Friday, November 10, 2017

Ream and run, returning to have the second side done

After a successful ream and run on one shoulder, patients are returning to have the procedure on the opposite shoulder. Here is an overview of three such patients from last week.

#1 51 year old man with mild dysplasia and a preoperative SST score of 3 out of 12 and these x-rays

Three years after surgery his SST score had improved from 3/12 to 12/12. His three year x-rays are shown below.
                                     

#2 44 year old man with chondrolysis following the intraarticular infusion of local anesthetics after a labral repair; preoperative SST score of 2 out of 12 and these x-rays


Two years after surgery his SST score had improved from 2/12 to 9/12. His two year x-rays are shown below.
                                 

#3 61 year old man with osteoarthritis and a preoperative SST score of 6 out of 12 and these x-rays

One year after surgery his SST score had improved from 6/12 to 11/12. His one year x-rays are shown below.

                                      

Comment: It is indeed reassuring to see that motivated patients are sufficiently pleased with the result of their recovery after a ream and run procedure to pursue having it done on the opposite arthritic shoulder.

Note that none of the following are used in the care of our ream and run patients: a plastic glenoid component, preoperative CT scans, patient-specific instrumentation, preoperative MRIs, platform stems, short stems, stemless components, bone ingrowth components, cement, biceps tenotomy, biceps tenodesis, brachial plexus blocks, or lesser tuberosity osteotomy.

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