Friday, October 16, 2015

Cartilage regrowth after the ream and run in an 81 year old farmer

An 81 year old farmer desired a ream and run procedure because of his left shoulder kept him from doing the heavy work on his farm.

At the time of presentation, he had bone on bone contact between the head of his humerus and the glenoid. His preoperative film is shown below.

The x-ray immediately after the ream and run is shown below

The film at three months is below

At 12 months after the ream and run he is back to full farming. His x-ray shows a dark space between the humeral head and the glenoid indicating the growth of fibrocartilage over the surface of the glenoid bone.

As this case demonstrates, we found that the ream and run can yield excellent results in older active individuals.


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