{"title":"Research Trends in the Management of Scaphoid Non-unions: A Bibliometric Review.","authors":"Manish Raj, Pranav Sharma, Janki Sharan Bhadani, Shukla Mondal","doi":"10.1007/s43465-024-01286-1","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The scaphoid is the most commonly fractured carpal bone, often going into non-union and secondary complications. Despite this, no explicit guidelines exist for the management of its non-union till date. This study quantitatively analyses the existent research on scaphoid nonunions from 2013 to 2024 using bibliometric methodology.</p><p><strong>Materials and methods: </strong>The Web of Science database was used to search for and extract publications using the keywords 'scaphoid' AND 'nonunion'. Articles were then filtered based on their eligibility, and the metadata of the remaining articles was analysed using bibliometric methodology (R software and VOSviewer application). Performance analysis and science mapping were performed to obtain the metrics for past, present, and future trends in research on scaphoid nonunions.</p><p><strong>Results: </strong>A total of 272 articles were included in the study for bibliometric analysis after screening the initial 501 articles. There has been a rise in the number of articles published yearly, but the overall growth rate still remains negative. Developed nations with economic stronghold dominate in research, with the United States of America (USA) having the most published and cited articles. International collaborations in research were also lead by the USA with majority of its ties with Canada. The <i>Journal of Hand Surgery-American Volume</i> clearly remains the most productive and cited journal on this subject. Keywords analysis shows a shift from arthrodesis and excision towards bone grafting, arthroscopy, and internal fixation, indicating a future research trend towards minimally invasive procedures and evaluating the need for grafting.</p><p><strong>Conclusions: </strong>There is a continually increasing research interest in scaphoid non-unions with a trend towards minimally invasive definitive treatment methods. The research, however, lacks major contributions from the developing world which need to be strengthened. The need for vascularized and non-vascularized grafts is still under evaluation, with an emerging opinion in favour of even graft-less fixation.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"58 12","pages":"1736-1755"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628473/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s43465-024-01286-1","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The scaphoid is the most commonly fractured carpal bone, often going into non-union and secondary complications. Despite this, no explicit guidelines exist for the management of its non-union till date. This study quantitatively analyses the existent research on scaphoid nonunions from 2013 to 2024 using bibliometric methodology.
Materials and methods: The Web of Science database was used to search for and extract publications using the keywords 'scaphoid' AND 'nonunion'. Articles were then filtered based on their eligibility, and the metadata of the remaining articles was analysed using bibliometric methodology (R software and VOSviewer application). Performance analysis and science mapping were performed to obtain the metrics for past, present, and future trends in research on scaphoid nonunions.
Results: A total of 272 articles were included in the study for bibliometric analysis after screening the initial 501 articles. There has been a rise in the number of articles published yearly, but the overall growth rate still remains negative. Developed nations with economic stronghold dominate in research, with the United States of America (USA) having the most published and cited articles. International collaborations in research were also lead by the USA with majority of its ties with Canada. The Journal of Hand Surgery-American Volume clearly remains the most productive and cited journal on this subject. Keywords analysis shows a shift from arthrodesis and excision towards bone grafting, arthroscopy, and internal fixation, indicating a future research trend towards minimally invasive procedures and evaluating the need for grafting.
Conclusions: There is a continually increasing research interest in scaphoid non-unions with a trend towards minimally invasive definitive treatment methods. The research, however, lacks major contributions from the developing world which need to be strengthened. The need for vascularized and non-vascularized grafts is still under evaluation, with an emerging opinion in favour of even graft-less fixation.
背景：舟状骨是最常见的腕骨骨折，经常出现不愈合和继发性并发症。尽管如此，迄今为止还没有明确的指导方针来管理其非工会。本文采用文献计量学方法，对2013 ~ 2024年舟状骨不连的研究现状进行了定量分析。材料和方法：使用Web of Science数据库检索并提取以“舟骨”和“骨不连”为关键词的出版物。然后根据文章的合格性对其进行筛选，并使用文献计量学方法（R软件和VOSviewer应用程序）分析剩余文章的元数据。我们进行了性能分析和科学制图，以获得过去、现在和未来舟状骨不连研究趋势的指标。结果：筛选501篇文献后，共纳入272篇文献计量学分析。每年发表的文章数量有所增加，但总体增长率仍然为负。拥有经济优势的发达国家在研究中占主导地位，其中美国（USA）发表和引用的文章最多。国际研究合作也由美国主导，主要与加拿大合作。《手外科杂志-美国卷》显然仍然是这个主题上最多产和被引用的杂志。关键词分析显示，从关节融合术和切除到植骨、关节镜和内固定的转变，表明未来的研究趋势是微创手术和评估移植的必要性。结论：对舟状骨骨不连的研究兴趣不断增加，并趋向于微创治疗方法。然而，这项研究缺乏发展中国家的重大贡献，这需要得到加强。血管化和非血管化移植的必要性仍在评估中，甚至赞成无血管化固定的新观点。
期刊介绍：
IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.
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