AUCTORES
Globalize your Research
case Report
*Corresponding Author: Tosca Cerasoli, Dipartment II clinica Sport Istituto Ortopedico Rizzoli, Bologna, Italy.
Citation: Tosca Cerasoli, Marco Zaffagnini, Vito Coco, Costanza Musiani, Loredana Mavilla, et al, (2024), Innovative Custom-Made hip Resurfacing to Treat Osteoarthritis in the Presence of Retained Femoral Hardware: a Case Report, International Journal of Clinical Case Reports and Reviews, 20(5); DOI:10.31579/2690-4861/647
Copyright: © 2024, Tosca Cerasoli. 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: 09 December 2024 | Accepted: 19 December 2024 | Published: 30 December 2024
Keywords: THA; resurfacing hip arthroplasty; custom made prosthesis; 3D THA; hip; retained hardware; custom-made hip resurfacing
Background
Treating hip osteoarthritis in the presence of retained proximal femoral hardware presents significant challenges. Conventional total hip arthroplasty techniques require hardware removal, which increases surgical complexity and risks and may not always be feasible, with reported success rate ranging from 85% and 95%. This case describes the innovative use of a custom-made hip resurfacing prosthesis combined with 3D-printed cutting guides to address the challenges posed by the non-removable hip screw plate.
Case Presentation
A 68-year-old female presented with advanced hip osteoarthritis and a retained hip screw plate that could not be removed due to extensive osseointegration. Conventional implants were not feasible as the plate and screw occupied the intramedullary space. A custom-made hip resurfacing prosthesis was designed to bypass the hardware entirely. 3D-printed cutting guides were utilized to ensure precise preparation of the femoral head surface, which enabled accurate implant placement to avoid the screw. Although an early postoperative infection occurred, it was successfully managed, and the patient achieved excellent functional recovery.
Discussion
This case highlights the limitations of existing solutions for managing retained hardware during total hip arthroplasty. While cutting guides are widely used in other orthopedic fields, their application in hip resurfacing with non-removable hardware is novel. These 3D-printed cutting guides, which are typically employed to enhance surgical precision in other procedures, were instrumental in ensuring accurate femoral head preparation and implant alignment in this case, thus reducing surgical risks and optimizing outcomes. This case demonstrates how the use of custom-made resurfacing implants and 3D-printed guides can address complex surgical challenges that conventional techniques cannot resolve, and, to the best of the authors’ knowledge, it is the first reported case that utilized a custom-made resurfacing prosthesis combined with 3D-printed cutting guides.
The treatment of hip osteoarthritis (OA) in the presence of retained hardware poses a significant challenge for orthopedic surgeons. While cases of total hip arthroplasty (THA) with retained hardware have been described in the literature [1], these typically allow the use of standard resurfacing implants. Reported success rates for THA with retained hardware range between 85% and 95%, depending on the complexity of the case and the implant used [8-9]. However, these procedures are associated with increased risks of complications, including infection and implant instability, particularly when hardware removal is performed concurrently or in a staged manner [12-13]. Additionally, the presence of hardware often limits implant choice and may necessitate complex preoperative planning to achieve optimal outcomes [15-16]. In our case, the proximal femoral screw precluded the use of any stem, which necessitated a custom-made approach.
Custom-made prostheses are primarily utilized in cases involving substantial bone defects, which are often found in oncology or severe femoral deformities [2-4]. Additionally, 3D technologies, such a custom-made implant and cutting guides, have been used successfully to assist osteotomies or address extensive bone loss [5-7]. Recent advancements in 3D planning and patient-specific implants have demonstrated improved outcomes in cases of severe femoral deformities or medullary canal obstruction [11-15]. Despite these advancements, there is a paucity of literature addressing the management of cases where standard femoral resurfacing implants cannot be utilized due to non-removable hardware.
This case report details the innovative use of a custom-made hip resurfacing prosthesis, supported by 3D-printed guides, in a patient with advanced hip OA and an irremovable hip screw plate. To the best of the authors’ knowledge, this is the first reported case that utilized a custom-made resurfacing prosthesis combined with 3D-printed cutting guides to address the challenges of hip resurfacing in the presence of a non-removable hip screw.
A 68-year-old female patient presented with progressive left hip pain and limited mobility, particularly during flexion and external rotation. Her medical history included a left femoral neck fracture that was treated in 1979 with a hip screw plate as well as comorbidities, such as gastroesophageal reflux disease, type 2 diabetes mellitus, ischemic heart disease, and hypertension. Imaging revealed severe left hip OA with marked joint space narrowing and femoral head deformity (Figure 1).
Figure 1: Preoperative X-ray showing the fixation devices and severe osteoarthritis.
The patient initially underwent conservative treatment, including pain management and physiotherapy. However, her symptoms worsened, which led to the decision to perform THA. A preparatory attempt to remove the internal fixation hardware was unsuccessful due to severe osseointegration. Because the position of the femoral screw prevented the placement of any stem, including that of a simple resurfacing prosthesis, the use of a custom-made implant was necessary (Figure 2).
Figure 2: Custom-made instruments: cutting guides, custom-made femoral head, and custom-made acetabular cup with polyethylene liner.
To address this challenging case, a custom-designed femoral head resurfacing prosthesis with a small peg was employed. The implant and the patient-specific cutting guides were designed based on the patient’s CT scans. The primary difficulty involved the precise positioning of the guide wire, the reaming of the femoral head, and the placement of the implant while avoiding interference between the stem and the retained cephalic screw. An additional challenge was the unusually small size of the femoral head (42 mm).
Because no standard resurfacing cup of this size was available, a custom-made implant was also developed for the acetabulum. A hemispherical cup with a cross-linked polyethylene liner pre-assembled within an ultra-thin, 3D-printed metal shell was designed. This approach allowed the outer diameter of the cup to be maintained at 50 mm. The implants and their corresponding disposable instruments were designed in collaboration with Adler Ortho (Cormano, Italy).
In March 2023, the patient underwent resurfacing THA using a direct lateral approach. The incision was made along the previous surgical scar, and the soft tissues were meticulously dissected to expose the femoral head (Figure 3).
Figure 3: Intraoperative image of the proximal femur
Partial detachment of the gluteal muscles provided sufficient access to the hip joint. Custom-made cutting guides, tailored to the unique anatomy of the femoral head, were positioned directly on the bone surface (Figure 4).
Figure 4: Steps for the preparation of the femoral head: placement of the custom-made guide, reaming of the femoral head using appropriately sized reamers in progressively larger diameters, and the femoral head prepared for implant placement.
These guides facilitated the precise resection of the external portion of the femoral head and allowed the prosthesis stem to avoid interference with the cephalic screw.
The acetabulum was prepared using standard reamers of progressively larger sizes. The femoral head prosthesis, which was coated with titanium nitride to enhance biocompatibility, was cemented onto the femoral surface, thus achieving an optimal articulation (Figure 5).
Figure 5: Intraoperative image showing the femoral implant, the acetabular implant, and their articulation.
Fluoroscopic imaging was used to confirm proper alignment of the components (Figure 6). The procedure was completed with layered closure and the placement of a surgical drain.
Figure 6: Intraoperative radiological assessment of the positioning of the acetabular component and the femoral head.
Initially, the patient mobilized with two crutches while bearing partial weight on the operated limb. However, the surgical wound failed to heal properly, which prompted cultures that revealed a superficial infection with methicillin-resistant Staphylococcus aureus. Surgical debridement was performed in May 2023. Vacuum-assisted closure therapy was applied for ten days, followed by a seven-week course of targeted antibiotics. Repeat cultures and imaging confirmed the resolution of the infection.
Rehabilitation resumed with steady progress. By June 2023, the patient walked with one crutch and demonstrated improved strength and
mobility. At her September 2023 follow-up, she was walking independently without aids, with a range of motion (ROM) of 0–90° flexion and 0–30° abduction. By December 2023, the patient reported no pain, with ROM exceeding 90° and unrestricted rotation. At her latest follow-up in March 2024, she demonstrated excellent functional outcomes, including pain-free ambulation, independent stair climbing, and the resumption of daily activities (Figure 7). Occasional mild discomfort related to weather changes was her only residual symptom.
Figure 7: One-year postoperative follow-up showing proper prosthesis positioning and no interference with the fixation devices.
The management of hip OA in the presence of retained proximal femoral hardware is a significant challenge in orthopedic surgery. Non-removable hardware, such as intramedullary nails or femoral screws, complicates the surgical approach and restricts implant options. In this case, the retained proximal femoral screw prevented the use of even the small central peg typically required for hip resurfacing implants, which necessitated an innovative approach to achieve stable fixation and precise femoral preparation [8,9].
Custom-made implants have been extensively utilized for cases involving severe bone loss, complex deformities, or oncological resections [3,4,10]. However, their application in the context of hip resurfacing with retained hardware remains a novel solution. Our approach involved designing a prosthesis that bypassed the anatomical constraints imposed by the screws and allowed for secure fixation and optimal load distribution without the need for intramedullary support. Additionally, a unique innovation in this case was the use of 3D-printed cutting guides to prepare the femoral head surface. While 3D cutting guides have been widely employed in other orthopedic fields, such as tumor resections and deformity corrections [5,11], their use for resurfacing prostheses in the presence of retained hardware represents a significant advancement.
Complications are a well-recognized concern in THA following internal fixation, with studies demonstrating an increased risk of adverse events, including infections and hardware-related issues [12,13]. In our case, an early superficial infection caused by methicillin-resistant Staphylococcus aureus (MRSA) was successfully managed with surgical debridement, vacuum-assisted closure therapy, and targeted antibiotics. This complication aligns with the literature that reported higher infection rates in cases involving retained hardware, which further underscores the importance of meticulous surgical planning and postoperative management [13].
The efficacy of resurfacing implants in posttraumatic OA is well supported by the literature, with studies highlighting the favorable outcomes of cemented prostheses in such cases [14,15]. Similarly, large studies have demonstrated that resurfacing implants maintains good functional results even in the presence of retained hardware, although these cases typically rely on standard designs and do not involve patient-specific customizations [8,9,16]. Our case demonstrates how a fully custom-made approach, combined with cutting guides, can expand the applicability of resurfacing to more complex scenarios.
This case also highlights the broader potential of cutting guides and custom-made implants in addressing anatomical and technical challenges that conventional methods cannot overcome. However, limitations persist, including the time and resources required for designing and manufacturing custom implants, as well as the limited availability of advanced imaging and 3D printing technology in certain settings. Long-term outcome data for such innovative solutions remain scarce, which necessitates further research to validate their durability, cost-effectiveness, and broader applicability.
This case demonstrates how the integration of custom-made implants and 3D-printed guides can address complex surgical challenges that conventional techniques cannot resolve. The approach employed here not only highlights the potential of these technologies but also underscores their ability to expand the indications for hip resurfacing arthroplasty in the presence of retained hardware. Further studies are warranted to evaluate the reproducibility, cost-effectiveness, and long-term outcomes of such innovative solutions.
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.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
