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Article
Peer-Review Record

Biomechanical Analysis of the Use of Stems in Revision Total Knee Arthroplasty

Bioengineering 2022, 9(6), 259; https://doi.org/10.3390/bioengineering9060259
by Bernardo Innocenti *, Edoardo Bori and Silvia Pianigiani
Reviewer 2:
Bioengineering 2022, 9(6), 259; https://doi.org/10.3390/bioengineering9060259
Submission received: 24 May 2022 / Revised: 11 June 2022 / Accepted: 16 June 2022 / Published: 19 June 2022
(This article belongs to the Special Issue Recent Advances of Medical Devices)

Round 1

Reviewer 1 Report

the study has a high scientific standard and quality 

Author Response

The text was completely reviewed by a native English speaker and properly modified.

Reviewer 2 Report

From my point of view, the work is well-done and provides a biomechanical overview of the different effects corresponding to the several stem features that can be applied to provide stability in the femur and in the tibia during a revision TKA. The results demonstrated that anatomical shapes and slots are able to reduce bone stress and the risk of fracture, while flutes did the opposite. No relevant differences were found in this purview between cemented and press-fit stems. Cemented tibial stems have proven to reduce antero-posterior micromotions playing an important role in preventing implant loosening. This research can help clinicians to make evidence-based decisions for adequate fixation in revision total knee arthroplasty, determine the correct set-up for each patient and thus it merits to be published. Just, I suggest some minor language modifications before publication.

Author Response

The text was completely reviewed by a native English speaker and properly modified.

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