Ream-and-Run Procedure in Carefully Selected Patients Leads to Predictable Return to Strenuous Sport and Work
Year: 2026
Type: article
Study design: Observational Study
Abstract: Introduction The ream-and-run arthroplasty (RnR) combines prosthetic humeral head replacement with concentric glenoid reaming and represents a surgical solution for young, active patients with end-stage glenohumeral arthritis intending to resume unrestricted strenuous activity. We aimed to evaluate short to mid-term outcomes of patients undergoing RnR and assess their ability to return to strenuous work and sport. Methods The outcomes of a consecutive series of RnR performed by a single surgeon were reviewed retrospectively. Pre- and post-operative active range of motion (ROM), patient reported outcome measures (PROM), and complications were collected. Post-operative ROM was assessed at a mean follow-up of 2 years and PROM at a mean follow-up of 3.9 years. Patient satisfaction and ability to resume activities were also assessed at a mean of 3.9 years. Results Of 715 anatomic shoulder arthroplasties performed between 2013 to 2023, 28 (3.9%) were RnR and 24 shoulders were eligible for inclusion. Mean age at arthroplasty was 47.3±10.1 years and all patients were male. All ROM and PROMs improved significantly (p<.001). The minimal clinically important difference (MCID) was exceeded in over 90% of patients for all PROMs. The percentage maximal possible improvement (%MPI) exceeded 80% for all PROMs. Of the 18 patients participating in strenuous work or sport preoperatively, all returned to strenuous work and 89% returned to strenuous sport. Conclusion RnR provides clinically significant improvement in ROM and PROMs and a high rate of return to strenuous work or recreation in young and active patients with end-stage osteoarthritis at short to midterm follow-up.
Source: JSES International
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,250
OpenAlex ID: W7224853013