Clubfoot from past to the present: a bibliometric analysis with global productivity and research trends

Clubfoot, a common congenital abnormality, affects the lower extremities; however, the literature search revealed no bibliometric research on this subject. Thus, we aimed to holistically analyze scientific articles and reveal global productivity and trend issues. This study statistically analyzed 1417 published articles on clubfoot (1980-2021) from the Web of Science database. Bibliometric network visualization maps were created to reveal trend topics, citation analysis, and cross-country collaborations. The analysis was conducted using Spearman correlation analysis. An exponential smoothing estimator was used to predict article productivity. The United States of America (433, 30.5%), the United Kingdom (166, 11.7%), and India (107, 7.5%) are the top 3 countries contributing to the literature. The Journal of Pediatric Orthopedics (220 articles), the Journal of Pediatric Orthopedics-Part B (147 articles), and Clinical Orthopedics and Related Research (69 articles) are the top 3 most productive journals. Dobbs MB (34 articles) is the most active author, and Shriners Hospital Children (44 articles) is the most active institution. Bibliometric analysis revealed that recently studied trend topics included Pirani score, Dimeglio score, Ponseti method, Ponseti casting, tenotomy, recurrence, neglected, tendon transfer, bracing, gait, risk factors, pedobarography, complex clubfoot, and polymorphism. The most studied subjects included Ponseti technique, treatment/casting, recurrent/relapsed clubfoot, Pirani score, pediatrics/children, foot deformities, surgery, ultrasound, Achilles tendon/tenotomy, gait analysis, casting, outcomes, neglected clubfoot, and tenotomy. Research leadership was determined in the western and European countries and Canada in studies and scientific collaborations on clubfoot; its impact was remarkable in India, China, and Turkey

Proprioception and Clinical Correlation

Proprioception is the sense of position or the motion of the limbs and body in the absence of vision. It is a complex system having both conscious and unconscious components involving peripheral and central pathways. The complexity of sensorimotor systems requires deep knowledge of anatomy and physiology to analyze and localize the symptoms and the signs of the patients. Joint sense and vibration sense examination is an important component of physical examination. This chapter consists anatomy, motor control, postural control related to proprioception with neurologic clinical correlation and also the information about the changes of proprioception after orthopedic surgeries and discuss with the available literature

Global scientific outputs of microsurgery publications: A bibliometric approach about yesterday, today, and tomorrow

Introduction Although there have been important developments in microsurgery in recent years, there is no current and comprehensive bibliometric study in the literature. In this study, we aimed to present a summary of the articles published on microsurgery between 1980 and 2019 with bibliometric analysis. Methods Articles published on microsurgery between 1980 and 2019 were withdrawn from the Web of Science database and analyzed by bibliometric methods. Citation analysis was performed to identify effective journals and articles. Keyword cluster and trends analyses were performed for a detailed analysis of the researched topics. Relationships between the article numbers of the countries and gross domestic product (GDP) and human development index (HDI) values were investigated using Spearman's correlation coefficient. A linear regression analysis was used to estimate the number of articles to he published in the future. Results A total of 3,537 publications related to microsurgery were found. Bibliometric analyses were performed in 2,063 articles (58.3%) of these publications. The most active countries in publishing were the United States (504), Germany (286), and Italy (154), respectively. A statistically significant correlation was found between the article numbers and the GDP and HDI sizes of the countries (r = 0.758, p <0.001, r = 0.659, p <0.001). Conclusion The economic size and development levels of the countries were an important factor in academic productivity in microsurgery. Undeveloped countries should be encouraged by performing multidisciplinary studies in this regard

Complete removal of the infrapatellar fat pad in total knee arthroplasty does not affect the patellar height

BACKGROUND/AIMS Most orthopedic surgeons tend to remove the infrapatellar fat pad (IPFP) in total knee arthroplasty (TKA). The present study was designed with the aim of determining whether complete removal of the IPFP during TKA affects the patella height. MATERIAL and METHODS Knee radiographs of 85 patients who underwent primary TKA that involved complete IPFP removal were reviewed retrospectively. We measured the patella height using the Insall-Salvati (IS) ratio, modified IS (mIS) ratio, Cathon-Deschamp (CD) index, and Blackburne-Peel (BP) index on preoperative radiographs and at the 1-year follow-up. Two orthopedic surgeons independently analyzed all 85 radiographs and were blinded to the measurement taken by the other surgeon. The average values of the data recorded by the two observers was used in the final analyses. RESULTS The average preoperative patella height was higher than the mean patella height at 1 year after TKA using all the measurement methods. Although this may reflect patellar tendon shortening or elevation of the joint line, this decrease was not significant using all methods (p>0.05). CONCLUSION Complete removal of the IPFP during TKA for patients with primary osteoarthritis did not affect the patellar height at the 1-year follow-up

C-Reactive Protein to Albumin Ratio May Predict Mortality for Elderly Population Who Undergo Hemiarthroplasty Due to Hip Fracture

Background Although the relationship of preoperative C-reactive protein (CRP) and albumin levels to mortality in elderly patients who have undergone surgery due to hip fracture has been previously investigated, the CRP to albumin ratio (CAR) has not been investigated. This study aimed to investigate the relationship between preoperative CAR and mortality. Methods A total of 254 patients (mean age, 78.74 years) were retrospectively analyzed using the following data: age, gender, fracture type, American Society of Anesthesiologists (ASA) score, type of anesthesia, time between fracture and surgery, time between fracture and discharge, length of hospital stay, preexisting comorbidities, preoperative CRP and albumin levels, and mortality. The serum CRP level was divided by the serum albumin level to calculate the preoperative CAR. Multivariate logistic regression was used to evaluate the association between risk factors and 1-year mortality. Results One-year mortality was 22.8% (58 patients). Age >85 years, male gender, ASA score >= 3, presence of >= 3 comorbidities, and CAR >= 2.49 were identified as mortality risk factors in the univariate analysis. The following factors were included in the binary logistic regression analysis to determine the major predictors of 1-year mortality: ASA score >= 3, presence of >= 3 comorbidities, and CAR >= 2.49. Conclusion Detection of CAR above 2.49 is a strong indicator for 1-year mortality in patients operated due to hip fracture in the elderly population. ASA score >= 3 and presence of >= 3 comorbid diseases were also related to mortality

Complete Removal of the Infrapatellar Fat Pad in Total Knee Arthroplasty Does Not Affect the Patellar Height

BACKGROUND/AIM

C-Reactive protein to albumin ratio may predict mortality for elderly population who undergo hemiarthroplasty due to hip fracture

Güler, Serkan ( Aksaray, Yazar )Background: Although the relationship of preoperative C-reactive protein (CRP) and albumin levels to mortality in elderly patients who have undergone surgery due to hip fracture has been previously investigated, the CRP to albumin ratio (CAR) has not been investigated. This study aimed to investigate the relationship between preoperative CAR and mortality. Methods: A total of 254 patients (mean age, 78.74 years) were retrospectively analyzed using the following data: age, gender, fracture type, American Society of Anesthesiologists (ASA) score, type of anesthesia, time between fracture and surgery, time between fracture and discharge, length of hospital stay, preexisting comorbidities, preoperative CRP and albumin levels, and mortality. The serum CRP level was divided by the serum albumin level to calculate the preoperative CAR. Multivariate logistic regression was used to evaluate the association between risk factors and 1-year mortality. Results: One-year mortality was 22.8% (58 patients). Age >85 years, male gender, ASA score ≥3, presence of ≥3 comorbidities, and CAR ≥2.49 were identified as mortality risk factors in the univariate analysis. The following factors were included in the binary logistic regression analysis to determine the major predictors of 1-year mortality: ASA score ≥3, presence of ≥3 comorbidities, and CAR ≥2.49. Conclusion: Detection of CAR above 2.49 is a strong indicator for 1-year mortality in patients operated due to hip fracture in the elderly population. ASA score ≥3 and presence of ≥3 comorbid diseases were also related to mortality