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Related Experiment Video

Updated: Mar 26, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Revision shoulder arthroplasty: does the stem really matter?

Luis Gerardo Natera Cisneros1, Ehud Atoun1, Ruben Abraham1

  • 1Reading Shoulder Unit, Royal Berkshire Hospital and Berkshire Independent Hospital, Reading, Berkshire, UK.

Journal of Shoulder and Elbow Surgery
|January 30, 2016
PubMed
Summary

Revision of stemmed shoulder arthroplasties (STAs) is more complex than surface replacement arthroplasties (SRAs). While both procedures show clinical improvement, SRAs may offer slightly better outcomes with fewer complications.

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Exploring options in revision shoulder arthroplasty: Is a humeral stem necessary in revision reverse shoulders?

Shoulder & elbow·2026

Area of Science:

  • Orthopedic Surgery
  • Arthroplasty Revision
  • Shoulder Reconstruction

Background:

  • Failed shoulder arthroplasty management is challenging, particularly stem removal.
  • Comparing revision outcomes between stemmed arthroplasties (STAs) and surface replacement arthroplasties (SRAs) is crucial.

Purpose of the Study:

  • To compare intraoperative and postoperative complications.
  • To evaluate clinical and radiographic outcomes of revision shoulder arthroplasty.

Main Methods:

  • Retrospective analysis of 40 revision shoulder arthroplasties (17 STAs, 23 SRAs) from 2005-2012.
  • Recorded perioperative events, operation time, blood loss, fractures, and allograft use.
  • Analyzed clinical and radiologic outcomes, including Constant scores.
Keywords:
Revisionarthroplastyreplacementresurfacingshoulderstem

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Last Updated: Mar 26, 2026

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Main Results:

  • STAs had significantly higher operation time, humeral osteotomy, allograft use, and intraoperative fractures.
  • Higher blood loss, hemoglobin drop, transfusion rates, and hospitalization in STAs were not statistically significant.
  • Significant clinical improvement in both groups; higher Constant score in the SRA group.

Conclusions:

  • Revision of STAs is a more demanding procedure than SRA revision.
  • Postoperative complication rate was slightly higher in the SRA group.
  • SRAs demonstrated slightly better clinical and radiographic results, though not statistically significant.