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Updated: Mar 26, 2026

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Stemless shoulder arthroplasty-current results and designs.

R Sean Churchill1, George S Athwal2

  • 1Aurora Medical Center-Grafton, 975 Port Washington Rd #110, Grafton, WI, 53024, USA. Sean.churchill@aurora.org.

Current Reviews in Musculoskeletal Medicine
|January 27, 2016
PubMed
Summary

Stemless shoulder arthroplasty offers bone-sparing benefits, minimizing complications and revision risks. This review covers emerging designs and their clinical outcomes for shoulder replacement surgery.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Stemless shoulder arthroplasty, introduced in 2004, utilizes metaphyseal fixation for bone preservation.
  • Current FDA-cleared options in the USA are limited, though numerous designs exist internationally.
  • The technology aims to reduce humeral bone removal, fracture risks, and revision surgery morbidity.

Purpose of the Study:

  • To review available stemless shoulder arthroplasty designs.
  • To analyze reported clinical results and outcomes.
  • To identify and discuss potential concerns regarding this evolving technology.

Main Methods:

  • Literature review of stemless shoulder arthroplasty implants.
  • Analysis of published data on surgical outcomes and complications.
  • Examination of second-generation convertible implant features.
Keywords:
ArthritisCanal sparing shoulder arthroplastyOsteoarthritisShoulder arthroplastyStemless shoulder arthroplasty

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Main Results:

  • Multiple stemless designs are available globally, with limited FDA approval in the USA.
  • Metaphyseal fixation is a key feature, aiming for bone conservation.
  • Second-generation convertible implants offer versatility for anatomic or reverse configurations.

Conclusions:

  • Stemless shoulder arthroplasty represents an emerging trend in shoulder replacement.
  • Further research and long-term data are needed to fully understand its potential and limitations.
  • The technology shows promise for improving patient outcomes and reducing revision rates.