Onggo JR, Nambiar M, Onggo JD, et al. - This study was undertaken to evaluate the outcomes of fracture stems in shoulder arthroplasty for proximal humeral fracture and the comparison of outcomes between fracture versus non-fracture stems. Researchers performed a meta-analysis with a multi-database search (PubMed, OVID, EMBASE, Medline) according to PRISMA guidelines on 19 ^th May 2020. They included 11 studies involving a total of 383 hemiarthroplasties (HA) (294 fracture stems, 89 non-fracture stems) and 358 reverse total shoulder arthroplasties (RTSA) (309 fracture stems, 49 non-fracture stems). In the treatment of proximal humeral fractures, fracture stems displayed promising overall clinical outcomes with low complication rates. In comparison with non-fracture stems, the use of fracture stems is also correlated with a greater chance of tuberosity healing. There is elevating evidence to imply the superiority of fracture stems over non-fracture stems in clinical outcomes, whilst maintaining similar complication rates.