•25 year male

•RTA on 2/8/2019, Sustained injury to right knee

•O/E:Swelling +

            Multiple abrasion

            Tenderness over joint line

            Posterior sag present

            Lachman with 2 + soft end point

            ?Medio lateral instability

            Mcmurray positive for medial and lateral    meniscus

            Varus stress test positive

            Distal pulses present

•Patella inferior pole communited fracture,

•ACL,PCL,LCL tear

•Flipped lateral meniscus anterior horn &body tear

•Medial meniscus radial tear

• inferior pole fracture was displaced and did not move in flexion x-ray hence left alone.

Right knee ACL,PCL Reconstruction + Lateral and medial meniscus (root,body) repair + LCL reconstruction done  10 days post injury

radial tear repair 

with healed radial tear pic below

He had to have an arthrolysis for a stiff knee.
ROM 20 to 70 at 2 months due to essentially lack of motivation and proper physio. the healed radial tear was visualized at 2 months during arthrolysis.. Had full ROM with a stable knee at 3 months post repair.

The meniscal healing rates are superior I feel in multi- ligament tears. 

Again a reason for early one stage repair in multi-ligament tears