Review ArticlesRepair Versus Reconstruction in Acute Posterolateral Instability of the KneeBlack, Brandee S. MD, MEd; Stannard, James P. MDAuthor Information Department of Orthopaedic Surgery, University of Missouri, Columbia, MO Disclosure: Dr James P. Stannard- Board membership: Orthopaedic Trauma Association; Consultancy: Depuy Synthes, Smith & Nephew, Sonoma; Grants/grants pending: Kinetic Concepts Inc.; Payment for lectures including service on speakers bureaus: Depuy Synthes, RTI, Smith & Nephew, Sonoma; Royalties: Thieme Medical Publisher (from textbook sales); Other: editor-in-chief, Journal of Knee Surgery. The other author declares no conflict of interest. Reprints: James P. Stannard, MD, Missouri Orthopaedic Institute, 1100 Virginia Ave., DC953.00, Columbia, MO 65212. Sports Medicine and Arthroscopy Review: March 2015 - Volume 23 - Issue 1 - p 22-26 doi: 10.1097/JSA.0000000000000050 Buy Metrics Abstract Acute posterolateral corner injuries of the knee are rare and, when present, are frequently associated with concurrent ligament injury, neurovascular damage, or fractures of the femur or tibia. Early surgical treatment has been shown to be superior to delayed and nonoperative treatment of multiligamentous knee injuries. Historically, repair has been advocated. High-quality studies comparing repair versus reconstruction have shown that reconstruction yields superior results with respect to failure of the construct and similar outcomes with respect to patient satisfaction. Our preferred technique for reconstruction of the acute posterolateral corner with reinforcement is described. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.