The humeral component has a long track record of a low rate of humeral loosening. Moreover, there are significant challenges associated with removal of a failed cemented component. Throckmorton reviewed the results of 76 total shoulder arthroplasties for osteoarthritis with minimum two year follow-up. There were incomplete lucent lines in 5/76 stems. None of the stem were judged to be at risk for loosening. Matsen published on the outcome of 131 shoulder arthroplasties for osteoarthritis with minimum two year follow-up. In this series, there were no components with shift or tilt. In addition to strong literature support for the use of an uncemented humeral component, revision of a cemented humeral component can be very difficult with a risk of significant destruction of the humerus. The cortex of the humerus tends to be thin and removing the cement can be similar to trying to remove concrete from an
