Ream and Run non-prosthetic glenoid arthroplasty for shoulder arthritis: Regenerative cementless surgery designed for individuals desiring higher levels of activity than recommended for traditional total joint replacement.
Edited By: Frederick A. Matsen III, M.D., Winston J. Warme, MD
Last updated Monday, June 23, 2008
ConclusionSummary of non-prosthetic glenoid arthroplasty for arthritis of the shoulder Shoulder hemiarthroplasty with non-prosthetic glenoid arthroplasty
helps restore comfort and function to shoulders damaged by degenerative
joint disease and osteoarthritis. This procedure provides an approach
to treating arthritis in young and physically demanding patients whose
arthritis has advanced to the point of surgical treatment. By
reshaping, reorienting and smoothing the bony socket, this procedure
removes the risks associated with wear, loosening and fracture of the
plastic socket.
In the hands of an experienced surgeon, shoulder hemiarthroplasty
with non-prosthetic glenoid arthroplasty can be an effective method for
treating shoulders with damaged joint surfaces in a healthy and
motivated patient. Pre-planning and persistent rehabilitation efforts
will help assure the best possible result for the patient. References:
Boorman, R. S., S. Hacker, et al. (2001) "A Conservative Broaching and Impaction Grafting Technique for Humeral Component Placement and Fixation in Shoulder Arthroplasty: The Procrustean Method." Techniques in Shoulder & Elbow Surgery. 2(3):166-175.
Clinton, J., A. K. Franta, et al. (2007). "Nonprosthetic glenoid arthroplasty with humeral hemiarthroplasty and total shoulder arthroplasty yield similar self-assessed outcomes in the management of comparable patients with glenohumeral arthritis." J Shoulder Elbow Surg 16(5): 534-8.
Hacker, S. A., R. S. Boorman, et al. (2003). "Impaction grafting improves the fit of uncemented humeral arthroplasty." J Shoulder Elbow Surg 12(5): 431-5.
Lynch, J. R., A. K. Franta, et al. (2007). "Self-assessed outcome at two to four years after shoulder hemiarthroplasty with concentric glenoid reaming." J Bone Joint Surg Am 89(6): 1284-92.
Matsen, F. A., 3rd, R. T. Bicknell, et al. (2007). "Shoulder arthroplasty: the socket perspective." J Shoulder Elbow Surg 16(5 Suppl): S241-7.
Matsen, F. A., 3rd, J. M. Clark, et al. (2005). "Healing of reamed glenoid bone articulating with a metal humeral hemiarthroplasty: a canine model." J Orthop Res 23(1): 18-26.
Matsen, F. A., 3rd, J. P. Iannotti, et al. (2003). "Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study." J Bone Joint Surg Am 85-A(2): 304-8.
Weldon, E. J., 3rd, R. S. Boorman, et al. (2004). "Optimizing the glenoid contribution to the stability of a humeral hemiarthroplasty without a prosthetic glenoid." J Bone Joint Surg Am 86-A(9): 2022-9.
Weldon, Edward J III MD; Boorman, Richard S MD; Parsons, I. M IV MD; Matsen, Frederick A III MD Techniques in Shoulder & Elbow Surgery. 5(2):76-89, June 2004. Ream and Run: The Principles and Procedures of Non-Prosthetic Glenoid Arthroplasty With Prosthetic Humeral Hemiarthroplasty.
Surgery for Arthritis of the Shoulder at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-BONE (2663) to make an appointment.Disclaimer
This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.
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