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We do what's right for you
We do what's right for you...
Multi Ligament Reconstruction
Multi-ligament reconstruction is one of the most complex knee surgical procedures performed at Moolchand Hospital, one of the best orthopaedic hospitals in Delhi. It involves the simultaneous surgical reconstruction of two or more ligaments of the knee joint — most commonly combinations of the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), posterolateral corner (PLC — including the popliteus tendon, popliteofibular ligament, and lateral collateral ligament), and posteromedial corner (PMC) — using tendon grafts (autografts from the patient or allografts from a donor) to restore multi-planar knee stability.
Multi-ligament knee injuries most commonly result from high-energy trauma — knee dislocations from road traffic accidents, sporting injuries (contact sports, skiing), or falls from height. They may also occur in lower energy mechanisms in obese individuals. A crucial aspect of initial management is neurovascular assessment — knee dislocations carry a significant risk of popliteal artery injury (requiring urgent vascular surgery) and common peroneal nerve injury. Vascular assessment with CT angiography or ankle-brachial index (ABI) measurement is mandatory before any surgical planning.
Surgical timing depends on the extent of injury, soft tissue swelling, vascular status, and associated injuries. Early surgery (within 2–3 weeks) is preferred before scar tissue formation makes ligament reconstruction technically more demanding. The procedure is performed under general anaesthesia arthroscopically and/or through small open incisions, depending on the ligament combination and complexity.
Each ligament is reconstructed using appropriately sized tendon grafts fixed with interference screws, endobuttons, or staples. PCL reconstruction typically uses a large central quadriceps tendon or Achilles allograft. ACL reconstruction uses hamstring or patellar tendon autograft. PLC reconstruction uses a fibular-based graft reconstruction (LaPrade technique) or anatomical reconstruction of individual PLC components. Simultaneous osteotomy may be performed if malalignment contributes to ligament stress.
Post-operative rehabilitation is lengthy and structured — beginning with protected weight-bearing and range of motion exercises, progressing through strengthening and proprioceptive training, with return to sport requiring 9–18 months depending on injury severity and grafts used.
At Moolchand Hospital in Lajpat Nagar Delhi, our sports medicine and knee reconstruction specialists provide expert multi-ligament injury assessment, surgical planning, and rehabilitation coordination, ensuring the best possible functional outcomes for these challenging injuries.
Our team of globally acclaimed super specialists has pioneered several multi ligament reconstruction surgeries.
Senior Consultant
Dr. Rajeev K Sharma
2,150
2,150
Chairman, Moolchand Orthopaedics Institute
MS (Orth) Gold... 
33 Years 
Mon - Sat 
Senior Consultant
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Real patients...Real stories
Patients and their families from more than 50 countries around the world have benefited from our half-century old tradition of excellence in healthcare. Our excellence has led to Moolchand being a preferred choice for many VIP’s including international diplomats and business leaders. Here is what some of our patients have to say about their Moolchand experience.
Sarthak
Baby of Prashant Varshney
From Critical Illness to Full Recovery: The Moolchand Promise
Aarti V.
House wife
PCOS Support that Fits My Routine
Mohan K.
Ex -Service
Migraine Relief with Gentle Ayurveda
Ritu S
Business owner
Walking Easier with Knee Osteoarthritis
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Multi ligament reconstruction
Multi-ligament reconstruction is a complex knee surgery to reconstruct two or more torn ligaments simultaneously following a high-energy knee dislocation or severe ligamentous injury, restoring knee stability, alignment, and function.
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