Here is a recent summary of the practice and results of the ream and run (see this link).
Below are the x-rays from a patient two years after the ream and run showing the absence of a plastic (polyethylene) glenoid prosthesis, the absence of bone cement (polymethymethacrylate), the use of impaction grafting to fix a relatively thin stem in the humerus, and the presence of a fibrocartilagenous space that has grown between the humeral head and the reamed glenoid bone.
Update: We've performed over 600 ream and run procedure on patients ranging from 21 to 81 years of age (average 57 ± 9 years). 92 % of the patients were male. The distribution of the diagnoses are shown in the pie chart below
Simple Shoulder Test (SST). The percentage of patients able to perform each of the SST functions before surgery is shown below.
Ream and Run - research and development
How the shoulder works
Ream and Run for Shoulder Arthritis - Genesis
Shaping the arthritic socket
Considerations regarding the ream and run
The ream and run - a glenohumeral arthroplasty that avoids the risks of plastic glenoid components
Shoulder replacement for active people video 1
Shoulder replacement for active people video 2
The Ream and Run Essentials
From where do our shoulder joint replacement patients come?
The arthritic glenoid - evaluation and management
Is the shoulder arthritic or frozen?
Is the shoulder stiff?
Why do arthritic shoulders get stiff?
Assessing shoulder limitations - the Simple Shoulder Test
Shoulder limitations in Degenerative Joint Disease of the Shoulder
What can be done for shoulder arthritis without surgery?
When is it time for a shoulder replacement?
When is it the right time for a shoulder replacement for arthritis?
Shoulder joint replacement - special considerations
A ream and run is not the same as a hemiarthroplasty
Ream and run - women with shoulder arthritis
Ream and run - how many are done, on which patients and for what kinds of shoulder arthritis?
Ream and run - women with shoulder arthritis
The effect of surgeon shoulder arthroplasty volume on care quality - the third of the 4 Ps
How does surgeon volume relate to the result of shoulder joint replacement?
The role of the surgeon in the result of surgery
Surgeon factors that can influence the outcome of surgery
Prognosis for Improvement after the Ream and Run
Ream and run - for the Young at Heart
Ream and run shoulder arthroplasty - what it takes to get a super result
The ream and run for shoulder arthritis - commonly asked questions - from a weight lifter
Shoulder Arthritis: The Cliff Notes for Physical Therapists and Other People
Shoulder joint replacement - many different types of arthritis
Can the glenoid be reamed after a biological resurfacing?
The ream and run and the kiss sign - the contribution of an intact labrum to the suction cup effect
Shoulder joint replacement arthroplasty - x-ray evaluation
The Axillary view = the 'truth' view
The axillary - truth - view. It tells us what we need to know about arthritis.
The Walch B2 glenoid in a young active person - a recurrent theme.
Classifying glenoid morphology with axillary views and CT scans - comparable reliability
The Bad Arthritic Triad - BAT - the biconcave glenoid and its management
The relationship of glenoid version to stability in shoulder arthritis, the bad arthritic triad
Glenoid bone density in A2 and B2 glenoids, implications for pathogenesis and treatment
Glenoid version and humeral subluxation
The arthritic shoulder before surgery and after the ream and run: the axillary x-ray
Preparing for surgery
Making elective surgery safer
Patients taking narcotics before surgery often have poorer results from surgery
Medications and joint replacement
Interscalene brachial plexus block vs. general anesthesia
Shoulder arthroplasty - what factors are associated with the outcome?
Chondrolysis in a young person, managed with a ream and run
Shoulder arthroplasty - factors associated with longer lengths of hospital stay. The 4 Ps
Shoulder arthroplasty - worker's compensation coverage may be a comorbidity
Shoulder arthroplasty - consideration of varus and valgus head position
Shoulder arthroplasty components and jet fighters
Short stem humeral prosthesis: the risk of stress shielding. Is shorter better?
'New' humeral prostheses and associated problems leading to revision.
The hazards of a press fit humeral stem in total shoulder arthroplasty
Shoulder replacement for active people video 2
The Glenoid Socket - the key to surgery for shoulder arthritis
How is glenoid reaming done?
Shoulder joint replacement - selecting the optimal humeral component
Humeral component fixation - cortical press fit vs impaction grafting
The case for and art of impaction grafting
The magical role of eccentric prosthetic humeral heads in creating a stable shoulder arthroplasty
Shoulder arthroplasty - the stabilizing effect of the anteriorly offset humeral head component
Fixed posterior subluxation - management with an anteriorly eccentric humeral head component
Posteriorly eccentric humeral head.
Ream and Run for flattened head, Walch B2 and retroversion
Ream and run for posterior instability without glenoid retroversion
Ream and run - posteriorly eccentric head to manage anterior subluxation
Ream and run for severe glenoid deformity
Ream and run with RIP and eccentric head for a B1 glenoid seen on a standardized axillary view
Ream and run for the B2, retroverted glenoid
Ream and run for the posteriorly eroded type B2 glenoid with posterior humeral displacement
Ream and run with eccentric head and rotator interval plication for glenohumeral arthritis
Shoulder arthritis with posterior humeral subluxation managed with the ream and run
The ream and run in the face of severe posterior glenoid erosion
Ream and run for shoulder arthritis with a posteriorly subluxated humeral head
Humeral arthroplasty - does the entry point matter?
Ream and Run for Capsulorrhaphy Arthropathy - two recent cases
Ream and run for severe post fracture deformity
Managing a humeral shaft deformity with a stemmed humeral component
Patient specific targeting guides - are they of value in total shoulder arthroplasty?
Patient specific instrumentation - is it of value?
Ream and run - the first day video
Ream and Run video diary the first 5 months
Continuous passive motion after the ream and run
Rehabilitation after shoulder joint replacement replacement - Cliff Notes
How to stretch and how not to stretch
Rehabilitation: care for the subscapularis.
Rehabilitation: maintaining range of motion
A wonderful rehabilitation effort one week after a ream and run
Ream and run, what it takes to get a super result = super rehabilitation effort @ 6 weeks
Keeping track of the shoulder's motion - how do we do it remotely?
Creative rehabilitation after the ream and run
Shoulder stretching: the forward lean
Stretching exercises - the 'swimmer stretch'
Rehabilitation: early strengthening
The 'ream and run' diary!
Ream and run: "commit 100% to rehab": two year followup
Shoulder function two years after ream and run: persistence, pool, patience
Ream and run - ultimate rehabilitation
Ream and run: doctor-patient dialogue during recovery
Shoulder joint replacement - postoperative rehabilitation
Extraordinary rehabilitation effort after a bilateral ream and run procedure
Ream and run and stiffness - prevention and treatment - manipulation and surgical release
Antibiotics after joint replacement
Cartilage regrowth after the ream and run in an 81 year old farmer
Ream and Run - x-rays at 4+ years in a swimmer
Eight videos of activities after the ream and run
Tracking recovery of comfort and function after the ream and run
Ream and run - communications from patients
Ream and run for B2 glenoid - beach smashball at 13 weeks
Ream and run Diary, at 14 weeks
Returning to rock climbing after a ream and run for a B2 glenoid
Three months out from a ream and run - the patient's story so far
Ream and Run for a B2 glenoid - the x-rays and the patient's own story
Ream and run - what activities can be done after this procedure.
Diary - 6 months after a ream and run7 month progress note on a ream and run
Swimming 7 months after a ream and run
Walch B2 glenoid, ream and run, function at 9 months
One year followup: Ream and run for B2 glenoid (the Bad Arthritic Triad)
Ream and run shoulder arthroplasty - results from Texas
Hockey after ream and run
Ream and run for B2 glenoid - back to active duty in our armed forces
Ream and run in patients under 55 years
First woman in the world to get 8th degree black belt in Shotokan Karate
Ream and run - will the glenoid wear away without a plastic glenoid component?
Ream and Run for the bad arthritic triad and B2 glenoid revealed by the truth view - two years later
A couple of two year followups after ream and run for advanced glenohumeral arthritis
Ream and run - two year followup.
Ream and Run for Walch B2 Glenoid - can I get back to playing viola?
Ream and Run, x-rays before and 2.5 years after
Sailing 3 years after a ream and run
How durable is a ream and run for a B2 glenoid?
Ream and run - patient observations at four years after the procedure for the bad arthritic triad
Ream and Run for the Bad Arthritic Triad - five year anniversary
throwing batting practice over five years after a ream and run
A radiographic diary of shoulder arthritis before and 7 yrs after a ream and run
Eight year progress note on bilateral ream and runs
Ream and run for a B2 glenoid: rowing big rivers 12 years later
The Wild and Scenic Section of the Rogue River after a Ream and Run
Propionibacterium – What we think we know today
Shoulder arthroplasty infection - risk factors
Propionibacterium - it contaminates shoulder surgery in spite of skin preparation and antibiotics
Propionibacterium in primary total shoulder arthroplasty
An unusual course after a ream and run with a happy ending.
To see a YouTube video on how the ream and run is done, click on this link.
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Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link
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