Ream and run for anchor arthropathy

An active man in his mid 60s presented because of pain and stiffness of his shoulder after a prior Bankart repair with metal suture anchors.

His x-rays, shown below, show glenohumeral arthritis with contact between the humeral head and the suture anchors.

 Because of his active lifestyle, he elected to proceed with a ream and run. In this situation it is essential to remove the anchors. This is often difficult to achieve and often results in a defect in the glenoid. In this case it was necessary to use a trephine to remove a core of bone containing each of the anchors.

After reaming the glenoid, humeral head allograft was impacted into the bony defect of the glenoid.

His postoperative x-rays are shown below.

On the evening of surgery, he had full, smooth and comfortable forward flexion.

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To see a YouTube video on how the ream and run is done, click on this link.

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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'