AUCTORES
Globalize your Research
Review Article
*Corresponding Author: Prashant Kumar, Regulatory Department, Auxein Medical Pvt. Ltd., Sonipat, Haryana, India.
Citation: P Kumar, M Kumar, G Luthra. (2021) Clinical Performance of Intramedullary Nailing system for Tibia Fractures: A Retrospective study. International Journal of Clinical Case Reports and Reviews. 7(3); DOI: 10.31579/2690-4861/124
Copyright: © 2021 Prashant Kumar, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 11 March 2021 | Accepted: 15 June 2021 | Published: 19 June 2021
Keywords: tibia fracture; AO classification; expert tibia nail; interlocking cannulated tibia nail
Background: The tibia, or shinbone, is the common fracture long bone in body. There are two option includes, reamed and unreamed of surgical treatment of fractures. Reamed nail has some advantage but they significantly harmful the endosteal circulation. Unreamed nail surplus the endosteal circulation but provide a less stable fixation. Afterward, because of ability to lock the nail proximally and distally, closed intramedullary nailing turned into an acknowledged treatment for closed shaft cracks during the ninth decade.
Aim: The main objective is to treat the tibia fractures by implanting the Intramedullary nailing system (Interlocking cannulated tibia nail and Expert tibia nail) manufactured by Auxein Medical Private Limited, Sonipat, India.
Material and Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture.
Results: The outcomes of clinical treatment were obtained in our study; No pain (92%), Mild pain (8%) after 2 year follow up. The follow up of patients were taken on 4-week, 1-year, 2-year according to VAS score. Paired t test was performed for statistical data analysis using Minitab and values of p<.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending, corrosion etc.
Conclusion: Our outcomes with interlocking cannulated and Expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes.
The seriousness of the crack typically relies upon the amount of force that caused the break and has mechanical points of interest with its bigger potential distances across and bigger surface-territory contact between the bone and nail [1-3]. To reduce the complications associated with conservative treatment, tendency towards operative management of tibial fractures is in vogue. Various operative methods like open reduction and plating, intramedullary nailing and external fixation, have their own indications, advantages and disadvantages [4-5].
The ordinary advancement in intramedullary nailing of tibial fractures was the introduction of modern implants like the Expert Tibial Nail and Interlocking cannulated tibia nail. In these new implants the interlocking bolts can be introduced just below the tibia plateau, enabling the surgeon to treat very proximal tibial fractures with intramedullary nailing.
The Expert Tibial Nail System (ETNS) and Interlocking cannulated tibia nail, an intramedullary nailing framework is shown for breaks in the tibial shaft just as for metaphyseal and certain intraarticular cracks of the tibial head and the pilon fracture. Notwithstanding the standard static and dynamic locking choices, the ETNS highlights multi directional securing choices in the distal and proximal piece of the nail. End top blocks the most proximal screw making an angular stable construct.
Nicoll [6] 1974 showed that with preservationist treatment the likelihood of deferred association with comminuted fracture is 15%, dislocated crack 27%. Crack with extreme delicate tissue damage 12% and gap more than 1 cm is 65%. Additionally, there is a 25% occurrence of residual joint stiffness and muscle shortcoming. The troubles that may emerge in the treatment of fracture of shaft of tibia incorporate - a high rate of open and tainted fracture as tibia lies externally just underneath the skin and an inclination of Redis placement of the sections when swelling downside, especially in slanted and winding fractures.
Afterward, because of potential to lock the nail proximally and distally, closed intramedullary nailing turned into an acknowledged treatment for closed shaft cracks during the ninth decade (Kuntscher, 1958) [7]. Anyway, symptoms of customary reaming-strategy had been noted likely because of mechanical, thermal and natural variables debilitating the endosteal blood supply (Pfister et al, 1979; Klein et al, 1990). Great outcomes had been appeared by utilizing locking nails for both closed and Gustilo grade I open cracks (Gustilo and Anderson, 1976; Kfemn and Broner, 1986; Court – Brown et al, 1990; Hooper et al, 1991) [8-10].
The main objective is to treat the tibia fracture by implanting the Intramedullary tibia nail system (Interlocking cannulated tibia nail and Expert tibia nail) manufactured by Auxein Medical Pvt. Ltd., Sonipat, India. The present study has been taken to feedback the results of fractures of tibia treated with Interlocking cannulated tibia and Expert tibia nail.
MATERIALS AND METHOD
This retrospective study was organized at Mesoamerica University, Quetzaltenango, Guatemala from Aug 2016 to Oct 2018, clinical data were collected for patients who received intramedullary tibia nailing system. A total of 25 consecutive patients meeting the inclusion exclusion criteria were included in this study.
Inclusion Criteria
Exclusion Criteria
The participant may not enter the study if any of the following apply:
The indications for surgery were Tibia bone Fracture. Intramedullary Tibia Nailing System (Auxein Medical Private Limited, Sonipat, Haryana, INDIA) were used for Tibia bone union. Patient physical fitness was also observed through America Society of anesthesiologist (ASA) Grade before undergoing surgery. The pain VAS is a unidimensional proportion of pain intensity [11], which has been generally utilized in differing grown-up populaces, incorporating those with rheumatic maladies [12-15]. Pain scale was recorded from patients according VAS score on 4 Week, 6-month, 1 year and 2 year follow up.
The intramedullary tibia nailing system (Interlocking cannulated tibia nail, Expert tibia nail) (Figure 1, 2) is made of Titanium alloy (Ti6Al4V) and stainless steel (316L), and 4.5mm locking bolt for interlocking cannulated tibia nail, 4.4mm locking bolt for Expert tibia nail, 4.8mm locking bolt for expert tibia nail were used for fixation of implant.
The surgery was performed under general anesthesia, all patients go through a two-stage conversion from circular external fixation to internal fixation with Intramedullary cannulated and Expert tibia nail (Auxein Medical Private Limited, Sonipat, Haryana, India). After the removal of external fixator, local skin cut and soft tissues curettage was presented around the pin sites. The leg was fixed in a cast. Clinical outcomes were introduced through the 10-point scale info system named as VAS score. By using radiography (X-ray), the performance of implant was evaluated. X-ray was observed at follow up time showing good position of implant. X-ray report were used for inspected bony union, non-union, implant failure and plate migration.
RESULTS
In the study 25 patients were operated with Intramedullary Tibia Nailing System. There were 14 females and 11 males. Female patients were more susceptible in the study. The youngest patient in our series was 20 years and the oldest 61 years. The average age of the patient was
42.9 years as shown in. In this study, fracture classification has been recorded using AO Classification into 42-A1, 42-A2, 42-B1, 42-B2 and 42-A3 where 8 patients had 42-A1 type fracture while 8 patients had 42-A2 type fracture and 6 patients had 42-B1 type fracture, 2 patient had 42-B2 type fracture and 1 patient had 42-A3 type fracture in the Tibia bone as shown in table 2.
The most common etiology of injury was fall from height, slip and fall, road accident and sports. All the patients were assessed according to ASA Grade before the surgical process.
Patients were followed up on 1 month, 6 months, 1 year and 2 year after the discharge. Bone Union had been achieved at 16 week means 4 Months from the day of surgery, it has been confirm through radiological examination by the Independent investigator, as per surgeon clinical union was defined as visible callus bridging the fracture in at least three cortices in radiographs and the patients could use their tibia without significant pain or weakness. All were the medical complications occur after surgery. Pain has been also recorded for each patient at their respective visits through Visual Analog Scale, the average pain scale at 4 Week was 5.4, and at 6-months was 4.44, 1.9 in 1 year and 0.62 after 2 year with p value >.05. Though the change of mean VAS score was statistically significant; it can be caused by short follow up time and less sample size. According to Visual Analog Scale system 92% patient had showed no pain, and 8% patients had showed mild pain as shown in table 3. No implant related complications have been found like implant loosening, bending, corrosion, related size issue, etc.
DISCUSSION
A biomechanical study indicated that the expansion of two proximal angled screws altogether improved the dependability of the intramedullary obsession build contrasted with the first methodology with obsession as in proximal tibia the medullary cavity is wide causing a lot of unsteadiness which included the utilization of two transverse screws obsession.
The study lasted for one year and eight months starting from August 2016 to October 2018. 25 cases were taken for the examination during this period. As compared Ramesh Chand Meena et al. study of Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial took 53 patients divided into cases and controls which is comparable to our sample size of our study [17].
Another study Ding-Chuan Zhu et al. studied Comparison of closed reduction and expert tibial nailing with open reduction and plate and screw fixation in the treatment of two segmental tibial fractures with sample size of 53 cases divided into cases and control [18]. Wiss et.al. 1995 studied the unstable fracture of tibia treated with a reamed intramedullary interlocking nail with 42 sample size [19].
Using the demographic data of patients, there is a medium named as VAS score that can decide the standard of surgical results and the factor to be adapted to make it successful. Considering pain scores and comparing the VAS outcome of different studies that also includes demographic data as well as biomechanics under controlled trials can be sufficient to recommend the treatment plans [21]. As for the present study the trial was conducted after one month, six-month, one year and 2 year. The outcome was presented by calculating the VAS score. This has shown good acceptance outcomes.
Using the present study represents the treatment of tibia fractures surgically by using Intramedullary tibia nailing system (Interlocking cannulated tibia nail and Expert tibia nail), which are designed and manufactured by Auxein Medical Pvt. Ltd, India. Major complications like nerve palsy and infection has been reported by many studies but none was reflected in the outcome of our evaluation. The major constrained of this study was the less sample size and patients’ compliances in some cases like follow up time and hygiene.
CONCLUSION
From this study, we concluded that the intramedullary tibia nailing system is the best treatment for tibia fracture but it could be possible after counting the VAS score, AO classification, and sample size. It has been also considered a better surgical option as it offers significant in terms of motion, blood loss, mean operating time, hospital stay, full weight bearing time, and union time. The fixation of tibia nail by cannulated bolt provide the superior stability properties in the clinical setting.
ACKNOWLEDGEMENTS
Not applicable
DECLEARATION
Funding: No funding sources
Conflict of interest: None declared
Ethical approval: There is no need of ethical approval in retrospective study.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
