Shoulder HemiCAP Inlay Arthroplasty Showed Lowest Comparative Revision Rate at the 5 Years Mark

shoulder joint pain

Stemmed shoulder replacement has been the standard of care in modern shoulder arthroplasty. Ample reports indicate that total shoulder replacement provides better pain relief and functional outcomes when compared to a stemmed hemi arthroplasty. However, longer life expectancy, early joint deterioration in younger patients and increased functional demands from patients seeking a more active lifestyle, requires a more personalized approach to shoulder replacement. Increased patient demands combined with the overall invasiveness of a stemmed shoulder procedure, poor bone preservation, and the technical challenges of restoring joint height, version, angle and volume, underline the need for alternative primary arthroplasty solution.

Results from the 2015 Australian Shoulder Arthroplasty Registry emphasized the importance of implant selection particularly for younger patients: The report showed that the younger the patient age, the higher the revision rate. The Shoulder HemiCAP (1.7) had the lowest 5 Year revision rate across all implant classes on the market; onlay hemi resurfacing (11.2) was over 6 times higher, stemmed hemiarthroplasty (8.5) was 5 times higher and stemmed total shoulder replacement (8.2) was 4.8 times higher.

Based on these differences at the 5 year follow-up mark, implant selection, as evidenced with the inlay style implants, plays an important role when considering which joint replacement option is chosen as a primary.

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12 responses to “Shoulder HemiCAP Inlay Arthroplasty Showed Lowest Comparative Revision Rate at the 5 Years Mark

  1. How long does this hemi cap in the shoulder last with physical people ? How much resistance can it withstand ? How long is the surgery and is there a hospital stay covered by disability ?

  2. Hi Craig – We have very active patients who are over 12 years out and are still very happy with their shoulder hemiCAPs. Surgery should only be a couple of hours and hospital stay can be as short as 1 day. Please email us at with any additional questions.

  3. Just wanted to say I am 2 years out and back to playing rugby at a very high level. Love it , I got lucky as I was the first person in Canada to get this, Christian Veliette was my surgeon , truly incredible work on his behalf.

  4. Is the hemicap an option for a highly active 76 year old male with an arthritic shoulder….I would like to avoid total shoulder replacement if possible.

  5. Just curious if my hemi arthroplasty doesn’t work out , is it possblie to get the OVO replacement with inlay glenoid ?

  6. Hey Joe,

    Sorry have not been on this site for some time, 53 now, still playing and working out, had the hemi on the shoulder , love it

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