When stabilization surgery fails, both patient and treating physician face disappointment as well as additional stress in attempting to solve this difficult clinical challenge. The treating physician must: (1) review the basics of what constitutes stability, (2) confirm the correct diagnosis by performing a thorough examination supplemented by appropriate imaging, (3) determine the reason for failure, (4) determine the expectations and needs of the patient, and (5) decide which operative or nonoperative approach provides the best potential result for the patient. This review article will provide a basic review of the key principles in the evaluation and management of patients with recurrent instability after a failed arthroscopic anterior stabilization.
