In a few cases I had to... Mostly for cases with severe PRE-OP lateral tibial plateau instability with relevant positive JERK test, in order to avoid POST-OP PL instability as well as to protect my transplant. Somme of our Colleagues systematically associate this technique to their IA surgery. What is your experience about it and which technique do you use for it?
When the instablity is old or when the laxity is too important, I associate ACL and postero-lateral reconstruction in the same time
In cases where the difference in laxity (AP laxity) in monopodal view is more than 10 mm, at the athlete patients and where the pivot shift test is too important.
In these cases evaluation of the dynamic rotator instability is very important.
Never did and never had problem with that. Maybe Anatomical placement of acl graft is enough to prevent rotational instability or maybe my patients never complained about that because they were not athletes. I usually prefer near anatomical placement at femoral side
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