Sage Journals: Discover world-class research

Abstract

Background

Diaphyseal engaging standard-length stems are commonly used for the ream-and-run (RnR) procedure. Stemless humeral components have grown in popularity and preserve metaphyseal bone while shortening operative times. No studies have yet reported on clinical outcomes of RnR using a stemless humeral component.

Methods

All patients undergoing RnR with a stemless humeral component at a single institution between January 2017 and May 2021 were retrospectively reviewed. Preoperative radiographs were assessed for Walch Classification, glenoid version, and posterior humeral head decentering. Glenoid version and posterior humeral head decentering were assessed on three months postoperative radiographs and clinical outcomes were assessed at minimum 2 years postoperatively.

Results

Eighteen shoulders among 17 patients were included; 15 (88%) returned to exercise at a median of 16 weeks. Minimum 2-year outcome scores showed a mean Visual Analog Scale of 2.5, American Shoulder Elbow Surgeons score of 79.6, Simple Shoulder Test of 9.9, and Single Assessment Numeric Evaluation score of 80. Radiographically, corrective humeral head recentering within 5% was observed in 64% of cases.

Discussion

Clinical and radiographic outcomes suggest that stemless implants may yield comparable patient-reported outcomes to stemmed implants with advantages of preserved bone stock and shorter operative times.

Keywords

ream-and-run stemless stemless humeral component nonprosthetic glenoid arthroplasty concentric reaming

Get full access to this article

View all access options for this article.

References

Matsen

3rd Lippitt

. Current technique for the ream-and-run arthroplasty for glenohumeral osteoarthritis. JBJS Essent Surg Tech 2012; 2: e20.

Clinton

Warme

Lynch

, et al. Shoulder hemiarthroplasty with nonprosthetic glenoid arthroplasty: the ream and run. Tech Shoulder Elbow Surg 2009; 10: 43–52.

Chalmers

Granger

Orvets

, et al.

Does prosthetic humeral articular surface positioning associate with outcome after total shoulder arthroplasty?

J Shoulder Elbow Surg 2018; 27: 863–870.

Gowd

Charles

Liu

, et al. Single Assessment Numeric Evaluation (SANE) is a reliable metric to measure clinically significant improvements following shoulder arthroplasty. J Shoulder Elbow Surg 2019; 28: 2238–2246.

Marigi

Elahi

Cancio-Bello

, et al. Stemless anatomic total shoulder arthroplasty: surgical technique and review of the literature. JSES Rev Rep Tech 2022; 2: 442–450.

Murthi

Gupta

Wright

. Stemless humeral implants in anatomic total shoulder arthroplasty: The future is now. J Orthop Exp Innov 2022; 3. doi:https://doi.org/10.60118/001c.36880

Matsen

3rd Whitson

Jackins

, et al. Ream and run and total shoulder: patient and shoulder characteristics in five hundred forty-four concurrent cases. Int Orthop 2019; 43: 2105–2115.

Razfar

Reeves

Langohr

, et al. Comparison of proximal humeral bone stresses between stemless, short stem, and standard stem length: a finite element analysis. J Shoulder Elbow Surg 2016; 25: 1076–1083.

Raiss

Edwards

Deutsch

, et al. Radiographic changes around humeral components in shoulder arthroplasty. J Bone Jt Surg Am 2014; 96: 54.

10.

Denard

Hsu

Whitson

, et al. 3rd. Radiographic outcomes of impaction-grafted standard-length humeral components in total shoulder and ream-and-run arthroplasty: is stress shielding an issue? J Shoulder Elbow Surg 2019; 28: 2181–2190.

11.

Lynch

Franta

Montgomery

Jr. , et al. Self-assessed outcome at two to four years after shoulder hemiarthroplasty with concentric glenoid reaming. J Bone Jt Surg Am 2007; 89: 1284–1292.

12.

Saltzman

Chamberlain

Mercer

, et al. Shoulder hemiarthroplasty with concentric glenoid reaming in patients 55 years old or less. J Shoulder Elbow Surg 2011; 20: 609–615.

13.

Somerson

Neradilek

Service

, et al. Clinical and radiographic outcomes of the ream-and-run procedure for primary glenohumeral arthritis. J Bone Jt Surg Am 2017; 99: 1291–1304.

14.

Somerson

Wirth

. Self-assessed and radiographic outcomes of humeral head replacement with nonprosthetic glenoid arthroplasty. J Shoulder Elbow Surg 2015; 24: 1041–1048.

15.

Suttmiller

Snyder

Carofino

. Comparison of short-and midterm outcomes in patients following ream-and-run and anatomic total shoulder arthroplasties. J Shoulder Elbow Surg 2025; 34: 794–802.

16.

Levins

Passarelli

Adkins

, et al. Early outcome of humeral head replacement with glenoid reaming arthroplasty (ream and run) for treatment of advanced glenohumeral osteoarthritis. J Shoulder Elbow Surg 2022; 31: 1846–1858.

17.

Brolin

Thakar

Abboud

. Outcomes after shoulder replacement surgery in the young patient: how do they do and how long can we expect them to last? Clin Sports Med 2018; 37: 593–607.

18.

Garcia

Gowd

Liu

, et al. Return to sport following hemiarthroplasty with concentric reaming versus total shoulder arthroplasty: a matched pair analysis. Orthopedics 2019; 42: 276–284.

19.

Matsen

3rd Warme

Jackins

. Can the ream and run procedure improve glenohumeral relationships and function for shoulders with the arthritic triad? Clin Orthop Relat Res 2015; 473: 2088–2096.

20.

Hsu

Gee

Lucas

, et al. Management of intraoperative posterior decentering in shoulder arthroplasty using anteriorly eccentric humeral head components. J Shoulder Elbow Surg 2016; 25: 1980–1988.

Outcomes of ream and run shoulder arthroplasty with a stemless humeral component

Abstract

Background

Methods

Results

Discussion

Keywords

Get full access to this article

References