Can you skip the glenoid peripheral ream?

Can you skip the glenoid peripheral ream?

• A. Yes
• B. Sometimes
• C. Never
• D. No

Answer: (D)

Preparing the glenoid rim properly is essential for a stable glenoid component seating. Peripheral reaming serves to remove osteophytes and irregular bone at the rim, create a uniform, flat bed, and help correct version and tilt so the implant sits flush and centered. If you skip this step, the rim remains uneven, which can prevent the component from seating evenly, lead to eccentric loading, and increase the risk of micromotion, loosening, and early failure. Many glenoid designs rely on a smooth, congruent periphery for proper fixation, so peripheral reaming is generally necessary.

Preparing the glenoid rim properly is essential for a stable glenoid component seating. Peripheral reaming serves to remove osteophytes and irregular bone at the rim, create a uniform, flat bed, and help correct version and tilt so the implant sits flush and centered. If you skip this step, the rim remains uneven, which can prevent the component from seating evenly, lead to eccentric loading, and increase the risk of micromotion, loosening, and early failure. Many glenoid designs rely on a smooth, congruent periphery for proper fixation, so peripheral reaming is generally necessary.