The most common indication of shoulder arthroplasty is glenohumeral osteoarthritis in shoulders that have an intact rotator-cuff.
The safety, effectiveness and durability of anatomic arthroplasty – the ream and run (RnR) or the anatomic total shoulder (TSA) – is widely recognized.
The authors of Minimum 10-year Follow-up of Anatomic Total Shoulder Arthroplasty and Ream-and-Run Arthroplasty for Primary Glenohumeral Osteoarthritis studied the patients and the minimum 10-year outcomes for the RnR (n=34) and TSA (n=29). The patients in this practice chose their surgery after discussing the pros and cons of each.
Both groups were distinguished by a variety of preoperative differences. The RnR patients were significantly younger than the TSA patients (60 ± 7 vs 68 ± 8, p<0.001), predominantly male (97% vs 41%, p<0.001), and were healthier as reflected by the American Society of Anesthesiologists score (p=0.018).
Simple Shoulder Test (SST), a test that assesses preoperative and operative function, is used to document the patient’s postoperative recovery.
The SST preoperative and postoperative scores of patients who had the reaming and running procedure were higher compared to those with total shoulders.
The TSA group is made up of…