Revision instability is a complex clinical problem. A successful outco
me is dependent on several factors, including an accurate diagnosis cl
early delineating the different pathologic conditions contributing to
the failure. Also, from a technical aspect, an attempt should be made
to restore the normal anatomic relationships while achieving glenohume
ral stability in a functional range of motion. The purpose of this art
icle is to assist the clinician in the evaluation and treatment of fai
led instability surgery by combining the authors' personal experience
with an extensive review of the literature.