Mechanical failure after traditional total shoulder surgery is usually caused by glenoid component wear and loss. This happens often years after index arthroplasty. The ream and run is a glenohumeral arthroplasty that is considered by patients who wish to avoid the activity constraints and potential longer-term consequences associated with polyethylene glenoid components, including wear, loosening, and subsequent glenoid bone loss that may complicate revision. In the ream and run, instead of inserting a prosthetic glenoid component, the native glenoid is reamed to a monoconcave surface removing the least amount of bone possible to provide a stabilizing concavity for the articulation of the humeral component. Recent research with a minimum of two-year follow-up has shown that ream and run arthroplasty can increase patient-reported satisfaction. Results to a degree that is similar to anatomic total shoulder surgery. It is important to conduct outcome studies beyond the usual two-year period to evaluate the longer-term value and long-term impact of the ream arthroplasty.
The authors of Factors Associated with Success of Ream-and-Run Arthroplasty at a Minimum of Five Years conducted…
