The pie-crusting technique in knee surgery: Indications, technique, complications and outcomes.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 42255396.
- Also identified by DOI 10.1002/jeo2.70783 and PMC identifier 13239262.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Pie-crusting represents a simple and widely utilised technique for controlled medial soft-tissue release across various knee procedures. When applied in a gradual and indication-driven manner, it can improve visualisation, facilitate instrumentation and reduce the risk of iatrogenic cartilage injury without causing clinically significant instability in most cases. However, the role of pie-crusting differs among surgical contexts, including meniscal repair, periarticular osteotomy and knee arthroplasty, and should be tailored to procedure-specific goals rather than applied routinely. <b>Level of Evidence:</b> Level V, expert opinion.