Jacob Braaten - ۱ Twin Cities Orthopedics, Edina-Crosstown, ۴۰۱۰ W ۶۵th St, Edina, MN ۵۵۴۳۵, USA ۲ University of Minnesota Medical School, ۴۲۰ Delaware St SE, Minneapolis, MN ۵۵۴۵۵ USA
Foley Scheier - ۱ Twin Cities Orthopedics, Edina-Crosstown, ۴۰۱۰ W ۶۵th St, Edina, MN ۵۵۴۳۵, USA ۳ University of North Dakota School of Medicine and Health Sciences, ۱۳۰۱ N Columbia Rd, Grand Forks, ND ۵۸۲۰۳, USA
Ariel Rodriguez - ۱ Twin Cities Orthopedics, Edina-Crosstown, ۴۰۱۰ W ۶۵th St, Edina, MN ۵۵۴۳۵, USA ۴ Georgetown University School of Medicine, ۳۹۰۰ Reservoir Rd NW, Washington, DC ۲۰۰۰۷, USA
Jill Monson - ۵ Twin Cities Orthopedics, ۲۷۰۰ Vikings Cir, Eagan, MN ۵۵۱۲۱, USA ۶ Training Haus, ۲۶۴۵ Vikings Cir Suite ۲۰۰, Eagan, MN ۵۵۱۲۱, USA
Robert LaPrade - Twin Cities Orthopedics, Edina-Crosstown, ۴۰۱۰ W ۶۵th St, Edina, MN ۵۵۴۳۵, USA

Multiligament knee injuries are complex injuries that must be addressed with a comprehensive diagnostic workup andtreatment plan. Multiligament injuries are commonly observed with concomitant meniscal, chondral, and neurovascularinjuries, requiring a thorough clinical assessment and radiographic evaluation. Due to the higher failure rates associatedwith knee ligament repair following multiligament knee injury, the current literature favors single-stage anatomic kneereconstructions. Recent studies have also optimized graft sequencing and reconstruction tunnel orientation to preventgraft elongation and reduce the risk of tunnel convergence. In addition, anatomic-based ligament reconstructiontechniques and the usage of suture anchors now allow for early postoperative knee motion without the risk of stretchingout the graft. Rehabilitation following multiligament knee reconstruction should begin on postoperative day one andtypically requires ۹-۱۲ months. The purpose of this article is to review the latest principles of the surgically relevantanatomy, biomechanics, evaluation, treatment, rehabilitation, and outcomes of multiligament knee injuries.Level of evidence: V

Anterior Cruciate, Multiple ligament reconstruction, posterior cruciate