Objectives: The purpose of this analysis is to present a two-year follow-up of patient-reported outcomes, revision rate, and notable radiographic features of a convertible, diaphyseal-fit anatomic total shoulder arthroplasty system (ATSA). Methods: From June 2012 to June 2015, 100 shoulders were treated with ATSA using a convertible, diaphyseal-fit stem. Functional outcomes and radiographic findings were assessed preoperatively and at 6 months, 1 year, and 2 years postoperatively. Complications and reoperations were also determined. Results: Ninety-three shoulders were analyzed in this study. Patients were 47. 3% male and had an average age of 67. 3±, 8. 1-years-old (range 44. 7-89. 1). Two-year clinical outcomes show a revision rate of 4. 3%. Average preoperative ASES was 37. 1±, 18. 9 (6. 7-86. 7), SST (77. 4%) was 3. 1±, 2. 4 yes responses (0-9), and SANE (88. 2) was 25. 4±, 21. 5% (0-85. 0%). At two years post-operative average (75% follow-up) ASES was 89. 3±, 15. 1 (37. 0-100), SST was 10. 0±, 2. 5 yes responses (0-12), and SANE was 85. 6%±, 17. 0% (33. 0-100%). Radiographic analysis at two years identified 2 shoulders (4%) with glenoid radiolucency (both Lazarus grade 1), 5 shoulders with at least one humeral radiolucent line (10%), and 9 shoulders (18%) with stress-shielding. There were 12 shoulders (24%) with distal pedestal formation. This finding was associated with the presence of radiolucent lines (P=0. 002). Conclusion: This two-year analysis identified improvement in ASES, SST, and SANE scores and a low revision rate. Presence of a distal pedestal was associated with increased rates of radiolucent lines. Further analysis with longerterm and more robust follow-up will improve our understanding of the risks and benefits of this shoulder system.