Shoulder Hemiarthroplasty with Nonprosthetic Glenoid Arthroplasty: The Ream-and-Run Procedure.

Autor:	Matsen FA 3rd; Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington., Carofino BC; Atlantic Orthopaedic Specialists, Virginia Beach, Virginia., Green A; Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, East Providence, Rhode Island., Hasan SS; Mercy Health-Cincinnati SportsMedicine and Orthopaedic Center, Cincinnati, Ohio., Hsu JE; Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington., Lazarus MD; Department of Orthopaedics, The Rothman Orthopaedic Institute, Philadelphia, Pennsylvania., McElvany MD; Department of Orthopaedics, The Permanente Medical Group, Santa Rosa, California., Moskal MJ; Shoulder & Elbow Center, P.S.C., Sellersburg, Indiana., Parsons IM 4th; The Knee, Hip and Shoulder Center, Portsmouth, New Hampshire., Saltzman MD; Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois., Warme WJ; Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.
Jazyk:	angličtina
Zdroj:	JBJS reviews [JBJS Rev] 2021 Aug 25; Vol. 9 (8). Date of Electronic Publication: 2021 Aug 25.
DOI:	e20.00243
Abstrakt:	»: Glenoid component wear and loosening are the principal failure modes of anatomic total shoulder arthroplasty (aTSA). »: The ream-and-run (RnR) procedure is an alternative glenohumeral arthroplasty for patients who wish to avoid the risks and limitations of a prosthetic glenoid component. »: During the RnR procedure, the arthritic glenoid is conservatively reamed to a single concavity, while the prosthetic humeral component and soft tissues are balanced to provide both mobility and stability of the joint. »: The success of the RnR procedure depends on careful patient selection, preoperative education and engagement, optimal surgical technique, targeted rehabilitation, and close postoperative communication between the surgeon and the patient. »: While the RnR procedure allows high levels of shoulder function in most patients, the recovery can be longer and more arduous than with aTSA. »: Patients who have undergone an RnR procedure occasionally require a second closed or open procedure to address refractory shoulder stiffness, infection, or persistent glenoid-sided pain. These second procedures are more common after the RnR than with aTSA. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A738). (Copyright © 2021 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated. All rights reserved.)
Databáze:	MEDLINE
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