Home Clean Living Reaming and running for the young, active male patient suffering from glenohumeral osteoarthritis.

Reaming and running for the young, active male patient suffering from glenohumeral osteoarthritis.

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Reaming and running for the young, active male patient suffering from glenohumeral osteoarthritis.


The shoulder arthroplasty of young, active men with glenohumeral osteoarthritis is particularly challenging.

They have had previous surgery

They want to continue their physical activity, including repetitions, loads and impacts, after the arthroplasty.

The post-operative survival rate is high.

They are statistically at a higher risk of Cutibacterium infection periprosthetically.

This is why many patients opt for the ream and go procedure to avoid the risks and limitations associated with a plastic glenoid component This is what you will see Link Click here to view the link.

This is an example of a triathlete in his 40s who had pain and stiffness on the left side of his shoulder following a previous labral repair. On examination his range of motion was as shown below.




Below are his preoperative radiographs.

Three or more Cutibacterium were found in the culture of a preoperative shoulder swab.
The procedure was done without any preoperative CT planning or brachial-plexus blocks. The humeral ostephytes and the humeral heads were removed during surgery. The glenoid of the patient was reamed conservatively to a radius of curvature 58mm. After Betadine cleansing and topical Vancomycin insertion in the medullary channel, a 56-18-12 humeral implants was placed…



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