Modern multi-ligament knee injury surgical reconstruction techniques in high demand patients can achieve excellent knee function and patient satisfaction, with low complication rates

Objectives: We report on the recovery of strength and functional capacity symmetry following multi-ligament knee surgical reconstruction (MLKR) in a cohort of mostly athletes, as well as the capacity to return to sport. Methods: This prospective cohort study recruited 47 patients undergoing MLKR between February 2018 and July 2021. Forty patients had full outcome assessment post-operatively at 6-, 12- and 24-months and were included in the analysis, 77.5% were Knee Dislocation (KD) 1 injuries and 60% were injured playing sport. Patient Reported Outcome Measures (PROMs) assessed included the International Knee Documentation Committee (IKDC) score, the Knee Outcome Survey (KOS), the Lysholm Knee Score (LKS), and the Tegner Activity Scale (TAS). Patient satisfaction was also assessed. Objective assessment included assessment of active knee flexion and extension range of motion (ROM), the single (SHD) and triple (THD) hop tests for distance, and peak isokinetic knee flexor/extensor torque. Results: All PROMs significantly improved (p