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The ream and run: not for every patient, every surgeon or every problem
1Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, 98195, USA, matsen@uw.edu.
International Orthopaedics
|January 25, 2015
Summary
The ream and run technique for shoulder arthroplasty offers an alternative to traditional methods by avoiding glenoid components. Successful outcomes depend on patient selection and dedicated rehabilitation for optimal shoulder function.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Regenerative Medicine
Background:
- Total shoulder arthroplasty failure is often linked to glenoid component issues.
- The ream and run technique bypasses the need for a polyethylene glenoid component.
Purpose of the Study:
- To provide essential information on the ream and run technique for shoulder arthroplasty.
- To detail patient selection and technical aspects of this surgical approach.
Main Methods:
- The humeral head prosthesis articulates directly with the reamed glenoid bone.
- The reamed glenoid surface is intended to develop fibrocartilage for articulation.
- Early and continuous glenohumeral motion is initiated post-surgery.
Main Results:
- The ream and run procedure can restore comfort and function in selected patients.
- Suitable for osteoarthritis, capsulorrhaphy arthroplasty, and posttraumatic arthritis.
Conclusions:
- This technique avoids risks associated with glenoid components.
- Requires significant patient motivation for a prolonged rehabilitation period.
- Outcomes rely on glenoid surface regeneration and adherence to daily exercises.
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