ArticleJournal of orthopaedic translation2018
Pie-crusting technique is effective and safe to release superficial medial collateral ligament for total knee arthroplasty.
Article in Journal of orthopaedic translation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of intraoperative medial collateral ligament injury on outcomes after total knee arthroplasty: a meta-analysis and systematic review.Journal of orthopaedic surgery and research · 2021Pooled it
- The pie-crusting technique in knee surgery: Indications, technique, complications and outcomes.Journal of experimental orthopaedics · 2026Review
- Biomechanical comparison of a novel hockey-stick locking plate with a pes anserinus sparing design for Schatzker IV tibial plateau fractures.BMC musculoskeletal disorders · 2026Article
- A novel grid-assisted pie-crusting technique for achieving soft tissue balance in total knee arthroplasty.Frontiers in surgery · 2025Article
- Complete Release of the Superficial Medial Collateral Ligament in Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Precision soft tissue balancing: grid-assisted pie-crusting in total knee arthroplasty.Frontiers in surgery · 2024Article
- Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review.Advanced biomedical research · 2023Review
- Intraoperative repair for iatrogenic MCL tear due to medial pie-crusting in TKA yields satisfactory mid-term outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Pie-crusting of proximal medial collateral ligament for correcting varus deformity in total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Kinetic Sensors for Ligament Balance and Kinematic Evaluation in Anatomic Bi-Cruciate Stabilized Total Knee Arthroplasty.Sensors (Basel, Switzerland) · 2021Article
- The Role of the Pie-Crusting Technique of the Medial Collateral Ligament in the Arthroscopic Inside-out Technique for Medial Meniscal Repair With or Without Anterior Cruciate Ligament Reconstruction: A Satisfactory Repair Technique.Arthroscopy, sports medicine, and rehabilitation · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPie-crusting technique is a damage-control soft tissue balance skill of total knee arthroplasty (TKA). The outcome of this technique to release lateral soft tissue is reasonable. A limited number of studies have focused on medial collateral ligament release with pie-crusting technique in the past years because of concerns about its efficacy and safety.
methodAll cases underwent superficial medial collateral ligament (SMCL) release with either pie-crusting technique or traditional technique (39 knees in each group) between January 1, 2014 and August 31, 2015. A comparison study between two techniques was performed; meanwhile, 23 patients (26 knees) in pie-crusting group were followed up. Data including knee function, radiographic result and complications were analysed.
resultsComparison study demonstrates that pie-crusting technique can achieve a comparable or even better effect of alignment correction. Data of follow-up patients are reasonable. The mean postoperative flexion contracture is 1.2 ± 3.6°. The mean postoperative motion arrange is 104.0 ± 14.4°. The mean postoperative hospital for special surgery knee score point is 82.0 ± 7.4 points. The mean postoperative femoral tibial angle is 172.4 ± 2.0°. The level of joint line elevates around 2.1 ± 1.9 mm. There are four knees that use brace after operation, and none of them present unstable knee. No severe complication has been reported, and most patients were satisfied with life quality.
conclusionsUsing pie-crusting technique to release SMCL for TKA is effective and safe. THE TRANSLATIONAL POTENTIAL OF THIS ARTICLE: Although pie-crusting technique has been used in TKA for years, it is seldom chosen to release medial collateral ligament, especially to release SMCL, which is a vital step of malalignment correction. This study aims to evaluate the efficacy and safety of this technique in total knee arthroplasty patients.
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