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Stemless Shoulder Replacement, the Best of Both Worlds: A Personal View

Two decades of rapid advances in basic knowledge, industrial technology and surgical skill have made shoulder replacement a predictable, safe and successful operation. This article looks to pass on some of these advances in our understanding of anatomy, pathology, surgical approaches and releases. It looks at contentious issues such as the hemi versus total shoulder debate, the stemmed, surface and stemless debate, the issues of DVT prophylaxis and prophylaxis against infection. Finally the article makes the plea that shoulders are different from hips and knees and that long term results depend more upon cuff function than prosthetic failure.