iarjsIARJSIARJS2789-6102https://doi.org/10.47310/iarjs.2021.v01i01.002Outcome of Single-Stage Multiligamentous Reconstruction Surgery in Patients with Multiligament Knee InjuryGaafarSiddig AwadAlseedMohamedHamidAwadelseidAbdilahiA.SamatarBackground: Multiligament knee injury (MLKI) is a complex orthopedic injury leading to the tear of at least two of the major knee ligaments. However, there is no consensus on the optimal management of this debilitating condition. Regarding this, the present study was performed to evaluate the outcomes of single-stage multiligament reconstruction surgery in patients with MLKI. Material and Methods: Cross-sectional hospital-based study done on Multicenter in a period of 7 months from march 2021. A total 20 male and female patients their age ranges from 20 years to 69 years the mean age 30 years having MLKI confirmed by clinical examination and MRI scan were included in this study. Patients' check list detailed demography including age, sex, causes of injury and duration of symptoms pre-operative were recorded after written consent from every patient. Lachman, anterior drawer, posterior drawer, dial test, valgus and varus stress tests were performed before surgery. All patients filled subjective Lysholm Knee form before surgery and at final follow up post-operative. The injured ligaments were reconstructed using auto-graft. Results: There were 19 (95%) males and 1(5%) females. Right knee was injured in 14(70%) cases and left knee 6(30%) cases. At final follow-up, 70% patients achieved full ROM flexion, all of them have no giving way symptoms after 2 to 3monthes post-operative. There was significant improvement in Lysholm score. Out of 20 patients, 4 (20%) patients developed post-operative infection. Conclusion: MLKI reconstruction yields a significant improvement from pre-operative to post-operative Lysholm scores. This suggests that surgical intervention provides benefit to patients in this population. Failure to treat all injured structures can lead to changes in knee kinematics and hence poor outcomes and an increased risk of graft failure.