Saturday, January 19, 2013

One year followup - ream and run for Walch B2

One of the operations we offer to patients with shoulder arthritis is the ream and run procedure. We will discuss this operation more in subsequent posts, but in brief it is a method of shoulder joint replacement arthroplasty that avoids the potential risks associated with a plastic socket. 

The chart above shows how the Simple Shoulder Test (SST) is used to document the recovery of patient self-assessed comfort and function after a ream and run procedure for shoulder arthritis. The data represent the average recovery from a consecutive series of over 100 patients with at least two years of post surgical follow-up. The vertical axis represents the total number of SST questions answered 'yes', while the horizontal axis represents the years after surgery. The dots show individual data points and the lines show the average (plus or minus one standard deviation) for all the patients.
Since, on average, patients having the ream and run live over 500 miles from our center, routine office visits are impractical for them.  Because patients mail or email their results to us, we have been able to keep close tabs on their recovery using the Simple Shoulder Test.

The full article was recently published in the JBJS and discussed in this post.

This weekend I received a nice email and video from a young man who, when we first met a year ago, was on major pain medications because of a severely arthritic and painful shoulder that prevented most activities.

His SST was only three and his X=rays showed a Walch B2 glenoid.

Knowing it was going to be a long hard road. He elected to have a ream and run
He has been incredibly faithful with not only with his shoulder exercise program, but also with his aerobic fitness. He now takes no pain medications. His SST is now 7. If we look at the graph above, we can see that his improvement is exactly parallel to the heavy black line (the average), it's just that he started further down on the scale. This give us confidence that he will continue to progress upward over the next year.
His one year films are shown below, demonstrating a single glenoid concavity and a stable shoulder. I'm very proud of his effort!

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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty,  and rotator cuff surgery.