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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...

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Trends in Lower Limb Orthoplastic Surgery: A Bibliometric Analysis.

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This bibliometric analysis of top lower limb orthoplastic surgery articles reveals a need for higher evidence levels. Future research should focus on improving study rigor and expanding applications beyond trauma care.

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Area of Science:

  • Orthoplastic Surgery
  • Bibliometrics
  • Evidence-Based Medicine

Background:

  • Orthoplastic surgery combines orthopedic and plastic surgery for complex lower limb issues.
  • Advancements have improved multidisciplinary approaches and patient outcomes.
  • This study is the first bibliometric analysis of the most-cited lower limb orthoplastic surgery (LLOS) articles.

Purpose of the Study:

  • To identify and analyze the 100 most-cited articles in LLOS.
  • To uncover emerging trends in the field.
  • To guide future research directions in LLOS.

Main Methods:

  • Identified 100 most-cited LLOS articles from Web of Science.
  • Extracted data on citation counts, outcomes, pathologies, and modalities.
  • Assessed the level of evidence for each study.

Main Results:

  • The top 100 articles received 12,225 citations.
  • Most studies were retrospective cohorts (n=59), with a mean of 139.8 citations.
  • Trauma and open fractures (n=94) were common, with flap coverage (n=79) as the primary modality. Only one study had Level I evidence.

Conclusions:

  • The most influential LLOS articles predominantly feature lower levels of evidence.
  • There is a significant gap in high-quality methodological research.
  • Future research should enhance methodological rigor and explore orthoplastic applications beyond trauma.