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Journal articles on the topic 'Technique chirurgicale de pie-crusting'

Author: Grafiati

Published: 23 September 2022

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1

Ohmori, Takaaki, Tamon Kabata, Yoshitomo Kajino, Tomoharu Takagi, and Hiroyuki Tsuchiya. "Effectiveness and Safety of Needle Medial Collateral Ligament Pie-Crusting in Total Knee Arthroplasty: A Cadaveric Study." Journal of Knee Surgery 31, no. 08 (September 5, 2017): 705–9. http://dx.doi.org/10.1055/s-0037-1606377.

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AbstractMedial collateral ligament (MCL) pie-crusting technique in total knee arthroplasty (TKA) is one of the methods of medial release. The effects and risks of blade pie-crusting have been reported in previous studies. However, only a few have reported the safety and efficacy of needle pie-crusting. In this cadaveric study, we quantitatively evaluated the amount of gap change by MCL needle pie-crusting. We investigated five knees of four fresh human cadavers and performed posterior-stabilized TKA. Only deep MCL release as the medial release was conducted. We punctured the MCL from the deep layer to the superficial layer using a 18 G needle in a 90-degree flexion position for 0, 10, 20, 50, 75, and 100 times. Medial and lateral gaps were measured accurately with a balancer at determined times in 0 and 90-degree flexion positions. Changes in medial and lateral gaps were not significant differences in flexion and extension position. However, in 90-degree flexion, medial gap changes were tended to be larger than lateral gap changes. A 0.6 mm additional medial release and a 0.2 mm additional lateral release were found per 10 times pie crust in flexion position (100 times, p: 0.08). However, large differences existed among the cases. Needle pie-crusting is safer than blade pie-crusting because of the small efficacy of one-time pie crust. MCL needle pie-crusting showed varied effects for each case. This result indicates the risk of relaxation of an unexpected gap. Caution should be taken when choosing between needle pie-crusting and blade pie-crusting.

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2

Chahla, Jorge, Benjamin Sherman, Frank Wydra, and Michael B. Gerhardt. "The Pie-Crusting Technique for Capsular Management During Hip Arthroscopy." Arthroscopy Techniques 8, no. 1 (January 2019): e93-e96. http://dx.doi.org/10.1016/j.eats.2018.09.005.

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3

Polat, Barış, Deniz Aydın, Ayşe Esin Polat, Tahsin Gürpınar, Enes Sarı, Ramadan Özmanevra, Mehmet Yalçınozan, and Kaan Erler. "Objective Measurement of Medial Joint Space Widening with Percutaneous “Pie Crust” Release of Medial Collateral Ligament during Knee Arthroscopy." Journal of Knee Surgery 33, no. 01 (August 8, 2019): 094–98. http://dx.doi.org/10.1055/s-0039-1694711.

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AbstractKnee arthroscopy may be called the most commonly and increasingly performed orthopaedic procedure. Posterior medial compartment visualization may be quite challenging. The aim of the present study is to detect objective measurement of medial joint space widening with percutaneous “pie crust” release of medial collateral ligament (MCL) during knee arthroscopy. We used this technique for all knees that require any intervention in the posteromedial compartment and for tight knees in which adequate visualization of the posteromedial compartment cannot be obtained. Eighteen patients (18 knees) were included in this study. Patients were evaluated clinically with the Lysholm and Tegner scores at the final office visit. Joint balance, valgus instability, pain or tenderness on MCL region, and numbness over the medial side of the joint were also noted. Measurements of medial joint space (mm) were obtained at three different times with perioperative C-arm images: normal, controlled valgus force, and after pie crusting. The median follow-up time was 9 (6–12) months. Final follow-up Lysholm (p < 0.05) and Tegner scores (p < 0.05) increased significantly compared with preoperative scores. At the final follow-up, there was no pain or tenderness over MCL and there were no signs of saphenous nerve or vein injury. Medial joint space values in after pie crusting increased significantly (p < 0.05) compared with neutral position measurements and controlled valgus force application (p < 0.05). Controlled release of the MCL in knees provided ∼2.45 times wider visualization place. Furthermore, pie crusting of MCL is a safe and effective technique that provides enough space for visualization and instrumentation in knees. This is a Level IV study.

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4

Aglietti, Paolo, Domenico Lup, Pierluigi Cuomo, Andrea Baldini, and Lapo De Luca. "Total Knee Arthroplasty Using a Pie-crusting Technique for Valgus Deformity." Clinical Orthopaedics and Related Research 464 (November 2007): 73–77. http://dx.doi.org/10.1097/blo.0b013e3181591c48.

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5

Dubois de Mont-Marin, G., D. Babusiaux, and J. Brilhault. "Medial collateral ligament lengthening by standardized pie-crusting technique: A cadaver study." Orthopaedics & Traumatology: Surgery & Research 102, no. 4 (June 2016): S209—S212. http://dx.doi.org/10.1016/j.otsr.2016.03.002.

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6

Dubois De Mont-Marin, G., D. Babusiaux, and J. Brilhault. "Allongement du ligament collatéral médial par une technique standardisée de pie-crusting : étude cadavérique." Revue de Chirurgie Orthopédique et Traumatologique 102, no. 4 (June 2016): S6—S10. http://dx.doi.org/10.1016/j.rcot.2016.03.002.

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7

Dunbar, Robert P., Lisa A. Taitsman, Bruce J. Sangeorzan, and Sigvord T. Hansen. "Technique Tip: Use of “Pie Crusting” of the Dorsal Skin in Severe Foot Injury." Foot & Ankle International 28, no. 7 (July 2007): 851–53. http://dx.doi.org/10.3113/fai.2007.0851.

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8

Akgun, Ulas, Umut Canbek, Cem Yalin Kilinc, Ahmet Emrah Acan, Nazim Karalezli, and Nevres Hurriyet Aydogan. "Efficacy of Pie-Crusting Technique on Soft Tissues in Distal Tibia and Fibula Fractures." Journal of Foot and Ankle Surgery 58, no. 3 (May 2019): 497–501. http://dx.doi.org/10.1053/j.jfas.2018.09.027.

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9

Martin, Thomas J., and Tareq Kheirbek. "Application of pie-crusting technique to facilitate closure of open abdomen after decompressive laparotomy." BMJ Case Reports 14, no. 8 (August 2021): e244219. http://dx.doi.org/10.1136/bcr-2021-244219.

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We present the case of a 23-year-old man who developed abdominal compartment syndrome secondary to severe pancreatitis and required decompressive laparotomy and pancreatic necrosectomy. Despite application of a temporary abdominal closure system (ABThera Open Abdomen Negative Pressure Therapy), extensive retroperitoneal oedema and inflammation continued to contribute to loss of domain and prevented primary closure of the skin and fascia. The usual course of action would have involved reapplication of ABThera system until primary closure could be achieved or sufficient granulation tissue permitted split-thickness skin grafting. Though a safe option for abdominal closure, application of a skin graft would delay return to baseline functional status and require eventual graft excision with abdominal wall reconstruction for this active labourer. Thus, we achieved primary closure of the skin through the novel application of abdominal wall ‘pie-crusting’, or tension-releasing multiple skin incisions, technique.

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10

Patel, Ankit, Hiren Shah, Aalok Shah, Sharvil Hetavbhai Gajjar, Ripple Shah, and Suril Shah. "To study surgical outcome of various surgical procedures of lateral release in valgus knee in total knee arthroplasty." International Journal of Research in Orthopaedics 3, no. 4 (June 23, 2017): 692. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20172091.

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<p class="abstract"><strong>Background:</strong> Fixed valgus deformity presents a major challenge in total knee arthroplasty (TKA), especially in moderate or severe cases. In knee arthritis, fixed-varus deformity (50 to 55%) is three times more frequent than fixed-valgus deformity (10 to 15%). Valgus deformity occurs more commonly in rheumatoid arthritis and also in osteoarthritis with hypoplasia of the lateral femoral condyle. Valgus deformity is often associated with flexion or external rotation contracture of the knee. In this study we aim to study the surgical outcome of total knee replacement in valgus deformity via standard medial parapatellar approach using various techniques like Pie –Crusting release of lateral structures or combined technique of pie crusting and standard release of lateral structures. Aim: To evaluate surgical outcome of various surgical techniques via standard medial parapatellar approach in fixed valgus deformity in Total Knee Arthroplasty.</p><p class="abstract"><strong>Methods:</strong> The present study involved both male and female patients with osteoarthritis of knee with valgus deformity. In present series, 26 consecutive patients of osteoarthritis with valgus deformity operated with total knee replacement were included. Previously operated cases of high tibial osteotomy and patients having contraindication for TKA were excluded from the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> Valgus angle in this study was between 13 to 27 degree with average 17.84 degree. These results were comparable to many such similar studies. In our study, post operatively, knee society score was average 87.69 and function knee score was 82.5. Mean range of motion was 105 degree. In our study, mean tibiofemoral alignment improved from 17.84 valgus to 4.7 valgus.</p><p class="Default"><strong>Conclusions:</strong> Knee society score is excellent with both techniques and there is no difference in both techniques Iliotibial band and posterolateral capsule are most common structures that require release. Initial ligament balancing should be done with pie crusting and then sequential lateral release if require. </p>

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11

Choi, Keun Young, In Jun Koh, Man Soo Kim, and Yong In. "Medial Meniscal Ramp Lesion Repair Through Anterior Portals Using a Medial Collateral Ligament Pie-Crusting Technique." Arthroscopy Techniques 10, no. 4 (April 2021): e1073-e1077. http://dx.doi.org/10.1016/j.eats.2020.12.010.

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12

He, Xuan, Hong Cai, and Ke Zhang. "Pie-crusting technique is effective and safe to release superficial medial collateral ligament for total knee arthroplasty." Journal of Orthopaedic Translation 13 (April 2018): 33–40. http://dx.doi.org/10.1016/j.jot.2018.01.001.

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13

Meneghini, R. Michael, Andrew T. Daluga, Lindsey A. Sturgis, and Jay R. Lieberman. "Is the Pie-Crusting Technique Safe for MCL Release in Varus Deformity Correction in Total Knee Arthroplasty?" Journal of Arthroplasty 28, no. 8 (September 2013): 1306–9. http://dx.doi.org/10.1016/j.arth.2013.04.002.

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14

Ha, Chul-Won, Yong-Beom Park, Choong-Hee Lee, Soo-Ik Awe, and Yong-Geun Park. "Selective Medial Release Technique Using the Pie-Crusting Method for Medial Tightness During Primary Total Knee Arthroplasty." Journal of Arthroplasty 31, no. 5 (May 2016): 1005–10. http://dx.doi.org/10.1016/j.arth.2015.11.019.

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15

Jinliang, Wang, and Wei Xuan. "Limited release medial collateral ligament technique." Orthopaedic Journal of Sports Medicine 8, no. 9_suppl7 (September 1, 2020): 2325967120S0052. http://dx.doi.org/10.1177/2325967120s00526.

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Introduction: To explore the outcome of selective releasing medial collateral ligament in total knee arthroplasty. Hypotheses: Selective releasing technique work for knee balance and clinical results. Methods: Sixty cases of total knee arthroplasty were studied retrospectively from May,2016 to May 2017.The cases traits were as follows:22 male,38 female,age between 55 years and 83 years,the diagnosis totally OA,pre-operative and varus angle was (13.8±2.5)°,preoperative HSS score 36.5±2.9.All the cases were performed with new technique in which anterior parts of MCL was released limitedly ,posterior-lateral was released about one centimeter beneath joint line,and pie-crusting was used when it was still unbalanced.This was different from the conventional one in which a regular medial soft tissue envelope was performed. Results: Post-operation wound was I stage union.The average follou-up was nine months(6-12 months).The resudial varus angle was (0.8±1.5)°,HSS score was (86.0±3.5),which had significant statistically difference compared with the pre-op one. Conclusion: The selectively releasing MCL technique was minimally invasive and easy to learn. Good function was achieved.

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16

Ahn, Jin Hwan, Yong Seuk Lee, Moon Jong Chang, and Ka Hyun Kim. "Arthroscopic partial meniscectomy of the medial meniscus posterior horn using a "pie-crusting" technique in a tight knee." Arthroscopy and Orthopedic Sports Medicine 2, no. 1 (January 1, 2015): 30–33. http://dx.doi.org/10.14517/aosm14017.

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17

Sednieva, Y., K. Bruyère-Garnier, A. Naaim, A. Viste, and L. L. Gras. "Strain release assessment of the iliotibial band (ITB) when using a pie-crusting technique: a preliminary ex vivo study." Computer Methods in Biomechanics and Biomedical Engineering 23, sup1 (October 19, 2020): S276—S278. http://dx.doi.org/10.1080/10255842.2020.1816291.

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18

Kwak, Dai-Soon, Yong In, Tae Kyun Kim, Han Suk Cho, and In Jun Koh. "The pie-crusting technique using a blade knife for medial collateral ligament release is unreliable in varus total knee arthroplasty." Knee Surgery, Sports Traumatology, Arthroscopy 24, no. 1 (October 7, 2014): 188–94. http://dx.doi.org/10.1007/s00167-014-3362-1.

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19

Nedelcu, T., and O. Courage. "Évaluation de l’apport et de la morbidité du « pie-crusting » technique pour les lésions du ménisque interne sur genou serré à propos d’une série de 19 patients." Revue de Chirurgie Orthopédique et Traumatologique 97, no. 8 (December 2011): S488. http://dx.doi.org/10.1016/j.rcot.2011.09.044.

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20

Cornwell, Ethan, Evan R. Deckard, Kevin A. Sonn, and R. Michael Meneghini. "The Influence of Medial Collateral Ligament and Lateral Collateral Ligament Pie Crusting in Primary Total Knee Arthroplasty on Patient Reported Outcomes." Proceedings of IMPRS 4, no. 1 (December 10, 2021). http://dx.doi.org/10.18060/25905.

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Background and Hypothesis: Pie-crusting of the collateral ligaments can help achieve balanced gaps in total knee arthroplasty (TKA) in knees with varus or valgus deformity. However, the effect of this technique on patient-reported outcome measures (PROMs) is unknown. The purpose of this study was to compare PROMs following primary TKA for patients with and without medial collateral ligament (MCL) or lateral collateral ligament (LCL) pie-crusting. Experimental Design or Project Methods: We retrospectively reviewed 1,305 primary TKAs. Intraoperative MCL or LCL pie-crusting was documented in all operative reports and recorded. Prospectively collected preoperative, 4-month postoperative, and minimum 1-year postoperative PROMs related to overall knee health, pain during functional activities, activity level, and overall satisfaction were compiled and compared between patients with and without MCL or LCL pie-crusting. Medians were evaluated with Kruskal-Wallis test adjusted for ties. Results: The cohort was 67% female with mean age 66 years and BMI 34.0 kg/m2. MCL or LCL pie-crusting was performed in 13.0% of the cohort. There were no intraoperative or postoperative ruptures of the MCL or LCL. 6.3% of conforming bearing TKAs required a collateral ligament pie crusting versus 21.5% of standard bearing TKA (p<0.001). No significant differences were found in preoperative, 4-month, minimum 1-year, or change from preoperative baseline to minimum 1-year PROMs with and without pie-crusting of the collateral ligaments (p≥0.095). However, the LCL pie-crusting group had slightly better PROMs at minimum 1-year. Conclusion and Potential Impact: These study results corroborate existing literature that pie-crusting of collateral ligaments is safe and effective to achieve a balanced TKA. Additionally, no significant outcome differences were found between groups with and without MCL or LCL pie-crusting. However, LCL pie-crusting for valgus knee correction had slightly better PROMs. Interestingly, conforming bearings may impart enhanced stability and mitigate the need for pie-crusting ligament releases in TKA.

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21

Piri Ardakani, Mohammadreza, Mehdi Motififard, and Erfan Sheikhbahaei. "Primary Repair of Intraoperative Medial Collateral Ligament Tear during Medial Pie-Crusting Technique in Total Knee Arthroplasty with Varus Deformity." Journal of Orthopedic and Spine Trauma, April 11, 2021. http://dx.doi.org/10.18502/jost.v7i1.5967.

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22

"Paper 166: Total Knee Arthroplasty for Valgus Deformity Corrected with The Pie-Crusting Technique: A Five to Twelve Year Follow Up Study." Arthroscopy: The Journal of Arthroscopic & Related Surgery 28, no. 8 (August 2012): e272. http://dx.doi.org/10.1016/j.arthro.2012.05.179.

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23

Erdem, Mehmet, Levent Bayam, Ahmet Can Erdem, Deniz Gulabi, Abdulhalim Akar, and Alauddin Kochai. "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, December 2020. http://dx.doi.org/10.1016/j.asmr.2020.08.005.

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24

Mirzatolooei, Fardin, Ali Tabrizi, Hassan Taleb, Mohammad Khalegi Hashemian, and Mir Bahram Safari. "Primary Results of Medial Epicondylar Osteotomy in Patients with Severe Bilateral Varus Knee Candidate for Total Knee Replacement." Journal of Knee Surgery, August 8, 2019. http://dx.doi.org/10.1055/s-0039-1694047.

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Background Total knee arthroplasty is a challenging task in patients with severe varus deformity. In most of these patients, an extensive medial release is needed that may lead to instability. Medial epicondylar osteotomy may be a better substitute for complete medial collateral release. Materials and Methods Fourteen patients with bilateral knee osteoarthritis and severe varus deformity were enrolled in this study. In one side, the patients underwent medial epicondylar osteotomy for mediolateral imbalance if the only option was superficial medial collateral ligament (MCL) release. In contralateral side, the extensive medial release was performed and MCL was released either by pie-crusting technique or by subperiosteally release. The results of the two sides were compared. Patients were followed up for 12 months after the operation. Physical examination, clinical questionnaires, and radiography findings were recorded. Union of the osteotomies fragment and complications was evaluated. Results The mean varus angle before surgery was 21.6 ± 4.7 degrees, which was corrected to 8.6 ± 2.9 degrees after operation with an extensive medial release. The mean varus angle of contralateral side was 22.6 ± 1.7 degrees, which was corrected to 7.5 ± 2.3 degrees following medial femoral epicondyle osteotomy. There was no significant difference in varus correction (p = 0.1). Medial joint line opening in valgus stress test was 2.7 ± 0.4 mm in the osteotomized side and 3.5 ± 0.9 mm in contralateral side. Mean range of motion for the osteotomized side was 97.8 ± 4.3 degrees and 100.7 ± 2.7 degrees for contralateral side (p = 0.6). Nonunion occurred in a case in the osteotomized side and no medial instability was observed in medial release or osteotomies sides. No statistical difference was recorded based on clinical questionnaires (Oxford and WOMAC [Western Ontario and McMaster Universities Osteoarthritis Index] scores). Conclusion Medial epicondylar osteotomy is a safe technique with the well-controlled medial extensive release in the patients with severe varus deformity during total knee arthroplasty.

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