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Volume 13
Issue 5
10.3390/jpm13050788
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Brief Report
Peer-Review Record

Quantifying the Differences between 3D Virtual Planning and Attained Postoperative Reduction on CT for Patients with Tibial Plateau Fractures; a Clinical Feasibility Study

J. Pers. Med. 2023, 13(5), 788; https://doi.org/10.3390/jpm13050788
by Nynke van der Gaast 1,2,*, Jellina M. Huitema 1, Britt H. J. Edwards 1,2, Joy Verbakel 1,2, Dagmar S. Alderlieste 1,2, Job N. Doornberg 3, Michael J. R. Edwards 1, Ruurd L. Jaarsma 2, Erik Hermans 1 and on behalf of the Traumaplatform 3D Consortium †
Reviewer 1:
Uwe Schweigkofler
Reviewer 2:
Christian Colcuc
J. Pers. Med. 2023, 13(5), 788; https://doi.org/10.3390/jpm13050788
Submission received: 9 March 2023 / Revised: 26 April 2023 / Accepted: 29 April 2023 / Published: 1 May 2023
(This article belongs to the Section Methodology, Drug and Device Discovery)

Round 1

Reviewer 1 Report

The authors present a feasibility study on the use of 3 D planning in the treatment of tibial plateau fractures. They have listed the small number of cases themselves in the limitations. Postoperative CT control should be standard in the surgical treatment of tibial plateau fractures. The 3 D reconstruction (postoperative) the basis of quality control.

If you would discuss the potential use or the benefit of the comparison of planning and achieved result - this would certainly be beneficial for the manuscript and your work. Is there in principle the possibility of intraoperative support of the surgeon in the sense of a real-time control of the reduction result before osteosynthesis with this method?

Author Response

Please see the attachment.

Author Response File: Author Response.docx

Reviewer 2 Report

Preoperative 3D visualization of complex tibial plateau fractures to plan surgical treatment has become standard in traumatology.

In their study, the authors investigate the difference between virtual 3D planning and the actual postoperative CT result using computed tomographic micromotion analysis (CTMA).

It was shown that CTMA can be used to produce a meaningful comparison between 3DVP and postoperative CT for patients with both unicondylar and bicondylar tibial plateau fractures.

 

 

Overall, this is an interesting study whose initial question may seem somewhat complicated. 

It would be helpful if the relevance for everyday traumatological practice could be brought to the fore a little more. The technical details, on the other hand, are explained in detail.

 

Overall, a very interesting study approach with conclusive limitations and the important note that actual results and the associated relevance for the surgeon can only be presented after a prospective study.

 

I recommend the authors to shorten the technical details somewhat and to emphasize the clinical relevance more.  

 

 

Author Response

Please see the attachment.

Author Response File: Author Response.docx

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