Because of his active lifestyle, he elected a ream and run procedure. At that time an anteriorly eccentric humeral head and a rotator interval plication were added to re-center his humeral prosthesis on the glenoid. No cement, polyethylene or CT scans were used.
At one year after surgery, his humeral head was well centered on the remodeled glenoid. His impaction grafted thin smooth stem is well fixed.
His SST score had improved to 8/12.
Comment: This highly motivated man has regained excellent passive motion and is continuing to work on his strength. It is a work in progress.
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