Wednesday, May 25, 2011

Ream and Run for Shoulder Arthritis - clinical series - research foundation 4

Our first major publication on the ream and run procedure was co authored by shoulder fellows Lynch, Franta, and Lenters along with resident Montgomery; a link to this article, "Self Assessed Outcome Two to Four Years after Shoulder Hemiarthroplasty with Concentric Glenoid Reaming" can be found here. Our patients assessed their own comfort and function before and sequentially after the ream and run using the Simple Shoulder Test. The patients ranged in age from 35 to 80 years of age.  Their scores improved from 4.7 to 9.4 out of a possible 12. These results were very similar to the results from our series of total shoulder joint replacements as shown in Table II of the article, shown below.

Using the ream and run, we were able to able treat shoulders with severe posterior erosion of the glenoid bone as shown below

and to center the prosthetic humeral head on a reconfigured and regenerated joint surface as shown below.


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