{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:49:34Z","timestamp":1790153374348,"version":"4.0.1"},"reference-count":112,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Over the past few decades, shoulder arthroplasty has evolved rapidly, driven by a growing demand for surgical solutions to degenerative, traumatic, and irreparable rotator cuff-related pathologies, particularly in an aging but increasingly active population. Objective: This narrative review aims to examine the main clinical indications and the most commonly used implant designs, highlighting differences in functional outcomes, complication rates, and revision rates between anatomic total shoulder arthroplasty (ATSA) and reverse total shoulder arthroplasty (RTSA). Methods: Articles published between 2011 and 2025 were selected through PubMed and the Australian Joint Replacement Registry reports from 2023 and 2024. The included studies comprised randomized controlled trials, systematic reviews, and meta-analyses involving adult patients treated for primary osteoarthritis, proximal humerus fractures, and massive irreparable rotator cuff tears. Results: ATSA remains the preferred option in younger patients with an intact rotator cuff, due to superior outcomes in mobility and prosthesis longevity. However, glenoid component loosening remains a significant limitation. Initially reserved for irreparable cuff tears and complex fractures, RTSA has seen a progressive expansion of its indications, offering lower revision rates and satisfactory functional results, particularly in elderly patients. Recent prosthetic innovations include stemless implants, augmented glenoid components, and convertible platforms. Conclusions: The choice between ATSA and RTSA should be individualized, based on patient-specific factors such as age, rotator cuff integrity, functional demands, and bone quality. Advances in implant materials and design, together with improved patient selection, have significantly enhanced clinical outcomes.<\/jats:p>","DOI":"10.3390\/jcm14093186","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T03:05:15Z","timestamp":1746414315000},"page":"3186","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Trends in Shoulder Arthroplasty: A Narrative Review of Predominant Indications and the Most Commonly Employed Implant Designs"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6327-5049","authenticated-orcid":false,"given":"Paolo","family":"Fornaciari","sequence":"first","affiliation":[{"name":"Clinique de La Source, Avenue Alexandre-Vinet 30, 1004 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4493-5495","authenticated-orcid":false,"given":"Omid","family":"Jamei-Martel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Training, Research Hospital, HFR Fribourg, 1752 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Vial","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University Training, Research Hospital, HFR Fribourg, 1752 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1471-1842.2009.00848.x","article-title":"A Typology of Reviews: An Analysis of 14 Review Types and Associated Methodologies","volume":"26","author":"Grant","year":"2009","journal-title":"Health Inf. Libr. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1177\/1457496920935018","article-title":"Glenohumeral Osteoarthritis: An Overview of Etiology and Diagnostics","volume":"110","author":"Ibounig","year":"2021","journal-title":"Scand. J. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1038\/s41392-023-01330-w","article-title":"Osteoarthritis: Pathogenic Signaling Pathways and Therapeutic Targets","volume":"8","author":"Yao","year":"2023","journal-title":"Signal Transduct. Target. Ther."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S131","DOI":"10.1016\/j.jse.2020.11.030","article-title":"Anatomic Total Shoulder Arthroplasty for Primary Glenohumeral Osteoarthritis Is Associated with Excellent Outcomes and Low Revision Rates in the Elderly","volume":"30","author":"Jensen","year":"2021","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1016\/j.jse.2016.12.069","article-title":"Outcomes of Total Shoulder Arthroplasty in Patients Younger than 65 Years: A Systematic Review","volume":"26","author":"Roberson","year":"2017","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1016\/j.jse.2019.03.006","article-title":"Mid- to Long-Term Follow-up of Shoulder Arthroplasty for Primary Glenohumeral Osteoarthritis in Patients Aged 60 or Under","volume":"28","author":"Neyton","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jse.2024.06.026","article-title":"Reverse versus Anatomic Total Shoulder Arthroplasty for Glenohumeral Osteoarthritis with Intact Cuff: A Meta-Analysis of Clinical Outcomes","volume":"34","author":"Daher","year":"2025","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/j.jse.2022.12.005","article-title":"Pyrocarbon Hemiarthroplasty of the Shoulder: A Systematic Review and Meta-Analysis of Clinical Results","volume":"32","author":"Park","year":"2023","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.jse.2021.08.017","article-title":"Mid-Term Outcomes of Pyrolytic Carbon Humeral Resurfacing Hemiarthroplasty Compared with Metal Humeral Resurfacing and Metal Stemmed Hemiarthroplasty for Osteoarthritis in Young Patients: Analysis from the Australian Orthopaedic Association National Joint Replacement Registry","volume":"31","author":"McBride","year":"2022","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of Adult Fractures: A Review","volume":"37","author":"Caesar","year":"2006","journal-title":"Injury"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"121","DOI":"10.2106\/JBJS.I.01505","article-title":"Trends and Variation in Incidence, Surgical Treatment, and Repeat Surgery of Proximal Humeral Fractures in the Elderly","volume":"93","author":"Bell","year":"2011","journal-title":"J. Bone Jt. Surg.-Am. Vol."},{"key":"ref_12","first-page":"CD000434","article-title":"Interventions for Treating Proximal Humeral Fractures in Adults","volume":"6","author":"Handoll","year":"2022","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1016\/j.jse.2019.02.015","article-title":"Evidence-Based Algorithm to Treat Patients with Proximal Humerus Fractures\u2014A Prospective Study with Early Clinical and Overall Performance Results","volume":"28","author":"Spross","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jse.2006.06.003","article-title":"Rehabilitation of Two-Part Fractures of the Neck of the Humerus (Two-Year Follow-Up)","volume":"16","author":"Hodgson","year":"2007","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1001\/jama.2015.1629","article-title":"Surgical vs Nonsurgical Treatment of Adults with Displaced Fractures of the Proximal Humerus: The PROFHER Randomized Clinical Trial","volume":"313","author":"Rangan","year":"2015","journal-title":"JAMA"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1302\/0301-620X.98B2.36614","article-title":"Cost Effectiveness of Surgical versus Non-Surgical Treatment of Adults with Displaced Fractures of the Proximal Humerus: Economic Evaluation alongside the PROFHER Trial","volume":"98-B","author":"Corbacho","year":"2016","journal-title":"Bone Jt. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta19240","article-title":"The ProFHER (PROximal Fracture of the Humerus: Evaluation by Randomisation) Trial\u2014A Pragmatic Multicentre Randomised Controlled Trial Evaluating the Clinical Effectiveness and Cost-Effectiveness of Surgical Compared with Non-Surgical Treatment for Proximal Fracture of the Humerus in Adults","volume":"19","author":"Handoll","year":"2015","journal-title":"Health Technol. Assess. Winch. Engl."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"668","DOI":"10.2106\/JBJS.20.01139","article-title":"Prediction of Nonunion After Nonoperative Treatment of a Proximal Humeral Fracture","volume":"103","author":"Goudie","year":"2021","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.otsr.2018.04.025","article-title":"Is Reverse Total Shoulder Arthroplasty More Effective than Hemiarthroplasty for Treating Displaced Proximal Humerus Fractures in Older Adults? A Systematic Review and Meta-Analysis","volume":"104","author":"Gallinet","year":"2018","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_20","first-page":"171","article-title":"Reverse Shoulder Arthroplasty for Trauma: When, Where, and How","volume":"65","author":"Szerlip","year":"2016","journal-title":"Instr. Course Lect."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1302\/2058-5241.6.210049","article-title":"Reverse Total Shoulder Arthroplasty (RTSA) versus Open Reduction and Internal Fixation (ORIF) for Displaced Three-Part or Four-Part Proximal Humeral Fractures: A Systematic Review and Meta-Analysis","volume":"6","author":"Suroto","year":"2021","journal-title":"EFORT Open Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"477","DOI":"10.2106\/JBJS.19.01071","article-title":"Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly: A Multicenter Randomized Controlled Trial","volume":"102","author":"Fraser","year":"2020","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Chen, L., Xing, F., and Xiang, Z. (2016). Effectiveness and Safety of Interventions for Treating Adults with Displaced Proximal Humeral Fracture: A Network Meta-Analysis and Systematic Review. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0166801"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1177\/1758573219831506","article-title":"Comparison of Surgical and Non-Surgical Treatments for 3- and 4-Part Proximal Humerus Fractures: A Network Meta-Analysis","volume":"12","author":"Orman","year":"2020","journal-title":"Shoulder Elb."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.injury.2021.12.022","article-title":"Management Options for Proximal Humerus Fractures\u2014A Systematic Review & Network Meta-Analysis of Randomized Control Trials","volume":"53","author":"Davey","year":"2022","journal-title":"Injury"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.2106\/JBJS.19.01475","article-title":"A Word of Caution: Success May Be Limited to 2 Years and Highly Displaced OTA\/AO B2 and C2 Injuries: Commentary on an Article by Alexander Nilsskog Fraser, MD; et al.: \u201cReverse Total Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly. A Multicenter Randomized Controlled Trial\u201d","volume":"102","author":"Cole","year":"2020","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e22.00008","DOI":"10.2106\/JBJS.OA.22.00008","article-title":"Trends in Surgical Treatment of Proximal Humeral Fractures and Analysis of Postoperative Complications over a Decade in 384,158 Patients","volume":"7","author":"Alrabaa","year":"2022","journal-title":"JBJS Open Access"},{"key":"ref_28","first-page":"146","article-title":"The Surgical Treatment of Proximal Humerus Fractures 2010-2019: United States National Case Volume and Incidence Trends","volume":"4","author":"Cooke","year":"2024","journal-title":"JSES Rev. Rep. Tech."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"832","DOI":"10.5435\/JAAOS-D-20-01375","article-title":"Acute Versus Delayed Reverse Shoulder Arthroplasty for the Primary Treatment of Proximal Humeral Fractures","volume":"29","author":"Seidel","year":"2021","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2403","DOI":"10.1007\/s00264-015-2796-5","article-title":"Massive Rotator Cuff Tears: Definition and Treatment","volume":"39","author":"Denard","year":"2015","journal-title":"Int. Orthop."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2242","DOI":"10.1177\/0363546512457587","article-title":"Retraction of Supraspinatus Muscle and Tendon as Predictors of Success of Rotator Cuff Repair","volume":"40","author":"Meyer","year":"2012","journal-title":"Am. J. Sports Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1016\/j.jse.2020.07.030","article-title":"Management of Irreparable Massive Rotator Cuff Tears: A Systematic Review and Meta-Analysis of Patient-Reported Outcomes, Reoperation Rates, and Treatment Response","volume":"29","author":"Kovacevic","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.2106\/00004623-200709000-00006","article-title":"Clinical and Structural Outcomes of Nonoperative Management of Massive Rotator Cuff Tears","volume":"89","author":"Zingg","year":"2007","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1053\/j.sart.2021.05.012","article-title":"Reverse Shoulder Arthroplasty for Massive Irreparable Rotator Cuff Tears: A Reliable Treatment Method","volume":"31","author":"Boin","year":"2021","journal-title":"Semin. Arthroplast. JSES"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/17585732231194785","article-title":"Reverse Shoulder Arthroplasty Following Failed Rotator Cuff Repair: A Systematic Review and Meta-Analysis","volume":"16","author":"Welch","year":"2024","journal-title":"Shoulder Elb."},{"key":"ref_36","first-page":"267","article-title":"Outcomes of Reverse Shoulder Arthroplasty in Patients with Previous Rotator Cuff Repair: A Systematic Review and Meta-Analysis","volume":"3","author":"Tantone","year":"2023","journal-title":"JSES Rev. Rep. Tech."},{"key":"ref_37","unstructured":"Boileau, P., and Walch, G. (2008). Proth\u00e8ses d\u2019\u00e9paule: \u00c9tat Actuel, Sauramps M\u00e9dical."},{"key":"ref_38","unstructured":"Australian Orthopaedic Association, and National Joint Replacement Registry (2023). Hip, Knee & Shoulder Arthroplasty: 2023 Annual Report, Australian Orthopaedic Association."},{"key":"ref_39","first-page":"317","article-title":"Anatomic vs. Reverse Shoulder Arthroplasty for the Treatment of Walch B2 Glenoid Morphology: A Systematic Review and Meta-Analysis","volume":"1","author":"Reahl","year":"2021","journal-title":"JSES Rev. Rep. Tech."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.jisako.2023.04.002","article-title":"Outcomes and Survivorship of Anatomic Total Shoulder Arthroplasty: Current Concepts","volume":"8","author":"Italia","year":"2023","journal-title":"J. ISAKOS"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1302\/2058-5241.6.210014","article-title":"Biomechanics of Anatomic and Reverse Shoulder Arthroplasty","volume":"6","author":"Goetti","year":"2021","journal-title":"EFORT Open Rev."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s12178-011-9096-5","article-title":"The Glenoid in Total Shoulder Arthroplasty","volume":"4","author":"Schrumpf","year":"2011","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1302\/2058-5241.5.190011","article-title":"Preoperative Glenoid Considerations for Shoulder Arthroplasty: A Review","volume":"5","author":"Gates","year":"2020","journal-title":"EFORT Open Rev."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.jse.2009.05.008","article-title":"The Glenoid in Shoulder Arthroplasty","volume":"18","author":"Strauss","year":"2009","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.1016\/j.jse.2015.02.012","article-title":"Metal-Backed Glenoid Implant with Polyethylene Insert Is Not a Viable Long-Term Therapeutic Option","volume":"24","author":"Boileau","year":"2015","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Sanchez-Sotelo, J. (2021). Current Concepts in Humeral Component Design for Anatomic and Reverse Shoulder Arthroplasty. J. Clin. Med., 10.","DOI":"10.3390\/jcm10215151"},{"key":"ref_47","first-page":"S92","article-title":"Correlation Between Clinical Outcomes and Anatomic Reconstruction with Anatomic Total Shoulder Arthroplasty","volume":"73","author":"Flurin","year":"2015","journal-title":"Bull. Hosp. Jt. Dis. 2013"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.jor.2024.04.007","article-title":"Functionality, Complications, and Survivorship of Total Shoulder Arthroplasty in Patients under 60 Years Old","volume":"55","author":"Barry","year":"2024","journal-title":"J. Orthop."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1016\/j.jse.2017.02.017","article-title":"Nine-Year Outcome after Anatomic Stemless Shoulder Prosthesis: Clinical and Radiologic Results","volume":"26","author":"Hawi","year":"2017","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.2106\/JBJS.19.01478","article-title":"Prospective, Blinded, Randomized Controlled Trial of Stemless Versus Stemmed Humeral Components in Anatomic Total Shoulder Arthroplasty: Results at Short-Term Follow-Up","volume":"102","author":"Wiater","year":"2020","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1016\/j.jse.2014.05.005","article-title":"Stemless Shoulder Arthroplasty: Current Status","volume":"23","author":"Churchill","year":"2014","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00402-024-05645-3","article-title":"Stemmed VS Stemless Total Shoulder Arthroplasty: A Systematic Review and Meta-Analysis","volume":"145","author":"Oldrini","year":"2024","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00264-015-2935-z","article-title":"Geometrical Analysis of Stemless Shoulder Arthroplasty: A Radiological Study of Seventy TESS Total Shoulder Prostheses","volume":"40","author":"Kadum","year":"2016","journal-title":"Int. Orthop."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.2106\/JBJS.15.01350","article-title":"Spare the Canal: Stemless Shoulder Arthroplasty Is Finally Here: Commentary on an Article by R. Sean Churchill, MD; et al.: \u201cClinical and Radiographic Outcomes of the Simpliciti Canal-Sparing Shoulder Arthroplasty System. A Prospective Two-Year Multicenter Study\u201d","volume":"98","author":"Athwal","year":"2016","journal-title":"JBJS"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e277","DOI":"10.5435\/JAAOS-D-16-00747","article-title":"Stemless Humeral Implants in Total Shoulder Arthroplasty","volume":"28","author":"Brabston","year":"2020","journal-title":"JAAOS\u2014J. Am. Acad. Orthop. Surg."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1016\/j.jse.2018.02.057","article-title":"Sidus Stem-Free Shoulder System for Primary Osteoarthritis: Short-Term Results of a Multicenter Study","volume":"27","author":"Krukenberg","year":"2018","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1016\/j.jse.2015.02.023","article-title":"Midterm Results of Stemless Shoulder Arthroplasty: A Prospective Study","volume":"24","author":"Habermeyer","year":"2015","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1007\/s00264-018-3779-0","article-title":"Long-Term Survivorship of Stemless Anatomical Shoulder Replacement","volume":"42","author":"Beck","year":"2018","journal-title":"Int. Orthop."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1302\/0301-620X.101B5.BJJ-2018-1374.R1","article-title":"Mid-Term Radiological Results of a Cementless Short Humeral Component in Anatomical and Reverse Shoulder Arthroplasty","volume":"101-B","author":"Aibinder","year":"2019","journal-title":"Bone Jt. J."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s00402-017-2673-3","article-title":"Anatomical and Reverse Shoulder Replacement with a Convertible, Uncemented Short-Stem Shoulder Prosthesis: First Clinical and Radiological Results","volume":"137","author":"Schnetzke","year":"2017","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.jse.2017.05.026","article-title":"Short-Term Clinical Outcome of an Anatomic Short-Stem Humeral Component in Total Shoulder Arthroplasty","volume":"27","author":"Romeo","year":"2018","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1177\/1758573218796837","article-title":"In Vitro Comparison of Wear Characteristics of PyroCarbon and Metal on Bone: Shoulder Hemiarthroplasty","volume":"12","author":"Klawitter","year":"2020","journal-title":"Shoulder Elb."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.2106\/JBJS.15.00934","article-title":"Outcome of Revision Shoulder Arthroplasty After Resurfacing Hemiarthroplasty in Patients with Glenohumeral Osteoarthritis","volume":"98","author":"Rasmussen","year":"2016","journal-title":"JBJS"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"S138","DOI":"10.1016\/j.jse.2019.04.014","article-title":"Early Results of Augmented Anatomic Glenoid Components","volume":"28","author":"Priddy","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1016\/j.jse.2019.10.003","article-title":"Anatomic Total Shoulder Arthroplasty with an Inlay Glenoid Component: Clinical Outcomes and Return to Activity","volume":"29","author":"Cvetanovich","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"736","DOI":"10.2106\/JBJS.16.00683","article-title":"Conversion to Reverse Total Shoulder Arthroplasty with and without Humeral Stem Retention: The Role of a Convertible-Platform Stem","volume":"99","author":"Crosby","year":"2017","journal-title":"JBJS"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"e773","DOI":"10.3928\/01477447-20150902-54","article-title":"Conversion to Reverse Shoulder Arthroplasty: Humeral Stem Retention Versus Revision","volume":"38","author":"Dilisio","year":"2015","journal-title":"Orthopedics"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1007\/s11999-014-3985-z","article-title":"Conversion of Stemmed Hemi- or Total to Reverse Total Shoulder Arthroplasty: Advantages of a Modular Stem Design","volume":"473","author":"Wieser","year":"2015","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1007\/s00402-020-03454-y","article-title":"Prospective Midterm Results of a New Convertible Glenoid Component in Anatomic Shoulder Arthroplasty: A Cohort Study","volume":"141","author":"Magosch","year":"2021","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1302\/0301-620X.98B1.36620","article-title":"Total Shoulder Arthroplasty with a Second-Generation Tantalum Trabecular Metal-Backed Glenoid Component: Clinical and Radiographic Outcomes at a Mean Follow-up of 38 Months","volume":"98-B","author":"Merolla","year":"2016","journal-title":"Bone Jt. J."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.jse.2017.09.036","article-title":"Outcomes of Trabecular Metal\u2013Backed Glenoid Components in Anatomic Total Shoulder Arthroplasty","volume":"27","author":"Watson","year":"2018","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Valenti, P., Katz, D., Kany, J., and Werthel, J.-D. (2018). Convertible Glenoid Components Facilitate Revisions to Reverse Shoulder Arthroplasty Easier: Retrospective Review of 13 Cases. Am. J. Orthop. Belle Mead N. J., 47.","DOI":"10.12788\/ajo.2018.0008"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1007\/s11999-011-1833-y","article-title":"Reverse Prostheses in Arthropathies with Cuff Tear: Are Survivorship and Function Maintained over Time?","volume":"469","author":"Favard","year":"2011","journal-title":"Clin. Orthop."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1016\/j.jse.2018.10.005","article-title":"Long-Term Results of Reverse Total Shoulder Arthroplasty for Rotator Cuff Dysfunction: A Systematic Review of Longitudinal Outcomes","volume":"28","author":"Ernstbrunner","year":"2019","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"1690","DOI":"10.1016\/j.jse.2016.02.024","article-title":"Reverse Total Shoulder Arthroplasty for Acute Head-Splitting, 3- and 4-Part Fractures of the Proximal Humerus in the Elderly","volume":"25","author":"Grubhofer","year":"2016","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jse.2016.05.020","article-title":"Reverse Total Shoulder Arthroplasty for Failed Open Reduction and Internal Fixation of Fractures of the Proximal Humerus","volume":"26","author":"Grubhofer","year":"2017","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_77","unstructured":"Australian Orthopaedic Association, and National Joint Replacement Registry (2024). Hip, Knee and Shoulder Arthroplasty: 2024 Annual Report, Australian Orthopaedic Association."},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Roche, C.P. (2022). Reverse Shoulder Arthroplasty Biomechanics. J. Funct. Morphol. Kinesiol., 7.","DOI":"10.3390\/jfmk7010013"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"147S","DOI":"10.1016\/j.jse.2004.10.006","article-title":"Grammont Reverse Prosthesis: Design, Rationale, and Biomechanics","volume":"14","author":"Boileau","year":"2005","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jses.2019.10.108","article-title":"Clinical Outcomes and Complications of Reverse Shoulder Arthroplasty Used for Failed Prior Shoulder Surgery: A Systematic Review and Meta-Analysis","volume":"4","author":"Bois","year":"2020","journal-title":"JSES Int."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1097\/CORR.0000000000002065","article-title":"Improved Clinical Outcomes After Lateralized Reverse Shoulder Arthroplasty: A Systematic Review","volume":"480","author":"Nunes","year":"2022","journal-title":"Clin. Orthop."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/j.jseint.2022.07.009","article-title":"Patient Reported Outcomes and Ranges of Motion after Reverse Total Shoulder Arthroplasty with and without Subscapularis Repair","volume":"6","author":"Oak","year":"2022","journal-title":"JSES Int."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"454","DOI":"10.2106\/JBJS.16.00223","article-title":"Long-Term Outcomes of Reverse Total Shoulder Arthroplasty: A Follow-up of a Previous Study","volume":"99","author":"Bacle","year":"2017","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Chelli, M., Boileau, P., Domos, P., Clavert, P., Berhouet, J., Collin, P., Walch, G., and Favard, L. (2022). Survivorship of Reverse Shoulder Arthroplasty According to Indication, Age and Gender. J. Clin. Med., 11.","DOI":"10.3390\/jcm11102677"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1016\/j.jse.2020.02.004","article-title":"Complications and Implant Survivorship Following Primary Reverse Total Shoulder Arthroplasty in Patients Younger than 65 Years: A Systematic Review","volume":"29","author":"Goldenberg","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1016\/j.otsr.2012.11.010","article-title":"Revision of Total Shoulder Arthroplasty","volume":"99","author":"Favard","year":"2013","journal-title":"Orthop. Traumatol. Surg. Res. OTSR"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1302\/0301-620X.93B9.25926","article-title":"An Evaluation of the Radiological Changes around the Grammont Reverse Geometry Shoulder Arthroplasty after Eight to 12 Years","volume":"93","author":"Melis","year":"2011","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jse.2011.05.021","article-title":"Glenoid Loosening and Failure in Anatomical Total Shoulder Arthroplasty: Is Revision with a Reverse Shoulder Arthroplasty a Reliable Option?","volume":"21","author":"Melis","year":"2012","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1016\/j.jse.2011.11.004","article-title":"Reverse Total Shoulder Arthroplasty for Failed Shoulder Arthroplasty","volume":"21","author":"Patel","year":"2012","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1007\/s00590-013-1332-9","article-title":"Results of 30 Reverse Shoulder Prostheses for Revision of Failed Hemi- or Total Shoulder Arthroplasty","volume":"24","author":"Valenti","year":"2014","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.jse.2017.06.038","article-title":"Revision of Failed Shoulder Hemiarthroplasty to Reverse Total Arthroplasty: Analysis of 157 Revision Implants","volume":"27","author":"Merolla","year":"2018","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"879","DOI":"10.2106\/JBJS.20.00555","article-title":"Revision Reverse Shoulder Arthroplasty for Anatomical Glenoid Component Loosening Was Not Universally Successful: A Detailed Analysis of 127 Consecutive Shoulders","volume":"103","author":"Bartels","year":"2021","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.jse.2024.09.005","article-title":"Reverse Total Shoulder Arthroplasty Policy in Germany\u2014An Analysis of the Health Care Reality from 2010 to 2022","volume":"34","author":"Aurich","year":"2025","journal-title":"J. Shoulder Elbow Surg."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"e077939","DOI":"10.1136\/bmj-2023-077939","article-title":"Reverse Total Shoulder Replacement versus Anatomical Total Shoulder Replacement for Osteoarthritis: Population Based Cohort Study Using Data from the National Joint Registry and Hospital Episode Statistics for England","volume":"385","author":"Valsamis","year":"2024","journal-title":"BMJ"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.jse.2020.08.010","article-title":"Increasing Incidence of Primary Reverse and Anatomic Total Shoulder Arthroplasty in the United States","volume":"30","author":"Best","year":"2021","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1053\/j.sart.2023.08.014","article-title":"Anatomic vs. Reverse Total Shoulder Arthroplasty: Usage Trends and Perioperative Outcomes","volume":"34","author":"Halperin","year":"2024","journal-title":"Semin. Arthroplast. JSES"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1007\/s00264-019-04463-2","article-title":"Effect of Humeral Stem and Glenosphere Designs on Range of Motion and Muscle Length in Reverse Shoulder Arthroplasty","volume":"44","author":"Denard","year":"2020","journal-title":"Int. Orthop."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"2556","DOI":"10.1016\/j.jse.2020.03.036","article-title":"The Risk of Postoperative Scapular Spine Fracture Following Reverse Shoulder Arthroplasty Is Increased with an Onlay Humeral Stem","volume":"29","author":"Haidamous","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_99","first-page":"54","article-title":"Onlay versus Inlay Humeral Steam in Reverse Shoulder Arthroplasty (RSA): Clinical and Biomechanical Study","volume":"90","author":"Beltrame","year":"2019","journal-title":"Acta Biomed. Atenei Parm."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1016\/j.jse.2018.06.007","article-title":"Increased Scapular Spine Fractures after Reverse Shoulder Arthroplasty with a Humeral Onlay Short Stem: An Analysis of 485 Consecutive Cases","volume":"27","author":"Ascione","year":"2018","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.jses.2019.07.008","article-title":"Stemless Shoulder Arthroplasty: Review of Short and Medium-Term Results","volume":"3","author":"Satariano","year":"2019","journal-title":"JSES Open Access"},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"108","DOI":"10.21037\/aoj.2018.12.02","article-title":"Stemless Reverse Shoulder Arthroplasty: Indications, Technique and European Experience","volume":"3","author":"Levy","year":"2018","journal-title":"Ann. Jt."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1177\/17585732211013356","article-title":"Stemless Reverse Total Shoulder Arthroplasty: A Systematic Review of Short- and Mid-Term Results","volume":"13","author":"Liu","year":"2021","journal-title":"Shoulder Elb."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jse.2012.12.005","article-title":"Results of a Stemless Reverse Shoulder Prosthesis at More than 58 Months Mean without Loosening","volume":"22","author":"Ballas","year":"2013","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s12178-023-09820-8","article-title":"The Influence of Reverse Total Shoulder Arthroplasty Implant Design on Biomechanics","volume":"16","author":"Cogan","year":"2023","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1016\/j.jse.2017.04.020","article-title":"Reverse Total Shoulder Glenoid Baseplate Stability with Superior Glenoid Bone Loss","volume":"26","author":"Martin","year":"2017","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.1016\/j.jse.2020.02.008","article-title":"Bony Increased-Offset-Reverse Shoulder Arthroplasty: 5 to 10 Years\u2019 Follow-Up","volume":"29","author":"Boileau","year":"2020","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1016\/j.jse.2023.04.028","article-title":"BIO-RSA vs. Metal-Augmented Baseplate in Shoulder Osteoarthritis with Multiplanar Glenoid Deformity: A Comparative Study of Radiographic Findings and Patient Outcomes","volume":"32","author":"Merolla","year":"2023","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.otsr.2020.03.007","article-title":"Reduction of Scapulohumeral Subluxation with Posterior Augmented Glenoid Implants in Anatomic Total Shoulder Arthroplasty: Short-Term 3D Comparison between Pre- and Post-Operative CT","volume":"106","author":"Terrier","year":"2020","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_110","doi-asserted-by":"crossref","unstructured":"Leafblad, N., Asghar, E., and Tashjian, R.Z. (2022). Innovations in Shoulder Arthroplasty. J. Clin. Med., 11.","DOI":"10.3390\/jcm11102799"},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1016\/j.jse.2016.01.001","article-title":"Total Shoulder Arthroplasty Using Trabecular Metal Augments to Address Glenoid Retroversion: The Preliminary Result of 10 Patients with Minimum 2-Year Follow-Up","volume":"25","author":"Sandow","year":"2016","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s10195-020-00564-6","article-title":"Custom-Made Reverse Shoulder Arthroplasty for Severe Glenoid Bone Loss: Review of the Literature and Our Preliminary Results","volume":"22","author":"Porcellini","year":"2021","journal-title":"J. Orthop. Traumatol. Off. J. Ital. Soc. Orthop. 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