Wednesday, July 11, 2018

Ream and run shoulder arthroplasty - how long will it last?

A 60 year old man presented with pain and loss of function of both shoulders and these x-rays over a decade ago.

Because of his high activity levels and desire to avoid the potential risks and limitations associated with a polyethylene glenoid socket, he elected to have a left ream and run 12 years ago and a right ream and run 10 years ago.

He dropped by the office recently to say hello and to report that he had full function of both of his shoulders.

His 12 and 10 year films are shown below. Note the smooth, thin, impaction-grafted stem on the humeral component and the minimal amount of glenoid reaming without attempt to alter version - just enough to create a single concavity.

While we cannot predict whether or not there will be future problems with these shoulders, it appears that the humeral components and glenoid reaming are well healed without evidence of problems. Note that this is an exceptionally motivated patient who has been absolutely dedicated to his rehabilitation. While all patients do not achieve this quality of result, it seems important to show what can be accomplished.

We have a new set of shoulder youtubes about the shoulder, check them out at this link.

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