Raj Manish, Sharma Pranav, Bhadani Janki Sharan, Mondal Shukla
Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, 814152 Jharkhand India.
Department of Orthopedics, Rani Durgawati Medical College, Banda, 210001 Uttar Pradesh India.
Indian J Orthop. 2024 Nov 20;58(12):1736-1755. doi: 10.1007/s43465-024-01286-1. eCollection 2024 Dec.
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.
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.
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 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.
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.
舟骨是最常发生骨折的腕骨，常出现骨不连及继发并发症。尽管如此，迄今为止尚无关于其骨不连治疗的明确指南。本研究采用文献计量学方法对2013年至2024年有关舟骨骨不连的现有研究进行定量分析。
使用科学网数据库，通过关键词“舟骨”和“骨不连”搜索并提取出版物。然后根据入选标准对文章进行筛选，并使用文献计量学方法（R软件和VOSviewer应用程序）分析其余文章的元数据。进行绩效分析和科学图谱绘制，以获取舟骨骨不连研究过去、现在和未来趋势的指标。
在对最初的501篇文章进行筛选后，共有272篇文章纳入本研究进行文献计量分析。每年发表的文章数量有所增加，但总体增长率仍为负。在研究方面，经济实力雄厚的发达国家占主导地位，美国发表和被引用的文章最多。美国在国际研究合作中也处于领先地位，其大部分合作关系是与加拿大。[此处原文可能有误，结合前文推测可能是某本期刊名称]显然仍然是该主题最具生产力和被引用最多的期刊。关键词分析表明，研究重点已从关节融合术和切除术转向骨移植、关节镜检查和内固定，这表明未来的研究趋势是朝着微创程序以及评估骨移植需求发展。
对舟骨骨不连的研究兴趣持续增加，且有朝着微创确定性治疗方法发展的趋势。然而，发展中世界的贡献较少，这方面需要加强。带血管和不带血管骨移植的必要性仍在评估中，目前出现了一种甚至支持无移植固定的新观点。
