Cargando…

Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review

BACKGROUND: We aimed to better understand the outcomes/complications of pie-crusting technique using blade knife during total knee arthroplasty (TKA) in patients with knee genu varum deformity. MATERIALS AND METHODS: A systematic search was conducted following the Preferred Reporting Items for Syste...

Descripción completa

Detalles Bibliográficos
Autores principales: Motififard, Mehdi, Ravanbod, Hadi, Rahmati, Rashed, Saleki, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331523/
https://www.ncbi.nlm.nih.gov/pubmed/37434940
http://dx.doi.org/10.4103/abr.abr_239_21
_version_ 1785070271828328448
author Motififard, Mehdi
Ravanbod, Hadi
Rahmati, Rashed
Saleki, Mohammad
author_facet Motififard, Mehdi
Ravanbod, Hadi
Rahmati, Rashed
Saleki, Mohammad
author_sort Motififard, Mehdi
collection PubMed
description BACKGROUND: We aimed to better understand the outcomes/complications of pie-crusting technique using blade knife during total knee arthroplasty (TKA) in patients with knee genu varum deformity. MATERIALS AND METHODS: A systematic search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. English and Persian language articles were considered on the use of pie-crusting technique during TKA in patients with knee genu varum/varus deformity using related keywords and Medical Subject Headings terms with reported postoperative complications and outcomes. RESULTS: Primary search resulted in 81 studies of them 9 included in our study (ages ranged: 19 years to 62 years). No perioperative complications and/or any significant differences between pie-crusting and control group were observed. Except for two studies that found no significant positive effect for the use of pie-crusting, other studies found pie-crusting a useful and promising technique. Four studies found significant improvement in pie-crusting group compared to control in terms of functional Knee Society Score (KSS), range of motion (ROM), medial gap, and the knee-specific KKS. Three records found no significant differences in terms of functional KSS, ROM; however, they reported fewer use of constrained inserts or a reasonable correction of femoral tibial angle. No serious complications were reported. CONCLUSIONS: Due to the inconsistency of the results on the efficiency and outcomes of pie-crusting, we cannot make a firm conclusion and more high-quality studies are needed in this regard. However, this method can be considered as a safe method which depends on the skill of surgeon.
format Online
Article
Text
id pubmed-10331523
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-103315232023-07-11 Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review Motififard, Mehdi Ravanbod, Hadi Rahmati, Rashed Saleki, Mohammad Adv Biomed Res Review Article BACKGROUND: We aimed to better understand the outcomes/complications of pie-crusting technique using blade knife during total knee arthroplasty (TKA) in patients with knee genu varum deformity. MATERIALS AND METHODS: A systematic search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. English and Persian language articles were considered on the use of pie-crusting technique during TKA in patients with knee genu varum/varus deformity using related keywords and Medical Subject Headings terms with reported postoperative complications and outcomes. RESULTS: Primary search resulted in 81 studies of them 9 included in our study (ages ranged: 19 years to 62 years). No perioperative complications and/or any significant differences between pie-crusting and control group were observed. Except for two studies that found no significant positive effect for the use of pie-crusting, other studies found pie-crusting a useful and promising technique. Four studies found significant improvement in pie-crusting group compared to control in terms of functional Knee Society Score (KSS), range of motion (ROM), medial gap, and the knee-specific KKS. Three records found no significant differences in terms of functional KSS, ROM; however, they reported fewer use of constrained inserts or a reasonable correction of femoral tibial angle. No serious complications were reported. CONCLUSIONS: Due to the inconsistency of the results on the efficiency and outcomes of pie-crusting, we cannot make a firm conclusion and more high-quality studies are needed in this regard. However, this method can be considered as a safe method which depends on the skill of surgeon. Wolters Kluwer - Medknow 2023-05-30 /pmc/articles/PMC10331523/ /pubmed/37434940 http://dx.doi.org/10.4103/abr.abr_239_21 Text en Copyright: © 2023 Advanced Biomedical Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Motififard, Mehdi
Ravanbod, Hadi
Rahmati, Rashed
Saleki, Mohammad
Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title_full Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title_fullStr Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title_full_unstemmed Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title_short Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
title_sort pie-crusting technique of medial collateral ligament for total knee arthroplasty in varus deformity: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331523/
https://www.ncbi.nlm.nih.gov/pubmed/37434940
http://dx.doi.org/10.4103/abr.abr_239_21
work_keys_str_mv AT motififardmehdi piecrustingtechniqueofmedialcollateralligamentfortotalkneearthroplastyinvarusdeformityasystematicreview
AT ravanbodhadi piecrustingtechniqueofmedialcollateralligamentfortotalkneearthroplastyinvarusdeformityasystematicreview
AT rahmatirashed piecrustingtechniqueofmedialcollateralligamentfortotalkneearthroplastyinvarusdeformityasystematicreview
AT salekimohammad piecrustingtechniqueofmedialcollateralligamentfortotalkneearthroplastyinvarusdeformityasystematicreview