Table 3.

Advantages and Disadvantages of Multiligament Reconstruction

Advantages	Disadvantages
If acute, assess for range and motion and delay surgery with preoperative rehabilitation if flexion is less than 90°. Prompt surgery avoids fibrotic tissues and facilitates visualization.	Limited range of motion before the surgery can result in higher rates of arthrofibrosis and poorer outcomes.
This technique allows for an unstaged reconstruction of the structures that will ultimately result in a faster recovery.	A skilled surgeon is advocated to attempt this reconstruction at one setting because it might result in a prolonged operative time otherwise.
Anatomic reconstructions facilitate early range of motion without compromising the grafts integrity.	A mix of autografts and allografts are recommended due to the quantity of structures to reconstruct.