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Fibular grafts in global reconstructive surgery: a bibliometric analysis
Zhi Zhang1, Yuezhan Li2, Lin Cheng2
1Health Management Department, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China.
Frontiers in Surgery
|December 3, 2024
Summary
Fibular grafts are versatile for reconstruction, with the US and China leading research. Emerging trends include 3D planning and fibular grafts for phalloplasty, indicating future research directions.
Area of Science:
- Biomedical Engineering
- Orthopedic Surgery
- Plastic and Reconstructive Surgery
Background:
- Fibular grafts have been a cornerstone in reconstructive surgery for decades.
- They are utilized globally for diverse anatomical reconstructions, including mandible, extremities, spine, and phalloplasty.
Purpose of the Study:
- To systematically analyze the evolution of fibular graft research.
- To identify key trends, influential contributors, and future research priorities in the field.
Main Methods:
- A comprehensive bibliometric analysis of publications from 2004-2023 was performed.
- Data was sourced from the Web of Science Core Collection, analyzed using GraphPad Prism, CiteSpace, and VOSviewer.
Main Results:
- 2,884 publications were analyzed, with the US and China as top contributors.
- Vascularized fibular grafts are increasingly preferred over non-vascularized ones, particularly for mandibular reconstruction.
- Emerging trends include 3D planning, virtual surgical planning, and fibular grafts in phalloplasty.
Conclusions:
- This study provides a detailed overview of fibular graft research.
- It highlights significant contributors and evolving research frontiers, guiding future surgical priorities.

