Top 100 Cited Foot and Ankle–Related Articles

2016 ◽  
Vol 106 (6) ◽  
pp. 387-397 ◽  
Author(s):  
Patrick A. DeHeer ◽  
William Adams ◽  
Faye-Rose Grebenyuk ◽  
Eric Meshulam ◽  
Kory Miskin ◽  
...  

Background: Article citations are a well-accepted method of evaluating the influence or impact of a particular article. Other medical specialties have published the top cited articles in their specialty. To date, an analysis of the foot and ankle podiatric medicine–related article citation method has not been published. Methods: Three citation indices were used on October 10, 2014, February 20, 2015, and May 1, 2015, to determine the top 100 cited foot and ankle–related articles. Results: Most of the top 100 cited foot and ankle podiatric medicine–related articles were published in The Journal of Bone and Joint Surgery by medical doctors in the United States in the past two decades, with most of the article topics being the diabetic foot or trauma. The predominant level of evidence for the articles is evenly distributed among levels III, IV, and V. Conclusions: Podiatric medical research and publication has made great strides during the past two decades, particularly in the diabetic foot, but continued research and peer-reviewed journal publication in additional areas regarding the foot and ankle must become a priority in the podiatric medical community.

2021 ◽  
Author(s):  
Matthew Carroll ◽  
Ibrahim Saleh Al-Busaidi ◽  
Kirsten J Coppell ◽  
Michele Garrett ◽  
Belinda Ihaka ◽  
...  

Abstract Aim The aim of this bibliometric study was to examine trends in the quality and quantity of published diabetic foot disease (DFD) research in Aotearoa/New Zealand (NZ) over the past five decades. Method In July 2021, the Scopus® database was searched for DFD-related publications (1970-2020) using predetermined search and inclusion criteria. Bibliometric data were extracted from Scopus® and Journal Citation Reports. Retrieved bibliographic indicators were analysed in Biblioshiny, an R Statistical Software interface and reported using descriptive statistics. Results Forty-seven DFD-related articles were identified. The annual number of publications showed a significant upward trend increasing from one in 1988 to 47 in 2020 (P < 0.001). The majority of identified articles (n = 31, 66%) were published in the last decade (2011-2020). Basic/clinical research accounted for 87% (n = 41) of publications and 14 (30%) investigated the screening and/or prevention of DFD. The average citation per article was 20.23 (range: 0-209) and the median impact factor was 4.31 (range, 1.82-79.32). Over a third of articles (36%) had an international authorship network. Funding was reported by 15 (32%) articles; 12 (26%) were supported by public national grants vs. three (6%) reporting industry-sponsorship. Conclusion DFD articles authored by NZ researchers have increased over the past five decades. Despite that NZ researchers increased their global impact through collaborative networks, most of the research was classified as low-level evidence, with limited focus on Indigenous Māori and limited financial support and funding. Increased funding for interventional research is required to enable a higher level of evidence-based and practice-changing research to occur. With rates of diabetes related amputations higher in Māori future research must focus on reducing inequalities in diabetes related outcomes for Māori by specifically targeting the prevention and screening of DFD in primary care settings in NZ.


2021 ◽  
Vol 6 (2) ◽  
pp. 247301142110035
Author(s):  
Matthew Fanelli ◽  
Coleman Cush ◽  
Hui Zhang ◽  
Benjamin Wagner ◽  
Amanda J. Young ◽  
...  

Background: At present, the geographic distribution of orthopedic foot and ankle (OFA) surgeons in the United States is poorly defined. The purpose of this investigation is to determine the geographic distribution of OFA surgeons in the United States. We hypothesize that there will be differences in OFA surgeon density throughout the United States and that economic factors may play a role in access to subspecialty OFA care. Methods: A current membership list was obtained from the American Orthopaedic Foot & Ankle Society (AOFAS). Active members were categorized relative to states and US congressional districts, using publicly available census data. The relationship between income and surgeon density was determined using a Pearson correlation. Results: We identified a list of 1103 active AOFAS members. There was an average of 0.38 and 0.40 OFA surgeons per 100 000 people in each state and congressional district, respectively. We found a weak negative relationship demonstrating that regions with higher levels of poverty had fewer OFA surgeons, with a Pearson correlation coefficient of –0.14 (95% CI: –0.24, –0.04), P = .008. Conclusion: There is wide geographic variation of OFA surgeon density throughout the United States. Regions with higher levels of poverty were weakly associated with decreased population density of OFA surgeons compared to regions with lower poverty levels. Understanding these trends may aid in developing both recruitment and referral strategies for complex foot and ankle care in underserved regions. Level of Evidence: Level V.


2013 ◽  
Vol 17 ◽  
Author(s):  
W Mikkel Dack

The scholarly study of eugenics legislation in Alberta has been seriously limited as research has focused on the province’s original Sterilization Act, passed in March 1928, and on the political, social, and economic conditions of the 1920s. Although the 1928 Act was of great significance, being the first sterilization law passed in Canada, it was its 1937 amendment and the permitting of involuntary sterilizations that made the Alberta eugenics movement truly distinct. During the late 1930s, a time when the great majority of regional governments were either decommissioning or disregarding their sterilization laws due to a lack of funding, the discrediting of scientific racism and an increase in public protest, Alberta expanded its own legislation. Although similar laws were met with fierce opposition in other provinces and in the United States, this new amendment of 1937 remained largely unopposed in Alberta. As a result of such narrowly focused research, the explanations for why the Act was amended and why resistance to non-consensual sterilization remained minimal during the 1930s have been based almost entirely on political and social assumptions and not on sound evidence; explanations have proven to be exaggerated, inaccurate, and misleading. By dismissing the preconceived notions and arguments of the past we are left with a new grounding from which to build future propositions and with a new set of sharpened questions to help determine why the Alberta government, and presumably its people, were willing to support such regressive legislation when it was being ignored and rejected elsewhere. By doing so new theories arise, such as the influential role of individual personalities within the provincial government and the Alberta medical community, the definition and diagnosis of “mental deficiency” in Canada, and the means by which political resistance could be expressed.


2019 ◽  
Vol 4 (3) ◽  
pp. 247301141986402
Author(s):  
David P. Falk ◽  
Sreenivasulu Metikala ◽  
Viviana Serra Lopez ◽  
Matthew Stein ◽  
Karim Mahmoud ◽  
...  

In the United States, approximately 2000 stingray injuries occur annually. The majority of reports on stingray injuries to the foot and ankle reflect acute injuries. Delayed presentation after stingray injury to the foot and ankle has not been reported. We present a case of a 29-year-old female who sustained a stingray injury to the left plantar medial hindfoot 14 months prior to presenting to our clinic with new-onset posteromedial ankle redness and swelling along the tarsal tunnel. Magnetic resonance imaging (MRI) revealed multiple linear foreign bodies at the quadratus plantae and tarsal tunnel. The patient underwent operative exploration with removal of multiple retained stingray spines. At her most recent follow-up at 3 months, she was able to resume her usual activities. Level of Evidence: Level V, case report.


2021 ◽  
Author(s):  
Nevzat Gönder ◽  
Volkan Kılınçoğlu

Abstract Background: Over the past few decades, more articles have been published about wrist arthroscopy. The purpose of this study was to identify and analyze the 100 most cited articles about wrist arthroscopy.Methods: The 100 most cited articles were analyzed using the wrist arthroscopy as a keyword on the Web of Science database. Original articles, reviews, clinical trials, and cadaveric studies were included in the study. We recorded and analyzed the following information: Article title, first author, year of publication, journal of publication, the total number of citations, level of evidence, article language, country, institution, and the main topic of study. Results: The number of citations ranged from 35 to 180 (mean, 64.74). The total number of citations was 6,474. Among the articles examined, the most prolific country was the United States of America (USA). The Journal of Hand Surgery- American Volume was the journal with the most number of publications and the most cited articles. The main topics that were most analyzed and underlined were the diagnostic comparison of Magnetic resonanas imaging and arthroscopy and the diagnosis and treatment of triangular fibrocartilage complex.Conclusions: As a result, wrist arthroscopy continues to develop, and it is a subject that is open for new studies. More comprehensive and up-to-date randomised controlled studies comparing the benefit of wrist arthroscopy or open surgery for wrist pathologies will demonstrate the importance of arthroscopy in the diagnosis and treatment of problems related to this topic.


PEDIATRICS ◽  
1967 ◽  
Vol 39 (4) ◽  
pp. 485-487
Author(s):  
CHARLES U. LOWE

IN THE past year, several commentaries in Pediatrics have directed the attention of readers to problems confronting the medical community in general and the pediatrician in particular. The first step toward dealing with one of these problems, malnutrition in certain segments of the American population, has been taken. The Children's Bureau has announced the funding of a nutrition survey of the preschool children of the United States. It was suggested at the First White House Conference on Health that American medicine, while the best in the world, is poorly distributed. Many of the poor in our cities and in a number of rural districts get medical care which is inadequate in both quantity and in quality.


2018 ◽  
Vol 46 (14) ◽  
pp. 3423-3428 ◽  
Author(s):  
Sylvester T. Youlo ◽  
Brian E. Walczak ◽  
James S. Keene

Background: Over the past decade, the use of psychotropic medications (PTMs) in the United States has doubled, and currently 20% of adults are taking 1 or more of these antidepressant, antianxiety, antipsychotic, or mood-altering medications. To date, however, the incidence of PTM use in patients undergoing hip arthroscopy and the results of hip arthroscopy in these patients have not been reported. Purpose: To determine the prevalence of PTM use in patients undergoing hip arthroscopy and to compare the outcomes of patients taking PTMs versus those of patients not taking PTMs. Study Design: Cohort study; Level of evidence, 3. Methods: Medical records of 880 consecutive patients who underwent hip arthroscopy performed by the senior author were reviewed and data were collected, including the number and types of PTMs that these patients were taking at the time of their hip arthroscopy. All hips were assessed with the Byrd modified Harris Hip Score (mHHS) preoperatively; 709 patients (81%) had scores obtained at 12 months and 669 patients (76%) at 24 months after surgery. Demographic data and mHHS of patients taking psychotropic medications (PTM group) were compared with those of patients not taking PTMs (NPTM group). Results: Four hundred twenty-two (48%) of the 880 patients studied were taking PTMs at the time of their hip arthroscopy; significant differences between the PTM and NPTM groups were average age (48 vs 35 years, respectively), and the high percentage of females (53%) and low percentage of males (38%) in the PTM group. Preoperative scores for the PTM and NPTM groups were similar (41 vs 42 points, respectively), but postoperative scores of the PTM group were significantly lower at 6 months (72 vs 89 points), 12 months (77 vs 91 points), and 24 months (79 vs 88 points) after surgery ( P = .01). In contrast, the scores of the subgroups of PTM and NPTM adolescents obtained at 3 months (92.5 vs 88.9 points), 6 months (92.1 vs 90.3 points), 12 months (89.5 vs 92.1 points), and 24 months (90.3 vs 90.1 points) after surgery did not significantly differ. Conclusion: The incidence of PTM use in this series of patients with hip arthroscopy was triple that reported for US adults (48% vs 17%, respectively) and adolescents (23% vs 6.3%), and the PTM group had significantly lower 12- and 24-month mHHS results than the NPTM group. These results suggest that (1) patients undergoing hip arthroscopy who are taking PTMs are at significantly higher risk for poor outcomes and (2) their use of PTMs should be identified and addressed before proceeding with hip arthroscopy.


2020 ◽  
pp. 193864002097010
Author(s):  
Nathan Sherman ◽  
Nathaniel Bridge ◽  
Ansab Khwaja ◽  
Peter Du ◽  
Lisa Truchan

Background Contribution to literature is critical for progress in the field of orthopaedics. No previous study has yet examined the academic productivity of foot and ankle surgery fellowship faculty. Purpose To evaluate the publishing productivity of foot and ankle fellowship faculty. Methods Faculty and program characteristics of orthopaedic foot and ankle fellowship programs across the United States and Canada were collected from American Orthopaedic Foot and Ankle Society (AOFAS) and program websites. Faculty publication productivity measures, including publications, number of publications in specific journals, number of citations, and Hirsch index (h-index) were gathered using the Scopus database. Results A total of 48 AOFAS foot and ankle surgery fellowship programs were identified with an associated 185 faculty members. The mean number of publications per faculty member was 44.9 (SD = 53.0; range = 0-323), with a mean h-index of 11.9 (SD = 10.6; range = 0-54). A total of 144 (77.8%) academic-affiliated faculty had a significantly greater number of publications ( P < .01), total citations ( P < .05), and publications in Foot and Ankle International ( P < .05), Journal of Bone and Joint Surgery ( P < .05), Clinical Orthopaedics and Related Research ( P < .05), and Journal of the American Academy of Orthopaedic Surgeons ( P < .05) compared to the 41 (22.2%) nonacademic faculty. There were no significant differences between measures of publication productivity between male and female faculty, except for maximum citations in a single article (67.1 vs 142.3; P < .05). Conclusions Academic-affiliated foot and ankle fellowship faculty have higher research productivity than nonacademic surgeons. The mean h-index of foot and ankle fellowship faculty was 11.9, which is lower than that reported in sports, joints, and spine fellowship faculty but higher than that reported for hand fellowship faculty. Level of Evidence: Level IV


2021 ◽  
Vol 6 (3) ◽  
pp. 247301142110332
Author(s):  
Joshua P. Weissman ◽  
Cody Goedderz ◽  
Muhammad Y. Mutawakkil ◽  
Peter R. Swiatek ◽  
Erik B. Gerlach ◽  
...  

Background: No study in the orthopedic literature has analyzed the demographic characteristics or surgical training of foot and ankle fellowship directors (FDs). Our group sought to illustrate demographic trends among foot and ankle fellowship leaders. Methods: The American Orthopaedic Foot & Ankle Society (AOFAS) Fellowship Directory for the 2021 to 2022 program year was queried in order to identify all foot and ankle fellowship leaders at programs currently offering positions in the United States and Canada. Data points gathered included age, sex, race/ethnicity, location of surgical training, time since training completion until FD appointment, length in FD role, and individual research H-index. Results: We identified 68 fellowship leaders, which consisted of 48 FDs and 19 co-FDs. Sixty-five individuals (95.6%) were male, and 3 (4.4%) were female. As regards race/ethnicity, 88.2% of the leadership was Caucasian (n = 60), 7.4% was Asian American (n = 5), 1.5% was Hispanic/Latino (n = 1), and 1.5% was African American (n = 1). The average age was 51.5 years, and the calculated mean Scopus H-index was 15.28. The mean duration from fellowship training to fellowship leader position was 11.23 years. Conclusion: Leaders within foot and ankle orthopedic surgery are characterized by research prowess and experience, but demographic diversity is lacking. Level of Evidence: Level III.


2020 ◽  
Vol 37 (01) ◽  
pp. 035-043 ◽  
Author(s):  
Shenise Gilyard ◽  
Kaitlin Shinn ◽  
Nariman Nezami ◽  
Laura K. Findeiss ◽  
Sean Dariushnia ◽  
...  

AbstractTrauma remains one of the leading causes of death in the United States in patients younger than 45 years. Blunt trauma is most commonly a result of high-speed motor vehicular collisions or high-level fall. The liver and spleen are the most commonly injured organs, with the liver being the most commonly injured organ in adults and the spleen being the most affected in pediatric blunt trauma. Liver injuries incur a high level of morbidity and mortality mostly secondary to hemorrhage. Over the past 20 years, angiographic intervention has become a mainstay of treatment of hepatic trauma. As there is an increasing need for the interventional radiologists to embolize active hemorrhage in the setting of blunt and penetrating hepatic trauma, this article aims to review the current level of evidence and contemporary management of hepatic trauma from the perspective of interventional radiologists. Embolization techniques and associated outcome and complications are also reviewed.


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