The pie-crusting technique in knee surgery: Indications, technique, complications and outcomes


Şahbat Y., Akçaalan S., Güzel A., Turan K., GÜRSOY S.

Journal of Experimental Orthopaedics, cilt.13, sa.2, 2026 (ESCI, Scopus)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 13 Sayı: 2
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1002/jeo2.70783
  • Dergi Adı: Journal of Experimental Orthopaedics
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Anahtar Kelimeler: knee surgery, medial collateral ligament (MCL), meniscus, osteotomy, pie-crusting
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

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. Level of Evidence: Level V, expert opinion.