An active man in his 50s had a right shoulder hemiarthroplasty with dermal matrix allograft to treat glenohumeral osteoarthritis.
Postoperatively his shoulder became painful, weak and stiff. At the time of presentation to us his shoulder x-rays were as shown below.
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To see a YouTube video on how the ream and run is done, click on this link.
A clinic skin culture grew out 1+ Cutibacterium.
He elected to have a single stage revision to a ream and run with impaction allografting of a standard humeral stem. At surgery, there was no evidence of residual allograft. He was placed on the red antibiotic protocol.
Two of his intrapoperative specimens grew out Cutibacterium.
His postoperative x-rays are shown below.
At 10.5 weeks after surgery he was preparing to go back to his heavy duty job as a block mason. He sent this video (which he graciously allowed us to show here) (click on this link).
Obviously, this is a very well motivated patient.
We'll follow him closely to assess his long term recovery.
To see a YouTube video on how the ream and run is done, click on this link.
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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
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