Septic Tibial Shaft Non-Union Treated by One-Step Surgery Using a Custom-Made Intramedullary Antibiotic Cement-Coated Carbon Nail: Case Report, Focus on Surgical Technique and Brief Literature Review

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Excellent

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments:

The case description is adequate. The Results are clearly explained and aptly supported by data. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. It is well supported with briefly explained figures. The Discussion provides an apt analysis of how this case report differs from the cited works in several aspects.  The Conclusion section summarizes from the results of the report that the use of the custom-made carbon nail coated with antibiotic cement has proved to be the winning choice of treatment in this case.

Literature

Q: Does the author utilize relevant literature?

A: Very good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate for the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legends and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Very good

Further comments on the paper

Comments: This case report and review of the literature reports an experience with a clinical case of a tibial septic non-union (SNU) successfully treated by one-step surgery procedure using a custom-made intramedullary antibiotic cement-coated carbon nail. The study holds significance as infections represent one of the most challenging complications to treat in the orthopedic and trauma fields. This report focusses on surgical technique, advantages and pitfalls related to the use of the devices.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team