Publication trends and global productivity about the anterior cruciate ligament: a bibliometric analysis between 1980-2021

Abstract

Aim: Due to anatomic, biomechanical, kinematic, biological and clinical data obtained as a result of many studies related to treatment and rehabilitation of injuries to the anterior cruciate ligament (ACL), among the most studied anatomic structures in the human body, the literature is continuously being updated and improved. In this study, the aim was to holistically analyze scientific articles about the ACL published between 1980 and 2021 using a variety of statistical methods. Material and Method: Articles published from 1980 to 2021 about the ACL were obtained from the Web of Science (WoS) database and analyzed using statistical methods and bibliometric approaches. To identify trend topics and global cooperation, and to complete citation analysis, network visualization maps were used. The exponential smoothing predictor was used to predict the number of articles that will be published in the next 5 years. Spearman’s correlation coefficient was used for correlation research. Results: A total of 11,077 publications were identified. Of these publications, 9101 (82.1%) were articles. The top 3 countries contributing most to the literature were the USA (3894, 42.7%), Japan (879, 9.6%) and Germany (616, 6.7%). The top 3 active organizations were Pennsylvania Commonwealth System of Higher Education (n=468), University of Pittsburgh (440), and University of California system (279). The top 3 journals publishing most articles were the American Journal of Sports Medicine (n=1614), Knee Surgery Sports Traumatology Arthroscopy (1418), and Arthroscopy: The Journal of Arthroscopic and Related Surgery (915). The most effective journal according to mean number of citations per article was the Journal of Bone and Joint Surgery (average citation per document: 80.7). The most active author was Freddie H. Fu (n=278, from University of Pittsburgh). Conclusion: In this comprehensive bibliometric research about the topic of ACL, with a trend toward increasing publication numbers in recent years, the summary information for 9101 articles published between 1980 and 2021 was shared. According to analysis results to determine trend topics, the keywords studied in recent years include return to sport, ACL injury, anterolateral ligament, pivot shift, quadriceps strength, KOOS, ACL tear, ACL repair, meniscal repair, knee ligaments, tibial slope, posterior tibial slope, return to play, adolescent, graft failure and lateral meniscus.

Keywords

• Anterior cruciate ligament
• ACL
• bibliometric analysis
• trends
• injuries
• global cooperation

References

1. 1.Gao B, Zheng NN, Alterations in three-dimensional joint kinematics of anterior cruciate ligament-deficient and-reconstructed knees during walking. Clinical biomechanics 2010; 25: 222-29
2. 2. Dargel J, Gotter M, Mader K, Pennig D, Koebke J, Schmidt-Wiethoff R, Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction Strategies in trauma and limb reconstruction 2007; 2:1-12
3. 3. Mall NA, Chalmers P, N Moric, et al. Incidence and trends of anterior cruciate ligament reconstruction in the United States. The American journal of sports medicine 2014; 42:2363-70.
4. 4. Boden BP, Sheehan FT, Torg JS, Hewett TE, Non-contact ÖÇB injuries: mechanisms and risk factors. The Journal of the American Academy of Orthopaedic Surgeons 2010;18: 520.
5. 5. Hewett TE, Myer GD, Ford KR,et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33:492-501
6. 6. Andriacchi, TP, Briant PL, Bevill S, Koo S, Rotational changes at the knee after ÖÇB injury cause cartilage thinning. Clinical Orthopaedics and Related Research 2006; 442:39-44
7. 7. Uçan V,Pulatkan A,Elmalı N. Current literature in the treatment of anterior cruciate ligament injuries, The Turkish Society of Orthopaedics and Traumatology 2020;19:647–55
8. 8. Eriksson K, Anderberg P, Hamberg P,et al.A comparison of quadruple semitendinosus and patellar tendon grafts in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 2001; 83: 348-54

9. 9. Freedman KB, D Amato MJ, Nedeff DD, Kaz A, Bach BR Jr. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003;31:2
10. 10. Xie X, Liu X, Chen Z, Yu Y, Peng S, Li Q. A meta-analysis of bone-patellar tendon-bone autograft versus four-strand hamstring tendon autograft for anterior cruciate ligament reconstruction. Knee. 2015;22:100-10
11. 11. Di Matteo B, Loibl M, Andriolo L, Filardo G, Zellner J, Koch M,et al. Biologic agents for anterior cruciate ligament healing: A systematic review. World J Orthop 2016;7:592-603
12. 12. Bram JT, Magee LC, Mehta NN, Patel NM, Ganley TJ.Anterior cruciate ligament injury incidence in adolescent athletes: a systematic review and meta-analysis. The American Journal of Sports Medicine 2021; 49: 1962-72
13. 13. Kiraz S, Demir E. Global Scientific Outputs of Schizophrenia Publications From 1975 to 2020: a Bibliometric Analysis. Psychiatr Q 2021;92:1725-44
14. 14. Yildirim E, Demir E. Comparative bibliometric analysis of fertility preservation. Annals of Medical Research 2019; 26:1622-28 15. Muslu Ü, Demir E. Development of rhinoplasty: yesterday and today Med Sci, 2019;23:294-301
15. 16. Kelly JC, Glynn R W, O’Briain DE, Felle P, McCabe JP. The 100 classic papers of orthopaedic surgery: a bibliometric analysis The Journal of bone and joint surgery. British volume,2010;92:1338-43
16. 17.Van Eck NJ,Waltman L.Soft ware survey:VOS viewer,acomputer program for bibliyometric mapping.Scientometrics 2010;84:523-38
17. 18. TheWorldBankWebsitehttps://data.worldbank.org/indicator/NY.GDP.MKTP.2002
18. 19. Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clinical orthopaedics and related research 1985(198), 43-49 20. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. The American journal of sports medicine1982;10:150-54
19. 21. Hefti E, Müller W, Jakob RP, Staubli H. U.Evaluation of knee ligament injuries with the IKDC form. Knee Surgery, Sports Traumatology, Arthroscopy, 1993;1:226-34
20. 22. Yagi M, Wong EK, Kanamori A, Debski RE, Fu F H, Woo SL. (2002). Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. The American journal of sports medicine 2002;30:660-66
21. 23. Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, Kaufman KR. Fate of the ÖÇB-injured patient. A prospective outcome study. Am J Sports Med. 1994;22:632-44
22. 24. Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, et al. Development and validation of the international knee documentation committee subjective knee form. The American journal of sports medicine 2001;29: 600-13
23. 25. Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med. 2007;35:1756-69 26. Noyes F, Butler D, Grood E, Zernicke R, Hefzy M. (1984). Biomechanical analysis of human ligament grafts used in knee-ligament. J Bone Joint Surg Am 1984; 66: 344-52 27. Loh JC, Fu uda Y, Tsuda E, Steadman RJ, Fu FH, Woo SL. Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o’cloc and 10 o’cloc femoral tunnel placement. 2002 Richard O’Connor Award paper. Arthroscopy, 19; 297-304
24. 28. Boden BP, Dean GS, Feagin JA, Garrett WE, . Mechanisms of anterior cruciate ligament injury. Orthopedics 2000;23:573-78 29. Olsen OE, Myklebust G, Engebretsen L, Bahr R. Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. The American journal of sports medicine 2004;32:1002-12 30.Woo SL, Y Hollis, JM Adams, DJ Lyon, RM Takai S Tensile properties of the human femur-anterior cruciate ligament-tibia complex: the effects of specimen age and orientation. The American journal of sports medicine 1991; 19: 217-25
25. 31. Paterno MV, Schmitt LC, Ford KR, Rauh MJ, Myer GD, Huang B, Hewett TE. Biomechanical measures during landing and postural stability predict second anterior cruciate ligament injury after anterior cruciate ligament reconstruction and return to sport. The American journal of sports medicine 2010; 38:1968-78 32. Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, et al. (2016). Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. The American journal of sports medicine 2016; 44: 1502-7
26. 33. Paterno MV, Rauh MJ, Schmitt, LC, Ford KR, Hewett TE. Incidence of second ÖÇB injuries 2 years after primary ÖÇB reconstruction and return to sport. The American journal of sports medicin 2014; 42: 1567-73.