Modern Treatment Principles for Multiligament Knee Injuries



1 1. Twin Cities Orthopedics, Edina, MN, USA 2. University of Minnesota Medical School, Minneapolis, MN, USA

2 1. Twin Cities Orthopedics, Edina, MN, USA 2. University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA

3 1. Twin Cities Orthopedics, Edina, MN, USA 2. Georgetown University School of Medicine, Washington, DC, USA

4 5. Twin Cities Orthopedics, Eagan, MN, USA 6. Training Haus, Eagan, MN, USA

5 1. Twin Cities Orthopedics, Edina, MN, USA


Multiligament knee injuries are complex injuries that must be addressed with a comprehensive diagnostic workup and treatment plan. Multiligament injuries are commonly observed with concomitant meniscal, chondral, and neurovascular injuries, requiring a thorough clinical assessment and radiographic evaluation. Due to the higher failure rates associated with knee ligament repair following multiligament knee injury, the current literature favors single-stage anatomic knee reconstructions. Recent studies have also optimized graft sequencing and reconstruction tunnel orientation to prevent graft elongation and reduce the risk of tunnel convergence. In addition, anatomic-based ligament reconstruction techniques and usage of suture anchors now allow for early postoperative knee motion without the risk of stretching out the graft. Rehabilitation following multiligament knee reconstruction should begin on postoperative day one and typically requires 9-12 months. The purpose of this article is to review the latest principles of the surgically relevant anatomy, biomechanics, evaluation, treatment, rehabilitation, and outcomes of multiligament knee injuries.


Articles in Press, Accepted Manuscript
Available Online from 25 December 2021
  • Receive Date: 06 September 2021
  • Accept Date: 13 December 2021
  • First Publish Date: 25 December 2021