The knee is a complex joint that is designed to enable lifelong weight bearing with mobility and stability. Several ligaments facilitate that function, the main ones being the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). Injuries to two or more ligaments can be sustained during accidental trauma or in sports, during direct impact or severe twisting injury events. The higher the energy of injury the higher the likelihood of involvement of several ligaments. Associated concomitant injuries to the meniscus and other structures are common.

Multi-ligament knee injuries can be serious and need prompt attention by an experienced orthopaedic surgeon. Typically, the trauma can result in severe pain and swelling and associated deformity is possible. Difficulty walking and a feeling on instability are experienced.
The diagnosis is often made based on patient’s presentation, associated physical examination and resultant clinical suspicion at the time of the injury. Prompt X-ray and MRI scan are important to define the extent of injury. Vascular studies may be needed early on, if there is a concern about associate blood vessel injury.
Multi-ligament knee injuries often require prompt evaluation (on the field, and/or in the emergency department), stabilization of the joint with a splint, assessment for vessel injury and prompt X-ray and MRI. Depending on the severity of the injury, emergent surgery may be necessary to stabilize the joint, and repair blood vessel injuries, and/or fractures. Knee ligament repair or reconstruction can be done in a staged fashion depending on the circumstances and the condition of the joint. Often, more than one surgery is needed, and recovery can be prolonged, with mixed results.

At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka performs Multi-Ligament Knee Reconstruction Surgery, customized to each patient and utilizing cutting edge approaches and instrumentation, facilitating a return to an active lifestyle.