Prosthetic Arthroplasties
Conditions
Keywords
paraplegia, Shoulder prosthesis, spinal cord injury, wheelchair
Brief summary
Repeated transfers and wheelchair propulsion in patients with neurological deficit of the lower limbs leads to a major mechanical overload of the upper limbs, especially on shoulders, the weight-bearing shoulder. Under these conditions, arthroplasty is subject to significant constraints; such an indication in this condition is always discussed. The objective of this study was to evaluate the medium-term clinical and functional outcomes of anatomical and reverse arthroplasty on the weight-bearing shoulder in individuals with long-term wheelchair use.
Interventions
Surgery consisting in replacement of gleno-humeral joint by a shoulder prosthesis
Sponsors
Study design
Eligibility
Inclusion criteria
* patients not walking or rarely walking, long-term users of a wheelchair before the intervention, and surgery on at least one shoulder by anatomical or reverse prosthesis
Exclusion criteria
* Patient walking without aid * Shoulder surgery other than arthroplasty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evolution of joint mobility | 1 day | Evolution of joint mobility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of searches for early implant loosening | 1 day | number of searches for early implant loosening |
Countries
France