A recent study by Vaishya et al. (2024) explored a crucial question in treating multi-ligament knee injuries (MLKI): does the timing of surgery affect outcomes and complications?

This systematic review and meta-analysis analyzed existing research on early versus delayed surgery for MLKI. Their findings suggest that early surgery offers several advantages. Patients who underwent early surgery achieved significantly better results in function based on various scoring systems. Additionally, early surgery reduced the risk of further damage to the cartilage and improved knee stability.

However, these benefits come with a potential downside. Early surgery also increased the risk of knee stiffness and the need for manipulation under anesthesia to restore movement.

These results support a trend towards early surgery for MLKI. However, the increased risk of stiffness necessitates careful rehabilitation strategies to optimize long-term outcomes.

It's important to note that the study has a Level IV evidence rating, meaning it provides moderate-quality evidence based on existing research. Further high-quality studies might strengthen the conclusions. Additionally, the authors acknowledge the need for more research on optimal rehabilitation protocols following early surgery to minimize stiffness.

Overall, this study provides valuable insights for surgeons managing MLKI. Early surgery appears beneficial for patient function and stability, but careful management is crucial to address the potential complication of stiffness.