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Related Experiment Video

Updated: Jul 14, 2025

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.3K

Stemless Reverse Shoulder Arthroplasty.

Tyler A Luthringer1, John G Horneff, Joseph A Abboud

  • 1From the Rothman Orthopaedic Institute, Philadelphia, PA (Luthringer and Abboud), the Carolina Orthopaedic and Neurosurgical Associates, Greenville-Spartanburg, SC (Luthringer), and the University of Pennsylvania, Philadelpha, PA (Horneff).

The Journal of the American Academy of Orthopaedic Surgeons
|October 10, 2023
PubMed
Summary

Stemless reverse shoulder arthroplasty (RSA) offers potential benefits like bone preservation and fewer complications compared to stemmed designs. Long-term outcomes and differences in stemless RSA designs require further investigation for U.S. implementation.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Medical device technology

Background:

  • Reverse shoulder arthroplasty (RSA) has expanded indications since FDA approval nearly two decades ago.
  • Stemless RSA designs, used in Europe since 2005, are now entering U.S. Investigational Device Exemption trials.
  • Stemless designs may offer advantages over stemmed implants, including bone preservation and reduced complications.

Purpose of the Study:

  • To review the potential advantages and disadvantages of stemless RSA.
  • To compare existing stemless RSA designs with those under U.S. investigation.
  • To assess reported clinical outcomes for stemless RSA implementation.

Main Methods:

  • Review of European data on stemless RSA outcomes.

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Related Experiment Videos

Last Updated: Jul 14, 2025

Reverse Total Shoulder Arthroplasty
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Published on: July 5, 2011

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  • Comparison of stemless RSA designs used in Europe versus U.S. trials.
  • Analysis of potential benefits and risks associated with stemless RSA.

    • Main Results:

    • European data suggest similar early to mid-term outcomes for certain stemless RSA prostheses compared to stemmed RSA.
    • Potential advantages include fewer shaft complications, avoidance of stress shielding, and bone preservation.
    • Long-term outcomes for stemless RSA are not yet established.

    Conclusions:

    • Stemless RSA presents potential benefits, supported by early European data.
    • Differences between European and U.S. stemless RSA designs necessitate careful evaluation.
    • Further understanding is crucial for the safe and effective adoption of stemless RSA in the United States.