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Multiligament knee injuries (MLKIs) are rare. Their importance lies in the fact that they can result in severe morbidity including arthrofibrosis, persistent pain, instability, and of course amputation. Management of these injuries can undoubtedly be challenging due to their infrequency, difficulties in accurate diagnosis, and the complex decision-making processes that are required to determine the optimal reconstructive procedures, graft choice, the timing of surgery, and strategies for rehabilitation.