Multiligamentous Knee Injury: Causes, Treatment & Recovery By Dr. Kashyap Solanki – Orthopaedic Surgeon, Andheri East, Mumbai
- Dr. Kashyap Solanki

- Aug 28
- 3 min read
When more than one ligament of the knee is injured at the same time, it is called a multiligamentous knee injury (MLKI). This is a rare but serious condition often seen after high-energy trauma such as road accidents, sports injuries, or falls. Unlike an isolated ACL or MCL tear, a multi-ligament injury causes severe pain, swelling, and knee instability, often making it difficult to stand or walk.

Common Causes
Road Traffic Accidents – sudden twisting or impact injuries.
Sports Injuries – football, basketball, or skiing accidents where the knee is forced in unnatural directions.
High-energy Trauma – falls from height or industrial accidents.
Symptoms You Should Not Ignore
Severe knee pain and swelling
Inability to bear weight
Visible deformity or feeling of "giving way"
Associated numbness or weakness (due to nerve involvement in severe cases)
Diagnosis
A thorough clinical examination, supported by MRI scans and X-rays, is essential to identify the extent of ligament damage and rule out fractures or vascular injuries.
Treatment Options
Treatment depends on which ligaments are torn and the severity of injury:
Emergency Care – immobilisation and management of swelling.
Surgical Reconstruction – often required for ACL, PCL, and collateral ligament tears. Early surgery within the first few weeks usually gives the best outcomes.
Rehabilitation – physiotherapy is critical for restoring movement, strength, and stability.
Recovery Timeline
Initial Healing: 6–12 weeks with protected weight-bearing.
Rehabilitation Phase: 6–9 months of guided physiotherapy.
Return to Sports/Active Lifestyle: 9–12 months, depending on recovery.
Why Choose Specialist Care?
Multiligamentous knee injuries are complex and require expert orthopaedic evaluation, advanced surgical techniques, and structured rehabilitation. With timely treatment, most patients regain excellent knee stability and return to active life.
Final Takeaway
If you have suffered a severe knee injury with swelling, deformity, or difficulty walking, consult an orthopaedic surgeon in Mumbai immediately. Early diagnosis and treatment can make all the difference in preserving your knee function.
Orthopaedic Surgeon – Andheri, Mumbai
Dr. Kashyap Solanki specializes in hip and knee replacement, robotic-assisted knee surgery, and joint preservation procedures like HTO, arthroscopy, and ligament reconstruction. He is also known for performing complex revision joint replacements and managing challenging upper and lower limb fractures. With a focus on precision and patient-centered care, Dr. Solanki helps restore mobility and improve quality of life through advanced orthopaedic solutions.
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