Surgical Management of Traumatic Meniscus Injuries

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

It is my pleasure to review this manuscript. It is very well written and well organized. It provides concise, yet comprehensive information for orthopedic practitioners to learn the core concepts of traumatic meniscus tear; particularly, for the trainees such as residents and fellows alike. This can also be a quick reference for translational or basic science researchers who are interested in the field of pathophysiology of meniscus biomechanics and injuries.

Several suggestions for the authors to consider:

(A) Title: consider removing "in young patients"; even though traumatic meniscus tear is more common among young patients, a lot of the contents in this paper applies to those who are not that 'young' but can still have traumatic meniscus tears.

(B) Abstract: Line 12-14 - "Medial meniscus tear is associated with a twisting knee injury while lateral meniscus tear is more prevalent with a concomitant anterior cruciate ligament injury." - recommend modifying to "Traumatic meniscus tear results from a load and shear mechanism in the knee."

(C) Line 112: change "activities-related" to "traumatic"; Line 122: change to "load and shear" mechanism.

(D) Fig. 1 is OK but if there is a more modern version it would probably be better; Fig. 5 needs to correct the panel label A/B/C to correspond with the legend, and can probably use a schematic diagram (optional though) in addition to the cadaver pictures.

Author Response

Thank you very much for your great suggestions. We have made the following revisions accordingly, and highlighted the changes in yellow in the revised manuscript:

(A) Title: consider removing "in young patients"; even though traumatic meniscus tear is more common among young patients, a lot of the contents in this paper applies to those who are not that 'young' but can still have traumatic meniscus tears.

Response: Thank you for the great point. We have removed "in young patients" from the title, as suggested.

(B) Abstract: Line 12-14 - "Medial meniscus tear is associated with a twisting knee injury while lateral meniscus tear is more prevalent with a concomitant anterior cruciate ligament injury." - recommend modifying to "Traumatic meniscus tear results from a load and shear mechanism in the knee."

Response: Thank you. We have revised this part of the abstract accordingly, now in line 12-13.

(C) Line 112: change "activities-related" to "traumatic"; Line 122: change to "load and shear" mechanism.

Response: Thank you. We have made the suggested changes, now in Line 111 and line 121.

(D) Fig. 1 is OK but if there is a more modern version it would probably be better; Fig. 5 needs to correct the panel label A/B/C to correspond with the legend, and can probably use a schematic diagram (optional though) in addition to the cadaver pictures.

Response: Thank you. Yes, we have updated Figure 1 to a more recent version, now in page 2, line 50-55; we have also added and updated Figure 5 and its legend, as highlighted in page 9, Line 289-295.

Reviewer 2 Report

Comments and Suggestions for Authors

This review paper "Surgical Management of Traumatic Meniscus Injuries in Young Patients" is well written. Authors have stated all important facts regarding meniscus injuries in young population. They pointed out important role of both meniscus and consequences if we underestimate salvage meniscal procedures.

This article is up to date with all new scientific based evidence.

Author Response

Dear Reviewer:

We sincerely thank you for your kind and positive feedback. We are glad that we would be able to contribute to the field with this article!

Reviewer 3 Report

Comments and Suggestions for Authors

This comprehensive review describes the traumatic pathophysiology of the meniscus, as well as the various forms of surgical treatment and rehabilitation protocols.

The work is well-organized and clearly written. It will certainly make a contribution in the field

Author Response

Dear Reviewer:

Thank you so much for the positive comment on our work. We are happy that this article would contribute to the field!