ReviewEFORT open reviews2021
Results of stemless shoulder arthroplasty: a systematic review and meta-analysis.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Outcomes Between Stemmed and Stemless Total Shoulder Arthroplasty: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Pooled it
- Stemless arthroplasty for avascular necrosis of the humerus: implant survival and outcomes.Journal of shoulder and elbow arthroplasty · 2026Article
- Short- to midterm outcomes of stemless reverse total shoulder arthroplasty: a systematic review.Journal of shoulder and elbow arthroplasty · 2026Review
- Stemless versus stemmed anatomic total shoulder arthroplasty: minimum 2- year follow-up of the global ICON and global unite systems.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Metal-artifact reduced MR imaging for reverse shoulder arthroplasty: findings 1 year after surgery.Skeletal radiology · 2026Article
- Stemless shoulder arthroplasty: what are the benefits?JSES reviews, reports, and techniques · 2025Review
- Evaluation of spin in the abstracts of systematic reviews and meta-analyses of stemless total shoulder arthroplasty.JSES reviews, reports, and techniques · 2025Review
- Short to mid-term functional outcomes of stemless anatomical total shoulder arthroplasty in patients over 70 years of age.Shoulder & elbow · 2025Article
- Stemless total shoulder arthroplasty with nonspherical polyethylene humeral head.JSES international · 2025Article
- Promising short-term results after anatomical total shoulder arthroplasty for glenohumeral osteoarthritis with a novel stemless humeral implant in combination with a pegged all-polyethylene bone ingrowth glenoid component.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Stemless reverse total shoulder arthroplasty: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2025Review
- Trends in shoulder arthroplasty research over the decades.Journal of clinical orthopaedics and trauma · 2025Article
- Clinical and radiological results of the SIMPLICITI* stemless shoulder arthroplasty: a twenty five patients retrospective cohort.International orthopaedics · 2024Article
- Stress shielding of the proximal humerus in stemless anatomic total shoulder arthroplasty.Shoulder & elbow · 2024Article
- Two-year follow-up of the SMR stemless platform shoulder system: a multicenter, prospective clinical study.JSES international · 2024Article
- Finite element analysis part 2 of 2: Glenohumeral bone stress distribution depends on implant configuration for anatomic and reverse stemless shoulder implants.Journal of experimental orthopaedics · 2024Article
- Evolution of Stemless Reverse Shoulder Arthroplasty: Current Indications, Outcomes, and Future Prospects.Journal of clinical medicine · 2024Review
- Techniques to Address Humeral Bone Insufficiency During Total Shoulder Arthroplasty With a Nonspherical Humeral Head and Inlay Glenoid.Arthroscopy techniques · 2024Article
- Stemless anatomic total shoulder arthroplasty is associated with less early postoperative pain.JSES international · 2024Article
- Anatomic total shoulder arthroplasty with a nonspherical humeral head and inlay glenoid: 90-day complication profile in the inpatient versus outpatient setting.Clinics in shoulder and elbow · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Stemless shoulder arthroplasty relies solely on cementless metaphyseal fixation and is designed to avoid stem-related problem such as intraoperative fractures, loosening, stress shielding or stress-risers for periprosthetic fractures.Many designs are currently on the market, although only six anatomic and two reverse arthroplasty designs have results published with a minimum of two-year follow-up.Compared to stemmed designs, clinical outcome is equally good using stemless designs in the short and medium-term follow-up, which is also the case for overall complication and revision rates.Intraoperative fracture rate is lower in stemless compared to stemmed designs, most likely due to the absence of intramedullary preparation and of the implantation of a stem.Radiologic abnormalities around the humeral implant are less frequent compared to stemmed implants, possibly related to the closer resemblance to native anatomy.Between stemless implants, several significant differences were found in terms of clinical outcome, complication and revision rates, although the level of evidence is low with high study heterogeneity; therefore, firm conclusions could not be drawn.There is a need for well-designed long-term randomized trials with sufficient power in order to assess the superiority of stemless over conventional arthroplasty, and of one design over another. Cite this article:
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.