onprosthetic glenoid arthroplasty with humeral emiarthroplasty and total shoulder arthroplasty yield imilar self-assessed outcomes in the management of omparable patients with glenohumeral arthritis

n p w c b t h t v v c t h s he risk of glenoid component failure has led us to xplore nonprosthetic glenoid arthroplasty coupled ith humeral hemiarthroplasty, the “ream and run” R&R) procedure, for the management of glenohumeral rthritis in active patients. We hypothesized that paients having a R&R procedure would have outcomes omparable with those of similar patients having a otal shoulder arthroplasty (TSA). A case-matched conrol study compared 35 consecutive patients (32 men, women) with an average age of 56 years, after R&R ith matched controls having TSA. The respective Simle Shoulder Test (SST) scores for the R&R and TSA roups were 4.5 and 4.0 before surgery, 7.8 and 9.6 t 12 months, 8.3 and 10.2 at 18 months, 8.9 and .4 at 24 months, 9.4 and 9.6 at 30 months, and 9.5 nd 10.0 at 36 months. The “ream and run” proceure can offer similar functional recovery to patients ith total shoulder arthroplasty, although the time to ecovery may be longer. (J Shoulder Elbow Surg 007;16:534-538.)