Shoulder arthritis is a condition in which the cartilage normally covering the ball and socket is lost because of wear, injury or prior surgery. Here are photos of an arthritic humeral head and glenoid socket.
Arthritis of the shoulder frequently affects individuals who
do not have expectations of high levels of physical activity. These individuals
are well served by a standard total shoulder replacement in which the socket is
replaced with a plastic component as shown below.
This procedure offers a great chance for regaining a
comfortable shoulder that is capable of activities such as golf, swimming, and
hiking. However, because of concern regarding the possible adverse effects on
the plastic socket, this procedure is not advised for individuals who wish to
return to high levels of activity, such as weight lifting, chopping wood, or
heavy work
For the last two decades at the University of Washington we
have been developing a surgical treatment for severe shoulder arthritis
designed for highly motivated individuals who desire to return to high levels
of activity without concern about damage to a plastic socket. This procedure
involves replacing the arthritic ball side of the joint with a chrome cobalt
ball attached to a titanium stem inserted down inside the humerus – the same
type of implant used in total shoulder joint replacement. This component is
inserted without cement, using the patient’s own bone for fixation.
Instead of replacing the arthritic socket with a plastic
implant, the socket bone is reamed to the desired shape.
The raw reamed bone heals
as the patient performs specific postoperative motion exercises. Because the
recovery from this procedure can be long and difficult, it is only recommended
for healthy and dedicated patients who understand that the result depends
largely on the effort they put in to the rehabilitation.
Many patients with shoulder arthritis are not good
candidates for this procedure. Others choosing to have a ream and run do not
achieve the desired result and may require additional surgery. However, many of
the hundreds of patients having had the ream and run have been able to achieve
prolonged levels of high shoulder function as shown in this video (click here). We are continuing to study the long-term
results of this operation and the factors that favor an excellent outcome.
Click here to see a detailed PDF on this procedure: ream and run
Click here to see a detailed PDF on this procedure: ream and run
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Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
See the countries from which our readers come on this post.