Wednesday, October 9, 2019

Ream and Run Essentials

We developed the ream and run for individuals with arthritis who desire high levels of physical activity, including impact to the shoulder, without risking failure of the plastic glenoid component that is used in total shoulder joint replacement. A bit about the rational and technique is shown here, here and here. And some details of the technique are shown here and here. In addition, the Video Journal of Orthopaedics has produced a nice video, which can be seen here. Youtubes describing the technique are included at the end of this post.

Here is the common apppearance of the shoulder one week after arthroplasty - swelling is not unusual, but it resolves over the weeks after the procedure.

While the details of the rehabilitation after the ream and run may be customized according to the specifics of an individual shoulder, the program usually includes the exercises shown here.

Below is a series videos provided by patients having this procedure.
Supine stretch
Pulley
One month
6 weeks
7 weeks
8 weeks
10 weeks
12 weeks

The recovery after a ream and run shoulder replacement can be documented by following the simple shoulder test scores as shown here.

For examples of activities patients have performed after a ream and run, see this post.

Some patients have generously provided a diary of their recovery after the ream and run, as shown in these links
Post A
Post C
and if you like drumming
Post D
or chopping wood
Post E
or raquetball
Post F
or kayaking
Post G
or badminton and weights
Post H
or getting 'Grandpa' back up on his slalom ski that had been put away for 7 years
Post I
or violin
Post J
or throwing batting practice
Post K
or passing, serving in tennis, and hand stands
Post L


Here we provide a few short youtubes describing the approach we commonly use for active patients having pain and loss of function due to arthritis of the shoulder who wish to avoid the risks and limitations of a plastic glenoid component.

First let's take a look at the normal shoulder



Next let's take a look at how the shoulder should be x-rayed to diagnose the problem and to plan the joint replacement.



This next youtube shows some of the basics of the ream and run, how we evaluate the shoulder,  how we position the patient and how we approach the shoulder for the ream and run.


This next video shows how we select the humeral component



This next video shows the technique of the non-prosthetic glenoid arthroplasty


This next video shows the final stems of the ream and run.



Here are some thoughts on the rehabilitation of the shoulder. 


=====
To see our new series of youtube videos on important shoulder surgeries and how they are done, clinic here.

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. Also see the essentials of the ream and run.

Use the "Search" box to the right to find other topics of interest to you.


You may be interested in some of our most visited web pages   arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery