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Related Experiment Video

Updated: Oct 6, 2025

Reverse Total Shoulder Arthroplasty
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Stemless reverse total shoulder arthroplasty: a systematic review.

David A Ajibade1, Clark X Yin1, Hussein S Hamid1

  • 1Department of Orthopaedic Surgery, Beaumont Health System, Oakland University School of Medicine, Royal Oak, MI, USA.

Journal of Shoulder and Elbow Surgery
|January 20, 2022
PubMed
Summary
This summary is machine-generated.

Stemless reverse total shoulder arthroplasty shows promising outcomes with low complication rates. Further long-term studies are needed to confirm these findings in shoulder replacement surgery.

Keywords:
Stemless reverse total shouldercomplicationhumeral looseningoutcomesreverse total shoulderstemless total shouldersystematic review

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Increasing use of reverse total shoulder arthroplasty (RTSA) and stemless anatomic total shoulder replacement in the US.
  • Stemless humeral components in RTSA are under investigational device exceptions with limited data.

Purpose of the Study:

  • To systematically review clinical and functional outcomes of stemless reverse total shoulder arthroplasty.
  • To assess complications, radiographic results, and outcome scores associated with stemless RTSA.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched MEDLINE/PubMed, Cochrane, and Embase databases (November 25, 2020).
  • Two independent evaluators reviewed articles; conflicts resolved by consensus or senior author.

Main Results:

  • Evaluated 10 studies (430 patients, 437 procedures) using TESS or Verso implants.
  • Mean age 73.8 years; mean follow-up 6.4-101.6 months.
  • Overall trend of improved outcomes, 0.2% humeral loosening, 11.2% complication rate.

Conclusions:

  • Stemless reverse total shoulder arthroplasty demonstrates promising clinical and functional outcomes.
  • Low rate of humeral-sided complications observed.
  • Need for additional long-term studies and randomized clinical trials.