Ottomanelli Darcy, Blajda Timothy, Posner Kevin, Berberian Wayne
Hackensack Meridian School of Medicine, Nutley, NJ, USA.
Hackensack University Medical Center, Hackensack, USA.
Eur J Orthop Surg Traumatol. 2025 Apr 25;35(1):168. doi: 10.1007/s00590-025-04289-2.
Achilles tendon rupture is an increasingly common injury seen in athletic and active populations which can be corrected through strategic operative techniques. The purpose of this study is to identify and review the top 50 most cited articles discussing minimally invasive Achilles tendon repair with regards to the operative technique, outcomes, and complications.
Scopus database was used to search for publications focusing on minimally invasive Achilles tendon repair. The top 50 most cited articles were screened for inclusion criteria and reviewed for year published, journal of publication, country of origin, study type, level of evidence, and citation density.
The total number of citations from the top 50 most cited articles was 1,415 with a range of five to 168 citations per article. The year of publication ranged from 2004 to 2020, with the majority (n = 33) being published from 2010 to 2020. The most common level of evidence rating was III (25 articles), most of which were cohort studies. The next most common level of evidence rating was IV (11 articles), which were mostly case series. The articles were written across 18 countries, most commonly the United Kingdom (18%), and were published in 28 journals with Foot and Ankle International being the most prolific journal (n = 8).
The results of this study highlighted the prevalence of cohort studies, case series, and technical notes for minimally invasive Achilles tendon repair research. This demonstrates the need for more research with higher level, controlled studies to examine minimally invasive Achilles tendon repair techniques, outcomes, and complications in the future.
跟腱断裂在运动员和活跃人群中是一种越来越常见的损伤，可通过策略性手术技术进行矫正。本研究的目的是识别并回顾关于微创跟腱修复手术技术、结果和并发症的被引用次数最多的前50篇文章。
使用Scopus数据库搜索专注于微创跟腱修复的出版物。对被引用次数最多的前50篇文章进行筛选以符合纳入标准，并对发表年份、发表期刊、原产国、研究类型、证据水平和引用密度进行回顾。
被引用次数最多的前50篇文章的总引用次数为1415次，每篇文章的引用次数范围为5至168次。发表年份从2004年到2020年，其中大部分（n = 33）发表于2010年到2020年。最常见的证据水平评级为III级（25篇文章），其中大部分是队列研究。其次最常见的证据水平评级为IV级（11篇文章），大多是病例系列。这些文章来自18个国家，最常见的是英国（18%），发表在28种期刊上，其中《足与踝关节国际杂志》是发表文章最多的期刊（n = 8）。
本研究结果突出了微创跟腱修复研究中队列研究、病例系列和技术笔记的普遍性。这表明未来需要进行更多更高水平的对照研究，以研究微创跟腱修复技术、结果和并发症。
