The Joint Clinic

Multi Ligament Reconstruction

About Multi Ligament Reconstruction

Multiple ligaments of the knee are damaged in cases of knee dislocation. The ACL, PCL, MCL, and PLC are the four main ligamentous structures which form a framework to stabilize the knee. Of these, three or even all four structures can be damaged during a knee dislocation, apart from possible damage to blood vessels and nerves. Such injuries present unique challenges for ligament reconstruction, since it may not be possible to harvest the sufficient number of autografts to reconstruct all ligaments. This problem can be solved using cadaveric donor allografts if available. Also, multiple ligament surgery can be very long and extensive, which increases the risk of post-operative stiffness. To reduce this risk, we often do it in two stages. The repair/reconstruction of the peripheral ligaments (MCL, PLC) is done first by open surgery, and when the knee regains good range of motion after a few weeks of the first surgery, the central ligaments (ACL, PCL) are reconstructed by arthroscopic technique

(Xray after multiligament surgery – ACL + MCL)
(Back to pace bowling after multiligament surgery on left knee)

Knee Treatments

Knee Arthroscopy

Knee Arthroscopy: Arthroscopy, or Minimally Invasive “keyhole” surgery, allows the surgeon…

ACL Reconstruction

Anterior Cruciate Ligament (ACL) is an important ligament which holds together the thigh bone…

PCL Reconstruction

Similar to ACL, the PCL is a strong and important ligament holding the bones in the knee together. 

Meniscus Surgery

Meniscus is a special cartilage cushion, present only in the knee, which helps in uniform load…

Articular Cartilage Repair

Articular cartilage is the smooth slippery layer covering the portion of bones inside the joint…

Medial & Lateral Ligament

Peripheral ligaments of the knee are often damaged either singly, or in combination with other ligaments

Arthroscopic Arthrolysis

Stiffness or restricted movements in the knee can occur after injury, after surgery, or due to arthritis…

Multi Ligament Reconstruction

Multiple ligaments of the knee are damaged in cases of knee dislocation. The ACL, PCL, MCL…

Dislocating Patella Surgery

The Knee-cap (Patella) can dislocate during an injury, particularly in children and…

High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) : This is a joint conserving surgery for young and active people with…

Unicompartmental Knee Replacement

Older and less active patients who have severe unicompartmental knee

Total Knee Replacement

Rough and damaged cartilage surfaces in cases of knee arthritis are replaced with smooth artificial…