Comparative analysis of work-related outcomes in hemiarthroplasty with concentric glenoid reaming and total shoulder arthroplasty
These authors conducted a retrospective study of 25 patients who had the ream and run procedure between 2005 and 2014. Included patients were matched to 28 patients having conventional total shoulder arthroplasty by age, body mass index, sex, and hand dominance.
These authors conducted a retrospective study of 25 patients who had the ream and run procedure between 2005 and 2014. Included patients were matched to 28 patients having conventional total shoulder arthroplasty by age, body mass index, sex, and hand dominance.
In this practice, patients who receive total shoulder are counseled that they will have permanent overhead lifting restrictions, whereas those who undergo the ream and run do not receive these restrictions.
At a mean follow-up of 69 months, all ream and run patients had returned to work, and 89.3% of the total shoulder patients had returned to work.
All seven heavy workers having the ream and run procedure had returned to work while two of four heavy workers having total shoulders had returned to work. The mean time to return to work was 2.5 months for both groups.
Three patients in the ream and run and 2 in the total shoulder cohort returned to the operating room. In the ream and run cohort, 2 patients underwent conversion to total shoulder at 123 months and 16 months postoperatively, and 1 patient received arthroscopic débridement.
In the total shoulder cohort, 1 patient required a subscapularis repair and the other required revision total shoulder with removal of the glenoid component because of loosening at 86 months after the index surgery.
There were no statistically significant differences in satisfaction after surgery, postoperative Mental Component or Physical Component scores on the 12-Item Short Form Health Survey, change in ASES score, achievement of minimal clinically important difference, or substantial clinical benefit.
Ream and runs and total shoulders demonstrated equivalent amounts of medialization, preoperative decentering, and postoperative decentering.
Comment: This is a small but interesting series of working patients with an average age of 53 years. While the authors' indications for the ream and run and for a total shoulder are not clarified in the paper, it appears that these surgeons tend to recommend consideration of the ream and run to patients with heavy work requirements.
How you can support progress in shoulder surgery
You may be interested in some of our most visited web pages 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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We have a new set of shoulder youtubes about the shoulder, check them out at this link.
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
Use the "Search" box to the right to find other topics of interest to you.
We have a new set of shoulder youtubes about the shoulder, check them out at this link.
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
Use the "Search" box to the right to find other topics of interest to you.
How you can support progress in shoulder surgery
You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
