Short humeral stem in total shoulder arthroplasty does not jeopardize primary implant stability

Background: The trend of the modern humeral components in total shoulder arthroplasty is toward shorter and shorter humeral stems. However, the question remains whether short uncemented stems can provide the same implant stability as long stems. This study aimed to evaluate and compare the torsional primary stability and the pull-out extraction force of both a long and a short version of the same stem. Materials and Discussion and Conclusion: No statistically significant difference was found between the long-stem and short-stem implants. These results show that short uncemented stems can provide adequate primary mechanical stability. As the long-stem version of this stem is already clinically used, the present findings suggest that the short version can be reasonably expected to deliver similar outcomes in terms of implant stability.