Visualization of global status and trends in anterior cruciate ligament reconstruction

doi:10.12307/2021.165

Abstract

Abstract: BACKGROUND: Anterior cruciate ligament injury is one of the most common injuries of the knee joint. Bibliometrics and visual analysis of related research on anterior cruciate ligament reconstruction can help clarify the research process in this field and quickly understand the current research hotspots. A reasonable estimate of future research trends can promote the further development of this field.
OBJECTIVE: To analyze the global research status, hot spots and future development trends of anterior cruciate ligament reconstruction.
METHODS: Web of Science Core Collection was retrieved for publications related to anterior cruciate ligament reconstruction published from 1995 to 2019. Citespace software was used to analyze the cluster, co-occurrence and burst words of the included literatures.
RESULTS AND CONCLUSION: A total of 9 020 articles in English were included, involving 20 566 authors, 55 countries and regions, 6 117 research institutes, and 690 publication sources. The global publication volume showed a trend of fluctuating increase year by year, and reached a peak of 866 articles in 2019.The United States has an absolute advantage in the research of anterior cruciate ligament reconstruction, ranking first in terms of publication volume and H index. China ranks 4th in total publications and 11th in the H index. Top five clusters of key words in anterior cruciate ligament reconstruction research included rehabilitation, autograft, prevalence, return to sport, and injury. Burst words highlighted from 2014 to 2019 included: outcome, sports, return, risk, anterolateral ligament, and revision. The co-citation analysis of references showed that the top five literatures with highest citation frequency were all published between 2010 and 2014, three of which are related to sport recovery. The top five clusters included long term, single bundle, interference screw, risk factor and return. In conclusion, the selection of grafts and internal fixators and postoperative rehabilitation are the main research hotspots at present. The topics such as return to sport as soon as possible through rehabilitation treatment, prevention of postoperative ligament secondary injury, reasonable treatment of postoperative complications, and ligament revision will become new research hotspots in the future related to anterior cruciate ligament reconstruction. The quality of China’s publications and international cooperation in this field need to be strengthened.

Key words: knee joint, sports medicine, bibliometrics, visualization, anterior cruciate ligament reconstruction, literature clustering analysis, co-occurrence analysis, rehabilitation, return to sport

CLC Number:

Xiong Binglang, Lin Tianye, Yang Peng, Xu Jingli, Zou Qizhao, Lai Qizhong, Zhang Qingwen. Visualization of global status and trends in anterior cruciate ligament reconstruction[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(29): 4656-4663.

Figures/Tables 9

中心性排名前5位的是卢森堡(1.05)、瑞典(0.88)、比利时(0.82)、新加坡(0.80)及芬兰(0.55)，见图2A。 2.3 前交叉韧带重建相关研究发文机构分析图1D和图2B显示发文量排名前5位的机构分别为匹兹堡大学(#1单束，H指数72)、美国特种外科医院(#9自发激活，H指数：48)、俄亥俄州立大学(#10计算机模拟技术，H指数38)、拉筹伯大学(#6人造韧带，H指数：38)以及梅奥诊所(#7不负重，H指数：25)。 2.4 前交叉韧带重建相关研究发文作者分析纳入的文献共包含20 566位作者。图1E和图2D示发文量排名前5位的作者分别为FU FH(263篇，H指数：59)、MUSAHL V(112篇，H指数：34)、KARLSSON J(101篇，H指数：36)、BACH BR(95篇，H指数：31)和ENGEBRETSEN L(87篇，H指数：37)。图2D示中心性排名前3位的作者为FU FH(0.67)、Harner CD(0.1)和ENGEBRETSEN L(0.9)。FU FH与IRRGANG JJ、IIKIN H合作交流最多；与MUSAHL V合作最多的为ZANTOP T和ALLAIR R。FU FH教授团队与MUSAHL V教授团队均来自于美国匹兹堡大学，2个团队的发文量占总发文量的4.1%。图2E为该领域发文杂志共现分析结果。 2.5 前交叉韧带重建相关研究发文杂志分析此次研究共纳入690个出版物来源。其中发文量排名前5位的分别为《Knee Surgery Sports Traumatology Arthroscopy》(1 089篇，影响因子3.166)、《American Journal of Sports Medicine》(1 086篇，影响因子5.81)、《Arthroscopy the Journal of Arthroscopic and Related Surgery》(861篇，影响因子4.325)、《Knee》(334篇，影响因子1.913)和《OrthopaedicJournal of Sports Medicine》(231篇，影响因子2.492)，见图1F和图2E。前交叉重建相关研究发文杂志聚类Q值为0.843 4，S值为0.413 4。排名前5位的聚类分别为痛觉确失(包含姿势控制，关节位置觉等关键词)、肌肉萎缩(包含速度，动力学等关键词)、移植物撞击(包含凹槽，顶部等关键词)、前外侧韧带(包含外侧胫骨平台撕脱性骨折，僵硬等关键词)和分隔(包含同种异体骨，体外等关键词)，见图2F。 2.6 前交叉韧带重建相关研究关键词分析关键词共现分析显示，出现频次最高的前10个关键词分别为损伤(1 616次)、髌腱(1 366次)、康复治疗(937次)、自体移植(910次)、手术(851次)、关节炎(692次)、肌力(620次)、半腱肌(491次)、同种异体移植(466次)和破裂(456次)，见图2H。聚类分析显示Q值为0.861，S值为0.482 9。排在前5位的聚类分别为康复治疗(包含膝关节，手术等关键词)、自体移植(包含肌腱骨移植，固定等关键词)、患病率(包含前交叉韧带重建术，联系等关键词)、恢复运动(包含膝关节功能，关节炎等关键词)和损伤(包含凹槽，狗等关键词)，见图2G和表1。 "

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