Multi-Ligament Knee Reconstruction

⚙️What This Procedure Involves

Multiple incisions. Each ligament reconstructed with tendon grafts through bone tunnels. Common combinations: ACL+PCL, ACL+posterolateral corner. Takes three to five hours.

💡Why It May Be Recommended

For knee dislocations and multi-ligament injuries causing gross instability. Surgery within two to three weeks.

⚖️Non-Operative Alternatives

Bracing and physiotherapy for partial injuries. Complete disruptions rarely function well without surgery.

📋Preparing for Surgery

MRI. Vascular assessment critical — CT angiography may be needed.

✅Expected Benefits

Restoration of knee stability for walking and daily activities.

⚠️Common Risks

• StiffnessCommon

  Arthrofibrosis in 10–20%.

• Residual laxityCommon

  Particularly PCL.

• Prolonged rehabilitationExpected

  12–18 months.

🔴Less Common but Serious Risks

• Vascular injuryUncommon

  Popliteal artery damage.

• Peroneal nerve palsyUncommon

  Foot drop.

• Graft failureUncommon

  One or more ligaments.

• Blood clotsCommon

  High risk.

💉Anaesthetic Considerations

General anaesthesia. Extended operating time.

🏃Recovery and Rehabilitation

Brace eight to twelve weeks. Crutches six to eight weeks. Sport at twelve to eighteen months.

📅Follow-Up

Reviews at two, six weeks, three, six months, one year.

❓Frequently Asked Questions