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Updated: Aug 6, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Management of Bidirectional Shoulder Instability with Glenoid Bone Loss Using Arthroscopic Double Bone Block: A Case
Huseyin Ozturk1, Ethem Burak Oklaz2, Furkan Aral1
1Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Case:
We present the case of a 33-year-old man with recurrent anterior and posterior shoulder instability, with bidirectional glenoid bone loss. The patient underwent all-arthroscopic double bone block procedure using iliac crest grafts fixed with suture anchors. At the 6-year follow-up, the patient remained pain-free, with no recurrent dislocations, and achieved a full range of motion with normal muscle strength.
Conclusion:
The all-arthroscopic double bone block technique using suture anchors is a feasible and durable procedure for complex bidirectional glenoid bone loss. This method provides long-term stability and functional recovery while avoiding complications associated with screw fixation and open surgery.
Level Of Evidence:
Therapeutic Level IV.