What question did this study set out to answer?

To examine the indications, technique, complications, and outcomes of the pie-crusting technique in knee surgery.

May 28, 2026Journal of Experimental Orthopaedics0 citationsOpen Access

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

YŞYavuz ŞahbatBahçeşehir University SASerhat AkçaalanMemorial Ankara Hospital AGAybars GüzelBahçeşehir University

Key Points

To examine the indications, technique, complications, and outcomes of the pie-crusting technique in knee surgery.
Reviewed the application of pie-crusting across various knee procedures.
Analyzed its impact on visualization and risk of cartilage injury.
Highlighted the necessity of tailoring the technique to specific surgical goals.
Pie-crusting can improve visualization and facilitate instrumentation in knee surgery.
Applying the technique reduces the risk of iatrogenic cartilage injury without significant instability.
The effectiveness of pie-crusting varies by surgical context, including meniscal repair and knee arthroplasty.

Abstract

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. Level of Evidence: Level V, expert opinion.

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