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When applied in a gradual and indication\u2010driven 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\u2010crusting differs among surgical contexts, including meniscal repair, periarticular osteotomy and knee arthroplasty, and should be tailored to procedure\u2010specific goals rather than applied routinely.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:bold>Level of Evidence:<\/jats:bold>\n                      Level V, expert opinion.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70783","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T13:10:57Z","timestamp":1779801057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The pie\u2010crusting technique in knee surgery: Indications, technique, complications and outcomes"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9963-5334","authenticated-orcid":false,"given":"Yavuz","family":"\u015eahbat","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Bahcesehir Liv Hospital Istinye University \u0130stanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7350-6422","authenticated-orcid":false,"given":"Serhat","family":"Ak\u00e7aalan","sequence":"additional","affiliation":[{"name":"Orthopedics and Traumatology Department Ankara City Hospital Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6006-7325","authenticated-orcid":false,"given":"Aybars","family":"G\u00fczel","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Bahcesehir Liv Hospital Istinye University \u0130stanbul 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