ArticleFrontiers in surgery2025
A novel grid-assisted pie-crusting technique for achieving soft tissue balance in total knee arthroplasty.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- The pie-crusting technique in knee surgery: Indications, technique, complications and outcomes.Journal of experimental orthopaedics · 2026Review
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: To evaluate the effectiveness of a novel grid-based pie-crusting technique for soft tissue release at different locations of the medial collateral ligament (MCL) during total knee arthroplasty (TKA). Methods: Twelve fresh-frozen cadaveric knee joints were dissected. A novel grid was designed to cover the entire surface of the MCL. The specimens were divided into two groups: Group A, where only the central portion of the ligament underwent pie-crusting release, and Group B, where selective release targeted the femoral and tibial attachment points of the MCL. Mechanical testing was conducted via a Shimadzu AG-X precision instrument. Each group underwent twelve punctures, and data were collected to calculate deformation and stiffness metrics. The mean elongation and stiffness values were analyzed, and regression analysis was performed to evaluate correlations between the number of punctures and changes in elongation and stiffness. Results: No significant differences in initial stiffness were observed between the two groups ( Conclusion: The grid-assisted pie-crusting technique, which uniformly covers the MCL, enables precise and controlled soft tissue release. This approach provides valuable insights for clinicians performing MCL release during TKA, facilitating improved soft tissue balance and potentially enhancing surgical outcomes.
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