ACL surgical innovation cycles: what goes around, comes around

Details

Serval ID
serval:BIB_306D6A122644
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
ACL surgical innovation cycles: what goes around, comes around
Journal
Journal of ISAKOS: Joint Disorders & Orthopaedic Sports Medicine
Author(s)
Martin Robin, Nyland John, Jakob Roland Peter
ISSN
2059-7754
2059-7762
Publication state
Published
Issued date
11/2020
Volume
5
Number
6
Pages
334-340
Language
english
Abstract
Over the past 45 years, the 'gold standards' for ACL surgery have evolved considerably. Many discoveries in the field of ACL surgery seem to come and go, in cycles. The aim of this paper was to confirm these cyclic phenomena by methodically researching the ACL literature. It proposes a bibliometric research of the literature over the last 45 years to assess temporal changes in publications on 3 topics of high interest in ACL surgery for which we hypothesised a cycle phenomenon: surgery to address anterolateral knee instability, ACL repair and prosthetic ACL reconstruction grafts. We searched PubMed from 1975 to 2019 with different equations and different Boolean operators. Review results are presented as graphs depicting the evolution of the annual publication number over the total number of PubMed results that year. Graph analysis confirmed cycles of interest in these 3 fields. When this analysis was put into perspective with the major historical articles in each field, cycles seem to have 5 typical phases: hope, inflation, disillusion, eclipse and rebirth. The initial hope-inflation and rebirth phase trend peak interval was approximately 35 years. Rebirth trend peak slope trajectories for each topic seemed to display more rapid and stronger rise times than the initial trend peak slope trajectories. These cyclic phenomena that were observed suggest that knee surgeons need to better balance early enthusiasm and hope for innovative surgical practice efficacy with the guidance of both scientific rigour derived evidence and history.
Keywords
knee, anterior cruciate ligament, reconstructive surgical procedures
Web of science
Create date
15/06/2021 12:23
Last modification date
26/06/2021 7:14
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