基于WOS数据库巨大肩袖撕裂全球研究现状与热点分析

Global research status and hotspots analysis of massive rotator cuff tears based on WOS database

目的基于核心合集(web of science,WOS)数据库,运用CiteSpace软件分析并探讨巨大肩袖撕裂全球研究现状与热点,为未来研究提供参考。方法通过检索WOS数据库,获得巨大肩袖撕裂为主题的相关研究文献,经过对数据筛选提炼,首先对纳入文献进行描述性统计分析,再运用CiteSpace 5.7.R1可视化软件对文献进行科学计量及可视化分析。结果共有1161篇施引文献和12044篇被引文献纳入分析,时间跨度从1994~2020年,巨大肩袖撕裂领域研究文献持续增加,近5年的发表文献量占比接近1/3。《肩肘外科杂志》《关节镜-关节镜及相关外科杂志》和《美国运动医学杂志》是刊载这一领域研究的主要杂志。欧美在巨大肩袖撕裂研究方面有着突出的贡献,但是国家、机构之间的合作交流并不密切。关键词分析获得11个聚类,排在前面的主要关键词有repair、integrity、tendon、muscle和follow up,这一领域手术治疗及临床疗效是一直关注的研究方向。引文分析共得到13个聚类,分别反映不同时间的研究现状。结论该领域近27年的研究经历手术治疗初步阶段,关节镜技术的成熟和运用的普及阶段,以及手术技术改进、基础和临床深入研究阶段。目前研究集中在巨大肩袖撕裂的手术治疗策略、手术的长期疗效以及影响手术疗效的因素,未来在解决巨大肩袖撕裂上将有更多手术技术和手术材料的突破。

Background In recent years,with the increasing researches on massive rotator cuff tears,more and more attentions have been paid to the surgical treatment and biomechanics from scholars,and there are various detailed directions on research overviews of massive rotator cuff tears.However,as research in this area continues to accumulate,it is necessary to organize the literatures systematically using bibliometric methods.Objective To investigate the global research status and hotspots of massive rotator cuff tears and provide reference for further research with the analysis of CiteSpace software based on the database of web of science(WOS).Methods By searching the database of Web of Science,relevant research literatures on the topic of massive rotator cuff tears were obtained.After data screening and extraction,descriptive statistical analysis was conducted on the included literatures at first,and then scientific metrology and visual analysis were conducted on the literatures using CiteSpace 5.7.R1 visualization software.Results A total of 1161 citing literatures and 12044 cited literatures were included in the analysis.The period spans from 1994 to 2020,and the research literatures in the field of massive rotator cuff tears continued to increase,with nearly 1/3 of the published papers in the past five years.Journal of shoulder and elbow surgery,Arthroscopy-Arthroscopy and Related Surgery Journal and American Journal of Sports Medicine were the main journals that publish research in this field.The United States and Europe had outstanding contributions in the research of massive rotator cuff tears,but cooperations and exchanges between countries and institutions were not close enough.Eleven clusters were obtained by keyword analysis,and the main keywords were repair,integrity,tendon,muscle and follow-up.The surgical treatment and clinical efficacy in this field had always been the research direction of concern.A total of 13 clusters were obtained by citation analysis,indicating the research status at different times.Conclusion The researches in this field in recent 27 years can be summarized into three stages:the preliminary stage of surgical treatment,the maturity and popularization stage of arthroscopic technology,and the stage of surgical technique improvement,basic and clinical in-depth study.Currently,the research focuses on the surgical treatment strategy of massive rotator cuff tears,the longterm efficacy of surgery and the factors affecting the efficacy of surgery.In the future,there will be more breakthroughs in surgical techniques and surgical materials to treat massive rotator cuff tears.