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Updated: Aug 5, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Early retrospective experience reporting short-term outcomes of a cementless modular diaphyseal stem in complex
Emilio Calvo1, Maria Valencia1, Cristina Delgado1
1Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopaedic Surgery and Traumatology, IIS-Fundación Jiménez Díaz., Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Background:
Cementless modular diaphyseal press-fi t stems (MDS) development has provided an alternative to traditional cemented fixation in extensive humeral bone loss, achieving stability and reducing cement-related complications in early follow-up.
Objective:
To evaluate clinical and radiographic outcomes of revision rTSA using the cementless press-fit MDS. Assess early postoperative survival and the effectiveness of this fixation strategy in complex revision cases.
Methods:
Retrospective study (January2023-May2024), including 14 shoulders undergoing revision rTSA using MDS and a minimum 24-month follow-up. Functional outcomes were assessed using Constant, ASES, ADLEIR, VAS, and SST scores, and range of movement (ROM). Radiographic assessments determined fixation stability and loosening.
Results:
Mean follow-up was 30.1 months. Indications for surgery included infection (n=8), periprosthetic fracture (n=5), and failed hemiarthroplasty (n=1). Postoperative ROM improved, with mean forward elevation of 114.6°, abduction of 95.7°, and external rotation of 25.4°. Functional scores also increased (Constant: 36.6→55.9; ASES: 31.4→61; VAS: 7.9→2.8). No implant loosening, instability, or postoperative fractures were recorded. Two acute infections, successfully treated without revision and one asymptomatic non-traumatic humeral stem disengagement.
Conclusion:
Cementless modular diaphyseal press-fi t stems demonstrated satisfactory early clinical and radiographic outcomes in complex revision rTSA and may represent a valuable option when proximal metaphyseal fixation cannot be achieved. Further studies with larger cohorts and longer follow-up are required to confirm their long-term durability and performance.
