité.",{"type":148,"level":6,"children":262},[263],{"text":264,"type":130},"Immobilisation post opératoire",{"type":126,"children":266},[267],{"text":177,"type":130},{"type":126,"children":269},[270],{"text":271,"type":130},"– Dans la quasi totalité des cas, une attelle amovible est mise en place en fin d’intervention et doit être conservée entre 3 et 6 semaines selon le type de l’intervention et les habitudes du chirurgien.",{"type":126,"children":273},[274],{"text":275,"type":130},"– La rééducation dépend du type d’intervention. Elle consiste souvent pendant les 4 à 6 premières semaines en une simple mobilisation passive de l’épaule par le kinésithérapeute.",{"type":148,"level":6,"children":277},[278],{"text":279,"type":130},"Les gestes autorisés",{"type":126,"children":281},[282],{"text":177,"type":130},{"type":126,"children":284},[285],{"text":286,"type":130},"– Une fois la cicatrisation des muscles obtenue, en général entre l mois et 1\u002F2 et 2 mois après l’intervention, la mobilisation active par le patient lui-même est stimulée par le kinésithérapeuthe.",{"type":126,"children":288},[289],{"text":290,"type":130},"– Il faut entre 3 et 6 mois de rééducation pour obtenir une épaule souple, mobile et indolore dans la grande majorité des cas.",{"type":148,"level":6,"children":292},[293],{"text":294,"type":130},"Complications",{"type":126,"children":296},[297],{"text":177,"type":130},{"type":126,"children":299},[300],{"text":301,"type":130},"– Les complications de l’anesthésie ne sont pas spécifiques.",{"type":126,"children":303},[304],{"text":177,"type":130},{"type":126,"children":306},[307],{"text":177,"type":130},{"type":126,"children":309},[310],{"text":311,"type":130},"– L’infection est une complication rare (1% environ) mais est la plus redoutable. Il est impossible en l’état actuel des connaissances scientifiques de réduire le risque d’infection à 0 %. Ce risque ne dépend en effet pas seulement du chirurgien, de la technique chirurgicale employée, des soins post-opératoires. Il dépend pour une très large part également de paramètres que le chirurgien, l’anesthésiste et l’équipe soignante ne peuvent maîtriser, quels que soient les efforts et la qualité apportés aux soins. Les exemples de risque infectieux liés aux patients sont nombreux et très variables d’un patient à l’autre : diabète, maladie immunitaire, SIDA, infection évolutive dans une autre partie du corps (infection urinaire par exemple), état général du patient, âge, état de propreté du patient lui-même…",{"type":126,"children":313},[314],{"text":177,"type":130},{"type":126,"children":316},[317],{"text":318,"type":130},"Une infection nécessite en général le changement de la prothèse, en deux fois le plus souvent : temps de dépose prothétique, temps de repose prothétique. Ces deux temps sont entrecoupés d’une longue période d’antibiothérapie intraveineuse puis orale.",{"type":126,"children":320},[321],{"text":177,"type":130},{"type":126,"children":323},[324],{"text":325,"type":130},"Quoiqu’il en soit, afin de diminuer le risque d’infection, de nombreuses précautions seront prises par le chirurgien et l’équipe soignante avant, pendant et après l’intervention.",{"type":126,"children":327},[328],{"text":177,"type":130},{"type":126,"children":330},[331],{"text":177,"type":130},{"type":126,"children":333},[334],{"text":177,"type":130},{"type":126,"children":336},[337],{"text":338,"type":130},"– Les fractures : elles peuvent survenir pendant l’intervention et sont alors immédiatement traitées : la conséquence peut être un ralentissement du rythme de rééducation.",{"type":126,"children":340},[341],{"text":342,"type":130},"Elles peuvent survenir après l’intervention, même plusieurs années après. Leur prise en charge nécessite impérativement un avis spécialisé, le plus souvent le retour vers le chirurgien qui a posé la prothèse.",{"type":126,"children":344},[345],{"text":177,"type":130},{"type":126,"children":347},[348],{"text":349,"type":130},"– La luxation de la prothèse : rare, mais ennuyeuse, car nécessitant le plus souvent une réintervention de stabilisation.",{"type":126,"children":351},[352],{"text":177,"type":130},{"type":126,"children":354},[355],{"text":356,"type":130},"– Les ruptures musculaires, notamment du muscle sous-scapulaire. Elles sont surtout fréquentes en cas de luxation ou de défaut technique dans la réparation per-opératoire du muscle.",{"type":126,"children":358},[359],{"text":177,"type":130},{"type":126,"children":361},[362],{"text":363,"type":130},"– L’usure de la prothèse : ce n’est pas vraiment une complication, puisque toute prothèse posée dans le corps s’use, comme une pièce d’automobile. La vitesse d’usure dépend du patient, du type de prothèse, de l’utilisation qui est faite de la prothèse, de la qualité de pose… Elle survient le plus souvent après plus de 10 ans de fonctionnement de la prothèse et n’est pas toujours douloureuse. Seule l’apparition d’une douleur peut conduire à changer la prothèse usée.",{"type":148,"level":6,"children":365},[366],{"text":367,"type":130},"Quelle fonction espérer ?",{"type":126,"children":369},[370],{"text":177,"type":130},{"type":126,"children":372},[373],{"text":374,"type":130},"Le résultat final obtenu dépend de plusieurs éléments :",{"type":126,"children":376},[377],{"text":177,"type":130},{"type":126,"children":379},[380],{"text":381,"type":130},"Le type de pathologie nécessitant la mise en place d’une prothèse : – les fractures donnent toujours de moins bons résultats sur la mobilité que l’arthrose, même si les résultats sur la douleur sont excellents",{"type":126,"children":383},[384],{"text":385,"type":130},"– Les prothèses inversés donnent souvent des résultats spectaculaires chez les patients qui ne bougeaient presque plus l’épaule.",{"type":126,"children":387},[388],{"text":177,"type":130},{"type":126,"children":390},[391],{"text":392,"type":130},"L’âge des patients : les sujets jeunes se rééduquent plus vite et ont une qualité musculaire et tendineuse permettant un meilleur résultat",{"type":126,"children":394},[395],{"text":177,"type":130},{"type":126,"children":397},[398],{"text":399,"type":130},"La technique de pose : seuls les chirurgiens qui possèdent une certaine expérience des prothèses d’épaule ont l’expérience qui permet de faire face à toutes les situations, même les plus difficiles.",{"type":126,"children":401},[402],{"text":177,"type":130},{"type":126,"children":404},[405],{"text":406,"type":130},"Une prothèse d’épaule posée dans de bonnes conditions, correctement rééduquée, sans dégats liés à une fracture ou à une disparition des tendons de la coiffe des rotateurs permet de retrouver une fonction normale de l’épaule.",{"type":148,"level":6,"children":408},[409],{"text":410,"type":130},"Combien de temps dure une prothèse d’épaule ?",{"type":126,"children":412},[413],{"text":177,"type":130},{"type":126,"children":415},[416],{"text":417,"type":130},"Plus de 90% des prothèses d’épaule posées fonctionnent sans problèmes plus de 15 ans ","2024-10-13T12:15:24.521Z","2024-10-19T13:52:00.091Z","2024-10-13T12:16:35.108Z",[422,426,430,434,438,442,446,452,456,460,464,468,472,475,481,485,488,492,496,500,504,508,511,515,519,523,527,530,534,538,542,545,549,553,556,559,563,566,569,573,576,580,583,587,590,593,596,600,604,607,611,614,618,621,625,629,632,636,639,643,647,650,654,657,661,664,668,672,675],{"type":126,"children":423},[424],{"text":425,"type":130},"A prosthesis is an element whose role is to replace an organ in the body.",{"type":126,"children":427},[428],{"text":429,"type":130},"There are many prostheses:",{"type":126,"children":431},[432],{"text":433,"type":130},"– The best known are joint prostheses: they replace the cartilaginous, bony and sometimes ligamentous elements of a joint. The best known are hip and knee prostheses; But we also manufacture shoulder, ankle, wrist, elbow, finger joint, intervertebral disc prostheses, etc. Very few joints in the body do not yet have corresponding prostheses.",{"type":126,"children":435},[436],{"text":437,"type":130},"– Other prostheses are also known: heart valve prostheses, for example.",{"type":126,"children":439},[440],{"text":441,"type":130},"– Certain prostheses are less known or less often used: ligament prostheses (or artificial ligaments), vessel prostheses (aorta for example).",{"type":148,"level":6,"children":443},[444],{"text":445,"type":130},"When to put in a prosthesis?",{"type":153,"image":447,"children":450},{"ext":155,"url":156,"hash":157,"mime":158,"name":159,"size":160,"width":161,"height":162,"caption":163,"formats":448,"provider":173,"createdAt":174,"updatedAt":174,"previewUrl":163,"alternativeText":159,"provider_metadata":163},{"thumbnail":449},{"ext":155,"url":166,"hash":167,"mime":158,"name":168,"path":163,"size":169,"width":170,"height":171,"sizeInBytes":172},[451],{"text":177,"type":130},{"type":126,"children":453},[454],{"text":455,"type":130},"There are three main circumstances in which a shoulder prosthesis is necessary:",{"type":126,"children":457},[458],{"text":459,"type":130},"– Certain complex fractures (link to shoulder fracture)",{"type":126,"children":461},[462],{"text":463,"type":130},"– Shoulder osteoarthritis without rotator cuff tear, also called centric osteoarthritis (link to osteoarthritis)",{"type":126,"children":465},[466],{"text":467,"type":130},"– Shoulder osteoarthritis with rotator cuff tear, called eccentric osteoarthritis",{"type":148,"level":6,"children":469},[470],{"text":471,"type":130},"What is a prosthesis made of?",{"type":126,"children":473},[474],{"text":177,"type":130},{"type":153,"image":476,"children":479},{"ext":155,"url":203,"hash":204,"mime":158,"name":205,"size":206,"width":161,"height":207,"caption":163,"formats":477,"provider":173,"createdAt":216,"updatedAt":216,"previewUrl":163,"alternativeText":205,"provider_metadata":163},{"thumbnail":478},{"ext":155,"url":210,"hash":211,"mime":158,"name":212,"path":163,"size":213,"width":214,"height":171,"sizeInBytes":215},[480],{"text":177,"type":130},{"type":126,"children":482},[483],{"text":484,"type":130},"Depending on the joint it replaces, a prosthesis is made up of several different elements.",{"type":126,"children":486},[487],{"text":177,"type":130},{"type":126,"children":489},[490],{"text":491,"type":130},"At the shoulder level, the principle is to replace the humeral head on the one hand and the glenoid of the scapula on the other hand.",{"type":126,"children":493},[494],{"text":495,"type":130},"The elements that constitute a prosthesis can be:",{"type":126,"children":497},[498],{"text":499,"type":130},"– Metal: steel alloy, titanium alloy, zirconium alloy.",{"type":126,"children":501},[502],{"text":503,"type":130},"– Made of very high density polyethylene: a type of ultra-resistant plastic adapted to the human body.",{"type":148,"level":6,"children":505},[506],{"text":507,"type":130},"Fitting the prosthesis",{"type":126,"children":509},[510],{"text":177,"type":130},{"type":126,"children":512},[513],{"text":514,"type":130},"– The patient is in a semi-sitting position.",{"type":126,"children":516},[517],{"text":518,"type":130},"– Anesthesia (link to this term) is most often general, in association with local shoulder anesthesia, via a catheter left in place after the operation. This additional local anesthesia makes it possible to significantly reduce post-operative pain, upon awakening from general anesthesia.",{"type":126,"children":520},[521],{"text":522,"type":130},"– The intervention lasts from 1 hour to 3 hours depending on its complexity.",{"type":148,"level":6,"children":524},[525],{"text":526,"type":130},"Postoperative immobilization",{"type":126,"children":528},[529],{"text":177,"type":130},{"type":126,"children":531},[532],{"text":533,"type":130},"– In almost all cases, a removable splint is put in place at the end of the operation and must be kept on for between 3 and 6 weeks depending on the type of operation and the surgeon's habits.",{"type":126,"children":535},[536],{"text":537,"type":130},"– Rehabilitation depends on the type of intervention. During the first 4 to 6 weeks, it often consists of simple passive mobilization of the shoulder by the physiotherapist.",{"type":148,"level":6,"children":539},[540],{"text":541,"type":130},"Authorized gestures",{"type":126,"children":543},[544],{"text":177,"type":130},{"type":126,"children":546},[547],{"text":548,"type":130},"– Once the healing of the muscles has been achieved, generally between 1 month and 1\u002F2 to 2 months after the operation, active mobilization by the patient himself is stimulated by the physiotherapist.",{"type":126,"children":550},[551],{"text":552,"type":130},"– It takes between 3 and 6 months of rehabilitation to obtain a supple, mobile and pain-free shoulder in the vast majority of cases.",{"type":148,"level":6,"children":554},[555],{"text":294,"type":130},{"type":126,"children":557},[558],{"text":177,"type":130},{"type":126,"children":560},[561],{"text":562,"type":130},"– Complications of anesthesia are not specific.",{"type":126,"children":564},[565],{"text":177,"type":130},{"type":126,"children":567},[568],{"text":177,"type":130},{"type":126,"children":570},[571],{"text":572,"type":130},"– Infection is a rare complication (approximately 1%) but is the most dangerous. It is impossible with the current state of scientific knowledge to reduce the risk of infection to 0%. This risk does not only depend on the surgeon, the surgical technique used, or post-operative care. It also depends to a very large extent on parameters that the surgeon, the anesthetist and the healthcare team cannot control, whatever the efforts and quality of the care. Examples of infectious risk linked to patients are numerous and vary greatly from one patient to another: diabetes, immune disease, AIDS, active infection in another part of the body (urinary infection for example), general condition of the patient, age, state of cleanliness of the patient himself, etc.",{"type":126,"children":574},[575],{"text":177,"type":130},{"type":126,"children":577},[578],{"text":579,"type":130},"An infection generally requires changing the prosthesis, most often in two stages: prosthetic removal time, prosthetic rest time. These two stages are interspersed with a long period of intravenous and then oral antibiotic therapy.",{"type":126,"children":581},[582],{"text":177,"type":130},{"type":126,"children":584},[585],{"text":586,"type":130},"Regardless, in order to reduce the risk of infection, numerous precautions will be taken by the surgeon and the healthcare team before, during and after the procedure.",{"type":126,"children":588},[589],{"text":177,"type":130},{"type":126,"children":591},[592],{"text":177,"type":130},{"type":126,"children":594},[595],{"text":177,"type":130},{"type":126,"children":597},[598],{"text":599,"type":130},"– Fractures: they can occur during the intervention and are then immediately treated: the consequence may be a slowdown in the pace of rehabilitation.",{"type":126,"children":601},[602],{"text":603,"type":130},"They can occur after the intervention, even several years later. Their management absolutely requires specialist advice, most often a return to the surgeon who installed the prosthesis.",{"type":126,"children":605},[606],{"text":177,"type":130},{"type":126,"children":608},[609],{"text":610,"type":130},"– Dislocation of the prosthesis: rare, but annoying, because it most often requires reoperation for stabilization.",{"type":126,"children":612},[613],{"text":177,"type":130},{"type":126,"children":615},[616],{"text":617,"type":130},"– Muscle ruptures, particularly of the subscapularis muscle. They are especially common in cases of dislocation or technical defect in the intraoperative repair of the muscle.",{"type":126,"children":619},[620],{"text":177,"type":130},{"type":126,"children":622},[623],{"text":624,"type":130},"– Wear of the prosthesis: this is not really a complication, since any prosthesis placed in the body wears out, like an automobile part. 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Only the appearance of pain can lead to changing the worn prosthesis.",{"type":148,"level":6,"children":626},[627],{"text":628,"type":130},"What function to expect?",{"type":126,"children":630},[631],{"text":177,"type":130},{"type":126,"children":633},[634],{"text":635,"type":130},"The final result obtained depends on several elements:",{"type":126,"children":637},[638],{"text":177,"type":130},{"type":126,"children":640},[641],{"text":642,"type":130},"The type of pathology requiring the installation of a prosthesis: – fractures always give worse results on mobility than osteoarthritis, even if the results on pain are excellent",{"type":126,"children":644},[645],{"text":646,"type":130},"– Reversed prostheses often give spectacular results in patients who barely move the shoulder.",{"type":126,"children":648},[649],{"text":177,"type":130},{"type":126,"children":651},[652],{"text":653,"type":130},"The age of the patients: young subjects rehabilitate more quickly and have muscular and 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