In Lunel, a national first carried out at the Via Domitia clinic with a shoulder prosthesis

Le chirurgien tient le guide qui sert à atteindre une ultra-présicion de la pose et du positionnement de l’attelle. A. C.

Nicolas Pellegrini, orthopedic surgeon within the Clinipole Group, carried out an intervention with a state-of-the-art model coupled with a planning system which guides and positions to the nearest millimeter and according to the patient's anatomy.

In 40 minutes, it was folded! As will be able to do with her right arm this patient operated this Friday, June 28 at the Via Domitia clinic in Lunel.

At 58 years old, suffering from debilitating and very painful osteoarthritis, she received an anatomical shoulder prosthesis in the morning and returned home at the end of the afternoon. noon. Until then, a rather banal scenario.

Never before installed in France with such a process

Except that the operation, which Midi Libre was able to attend, was a national first on two levels. This type of state-of-the-art prosthesis associated with a planning system had, in fact, never been installed in France.

And the one who took this new generation intervention head on (!) is Nicolas Pellegrini. At 46 years old, this orthopedic surgeon, who has been practicing privately since 2016 at the Parc clinic in Castelnau-le-Lez and 2018 at the Via Domitia clinic in Lunel – two structures of the Clinipole Group – achieved this feat in one of the operating theaters of the Lunel establishment.

"We really find ourselves facing the patient’s very shoulder"

"With a shoulder scanner, we recreate the precise 3D image of its anatomy. We really find ourselves facing the patient's own shoulder, explains the healthcare professional. Then comes the software which plans the positioning and size of the implants. These are operations that are carried out before surgery."

Always before the patient ends up in the operating room, a transfer tool reproduces parameters calculated on said software. They are then transcribed onto a glenoid aiming guide (which concerns the articulated part of the scapula) in order to obtain ultra-precision that has never before been achieved in France .

Prodigious work

After an arthrotomy (opening of the joint), bone cuts and, in this specific case, removal of part of the worn head of the humerus responsible for this osteoarthritis in the patient operated on this Friday, June 28, “we tackle what is called “the glenoid phase”, that is to say, we work on the side of the scapula. It is at this precise moment that the guide takes on its full importance, relates Nicolas Pellegrini. It bears references that are similar to letters and numbers that allow the legs of the famous guide to be positioned and therefore to be extremely precise."

A team specialized in pain relief care

A prodigious work, especially on the shoulder whose articulation is known to be very complicated. "The whole point is there because this technique allows us to transfer the position and trajectory of the glenoid guide pin that we had planned on the software preoperatively. To put it simply: from the software to the patient's personal anatomy", continues the orthopedic surgeon, who followed training with the publisher of the IT tool , which also manufactures prostheses adapted to patients.

One of their consultants as well as one of their operating room nurses attended the operation in order to prevent the slightest hazard.
An operating theater nurse, a circulating nurse and an anesthetist also surrounded Nicolas Pellegrini. Who will say, with a smile, at the end of the intervention which went brilliantly: "This is a first… routine!"

Total support for social security

A motor routine that the patient will find again with this new shoulder, for the time being supported by a cryotherapy splint, at the end of the rehabilitation. A motor routine that the patient will find this new shoulder, for the time being supported by a cryotherapy splint, at the end of the rehabilitation.

Out this Friday, June 28 at the end of the afternoon from the Via Domitia clinic, it is taken care of by an expert team in home analgesia as well as by a physiotherapist specializing in shoulder exercises and movements. An operation and convalescence fully covered by Social Security.

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