Stemless Humeral Implants in Total Shoulder Arthroplasty

Eugene W. Brabston, Edward V. Fehringer, Matthew T. Owen, Brent A. Ponce

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


Through an iteration of various advancements, both short stem and stemless options for humeral fixation have been proposed and have shown clinical promise. The proposed benefits of a stemless humeral implant include greater bone preservation, less stress shielding, less risk of a diaphyseal stress riser, decreased surgical time, and less intraoperative blood loss. Potential downsides include the dependence on proximal bone quality for fixation, increased cost, the dependence on the strength of subscapularis fixation, and pending FDA approval for multiple implants. The purpose of this article is to review the evidence behind stemless implants including the biomechanical advantages and disadvantages, surgical technique, and clinical outcomes.

Original languageEnglish (US)
Pages (from-to)e277-e287
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Issue number7
StatePublished - Apr 1 2020
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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