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It is commonly utilized for patients with osteoarthritis, rheumatoid arthritis, and osteonecrosis, who have decreased range of motion (ROM), persistent pain, and loss of strength. Total shoulder Arthroplasty (TSA) is the third most common joint replacement in the United States. The incidence of TSA has been increasing, some data suggest that by the year 2025, TSA incidence may rise to 439,206 operations per year. In recent years, stemless total shoulder implants have become available. Results: These implants preserve bone stock while decreasing complications such as osteolysis, stress shielding and periprosthetic fracture. Stemless implants improve anatomic reconstruction and biomechanical function of the shoulder joint. Conclusion: Increasing amounts of data suggest stemless TSA to be a safe and effective technology that will become more common in the coming year.<\/jats:p>","DOI":"10.1177\/24715492211008408","type":"journal-article","created":{"date-parts":[[2021,4,26]],"date-time":"2021-04-26T23:00:41Z","timestamp":1619478041000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Stemless Total Shoulder: A Review of Biomechanical Fixation and Recent Results"],"prefix":"10.1016","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2223-6383","authenticated-orcid":false,"given":"Jeremy","family":"Wodarek","sequence":"first","affiliation":[{"name":"Central Michigan University College of Medicine, Mount Pleasant, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Shields","sequence":"additional","affiliation":[{"name":"Central Michigan University College of Medicine, Mount Pleasant, Michigan"},{"name":"Orthopedic Associates of Muskegon, Muskegon, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","published-online":{"date-parts":[[2021,4,26]]},"reference":[{"key":"bibr1-24715492211008408","doi-asserted-by":"crossref","unstructured":"Edmonds A. 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Arthrex Eclipse\u2122 Shoulder Prosthesis. https:\/\/clinicaltrials.gov\/ct2\/show\/NCT01790113. Accessed August 29, 2020."},{"key":"bibr18-24715492211008408","unstructured":"U.S. National Library of Medicine. Simpliciti IDE Trial; Replacing the Humeral Head in Total Shoulder Arthroplasty. https:\/\/clinicaltrials.gov\/ct2\/show\/NCT0139 0038. Accessed August 29, 2020."},{"key":"bibr19-24715492211008408","unstructured":"U.S. National Library of Medicine. Sidus Stem-Free Shoulder IDE Study\u2014Study Results. https:\/\/clinicaltrials.gov\/ct2\/show\/results\/NCT01878253. Accessed August 29, 2020."},{"key":"bibr20-24715492211008408","unstructured":"U.S. National Library of Medicine. SMR Stemless Shoulder Arthroplasty Clinical Study. https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02679352. Accessed August 29, 2020."},{"key":"bibr21-24715492211008408","unstructured":"U.S. National Library of Medicine. 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