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Complex Knee Surgery

Multi-Ligament Knee Injury

A complex knee injury is a situation where multiple ligaments in the knee have been damaged. The knee contains several major ligaments, including the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL). When two or more of these ligaments are injured simultaneously, it's often associated with knee dislocations.


Multi-ligament injuries are relatively uncommon and typically occur due to severe accidents, traumatic sporting falls, or high-impact events. Treating complex knee injuries and performing multi-ligament knee surgery is a highly intricate process. To achieve the best results, it's essential to consult with a knee specialist who specializes in complex knee surgeries.

Description of Complex Knee Surgery

In cases of two-ligament knee injuries, with the exception of combined ACL and MCL injuries, a combined surgical reconstruction is typically recommended. Dr. Amit advises performing a comprehensive multiple ligament reconstruction all in one surgery. This approach is based on the understanding that each ligament plays a crucial role in the overall stability of the knee. If only a portion of the injury is reconstructed initially, there's a higher risk of stretching out the reconstructed ligament.


Dr. Amit's surgical team is well-prepared to ensure that the overall surgical procedure is efficient and doesn't take an extended amount of time. It's strongly advised that patients undergo multi-ligament knee surgery in a single session to facilitate their rehabilitation and return to their daily life.

Post-Operative Protocol for Complex Knee Surgery

A critical aspect of multi-ligament knee surgery is the postoperative rehabilitation process. Even a meticulously performed multi-ligament reconstruction may not yield optimal results if it's not followed by a carefully supervised rehabilitation program. Therefore, we consider it crucial for patients with complex knee injuries to initiate physical therapy right after surgery.


Starting physical therapy on the day following the procedure allows us to focus on range of motion and muscle reactivation from the outset. Moreover, direct communication between the surgeon and physical therapist is maintained to enhance the patient's overall outcome. This approach is aimed at achieving improved results, reducing joint stiffness, and facilitating a faster recovery of muscle function.

Why choose KNEECARES - The Superspeciality Knee Clinic for your Complex Knee Surgery

At KNEECARES, we embrace a collaborative team-based approach to provide our patients with state-of-the-art technology and advanced clinical methods, ensuring top-notch care.

Patients who elect to come to our Center for treatment of previously failed knee ligament operations may be assured that our staff has exceptional experience in handling all of the decisions and issues involved with such complex cases.
Every patient is counseled on the realistic expectations of the potential results of the operation, both before and after surgery.
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