Stemless RTSA

  • Caroline Witney-Lagen
  • Paolo Consigliere
  • Luis Natera
  • Ofer Levy


Throughout the world, the number of reverse total shoulder arthroplasties (RTSA) performed continues to rise. Stemless anatomic implants have been available for more than a decade, and now awareness of the potential advantages of stemless RTSA is growing. Advantages include bone preservation, shorter operative time, less blood loss, ease of revision and the potential to reduce stem-related complications such as periprosthetic fractures and stress shielding. In this chapter the rationale for stemless design and the different designs of stemless RTSA are described. Evidence from the literature is reviewed. Overall, promising short- to medium-term clinical and radiological results of stemless RTSA have been achieved. Further long-term studies are required to help inform survivorship attributes and implant choices. However, the future of RTSA could be stemless!


Stemless Reverse Shoulder Arthroplasty Replacement Metaphyseal Canal sparing Prosthesis RSA RTSA 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Caroline Witney-Lagen
    • 1
  • Paolo Consigliere
    • 1
  • Luis Natera
    • 1
  • Ofer Levy
    • 1
  1. 1.Reading Shoulder UnitRoyal Berkshire Hospital and Berkshire Independent HospitalReadingUK

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