Rizzo Michael G, Markowitz Moses I, Minaie Arya, Greif Dylan, Lee Danny, Allegra Paul, Muñoz Julianne
Department of Orthopaedic Surgery, University of Miami, Miami, USA.
University of Miami Miller School of Medicine, 1120 NW 14th St, Miami, Fl, 33136, USA.
Eur J Orthop Surg Traumatol. 2023 Oct;33(7):2793-2803. doi: 10.1007/s00590-023-03541-x. Epub 2023 Apr 4.
Clavicle fractures are among the most common orthopedic fractures, and treatment methods, operative versus nonoperative, have been a point of contention. The purpose of this study was to evaluate the 50 most influential articles regarding clavicle fractures to better understand past focuses of research and to identify any gaps in knowledge.
A review of the most cited articles related to clavicle fractures was conducted using Web of Science database. A search was conducted in April 2022 by one trained researcher. Two independent researchers evaluated each article based on relevance to clavicle fracture.
The mean number of citations was 179.1, ranging from 576 to 81 citations, and collectively cited 8954 times. The decade from 2000 to 2009 contributed the greatest portion of articles, with only a small portion coming from before 1980. The Journal of Bone and Joint Surgery-American Volume contributed the greatest number of articles (20%). The majority of the articles were therapeutic (n = 37) and focused on treatment and outcome (n = 32). Most of the clinically focused articles had a level of evidence of IV (n = 26).
There is an increased influence of recent articles focused on clavicle fracture and management, due to the idea that conventional nonoperative treatment has a high rate of nonunion. Many of the most influential studies evaluate the outcomes of various treatments. Many of these studies, however, are lower levels of evidence, leaving a paucity of high level of evidence articles to support these conclusions.
V.
锁骨骨折是最常见的骨科骨折之一，其治疗方法，即手术治疗与非手术治疗，一直存在争议。本研究的目的是评估关于锁骨骨折的50篇最具影响力的文章，以更好地了解过去的研究重点，并找出知识上的空白。
使用科学网数据库对与锁骨骨折相关的被引用次数最多的文章进行综述。2022年4月由一名经过培训的研究人员进行检索。两名独立研究人员根据与锁骨骨折的相关性对每篇文章进行评估。
平均被引用次数为179.1次，范围从576次到81次，总计被引用8954次。2000年至2009年这十年贡献的文章占比最大，只有一小部分文章来自1980年之前。《美国骨与关节外科杂志》发表的文章数量最多（20%）。大多数文章是治疗性的（n = 37），且聚焦于治疗和结果（n = 32）。大多数以临床为重点的文章证据级别为IV级（n = 26）。
由于传统非手术治疗骨不连发生率高这一观点，近期聚焦于锁骨骨折及治疗的文章影响力有所增加。许多最具影响力的研究评估了各种治疗的结果。然而，这些研究中的许多证据级别较低，缺乏高级别证据的文章来支持这些结论。
V级
