Summary
A cineradiographic study of unconstrained Neer-type shoulder prosthesis during active anterior elevation has shown that the kinematics of the prosthetic components is rarely normal and is often limited or nil. Whilst physiological active elevation is possible in certain selected cases of shoulder replacement, the scapulo-humeral rhythm is often abnormal or reversed. An approach to the kinematics of the shoulder using an unconstrained prosthesis remains limited by: (a) the initial pathology, (b) the difficulties in operative technique and (c) the limited possibilities offered by the design of the prosthesis itself Displacement of the centers of rotation, because of the relatively fixed geometry of this first generation of shoulder prosthesis, probably limits the possibilities to reproduce the normal kinematics of the glenohumeral joint. These results had suggested us the need for research to improve the design and the technological possibilities of unconstrained shoulder prosthesis.
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Boileau, P., Walch, G., Liotard, J.P. (1999). Kinematics of Shoulder Replacement. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_4
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DOI: https://doi.org/10.1007/978-3-642-58365-0_4
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