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Updated: Jan 12, 2026
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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.8K
Stemless shoulder arthroplasty: what are the benefits?
Maximilian Russo1,2, Christian Schoch3, Rolf Michael Krifter4
1Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland.
JSES Reviews, Reports, and Techniques
|November 3, 2025
Summary
Stemless shoulder arthroplasty offers comparable outcomes to traditional stemmed implants, with advantages in bone preservation and revision ease. Careful patient selection is key for optimal results in this surgical advancement.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Traditional stemmed shoulder arthroplasty has limitations.
- Stemless reverse total shoulder arthroplasty (slrTSA) is an emerging alternative.
Purpose of the Study:
- To review the advantages, design variations, and clinical outcomes of stemless shoulder arthroplasty.
- To assess its integration into modern shoulder surgery.
Main Methods:
- A narrative review of recent literature (last decade) on stemless shoulder arthroplasty.
- Critical analysis of studies on biomechanics, implantation techniques, and clinical outcomes.
Main Results:
- Stemless implants offer biomechanical benefits, bone preservation, and simplified surgery.
- Clinical outcomes show comparable functional and pain improvements to stemmed implants.
- Easier revision and periprosthetic fracture management are noted advantages.
Conclusions:
- Stemless shoulder arthroplasty is a significant advancement with promising mid-term outcomes.
- Bone quality is a critical factor for patient selection.
- Further research is needed to optimize outcomes, especially for younger adults.
