Initial assessment of the acute and chronic multiple ligament-injured knee

A dislocated knee is a true orthopedic emergency and should be evaluated expediently to avoid potential limb-threatening complications. The initial assessment of a multiligament-injured knee requires a basic understanding of the etiology, mechanism, history, and physical examination and awareness of potential complications. A thorough initial evaluation, whether in the acute or chronic setting, plays a crucial role in the management of these injuries, which are often difficult to treat. Adequate preoperative planning involves determining the extent of injury and formulating an appropriate surgical plan. This may prevent potential surgical failures or complications.