Table 4.

Advantages and Disadvantages

Advantages

Anatomic multiligament reconstruction in one stage leads to faster strength recovery, better knee kinematics, and a lower rate of progression to osteoarthritis

Open incisions allow for better tissue visualization and may decrease operative time because of greater ease of access

Addressing the PLC before arthroscopy allows for better visualization before fluid extravasation; this can interfere with landmark and structure identification

Single-stage surgery in the acute setting decreases risk of arthrofibrosis as a complication

Disadvantages

Single-stage procedures may necessitate a longer operative time than multiple staged procedures

Open incisions may prolong recovery time compared to arthroscopic-only (unless arthroscopic fluid extravasation causes significant problems)

Risk of fluid extravasation into lower limb compartments; ensure calf remains soft throughout

Requires autografts and allografts due in part to the number of grafts needed

PLC, posterolateral corner.