Research Trends and Knowledge Evolution of Surgical Approaches in Primary Total Hip Arthroplasty: A Bibliometric Analysis.
Total hip arthroplasty (THA) critically influences outcomes; however, a comprehensive mapping of the research landscape remains absent. We systematically characterized the knowledge structure, collaborative networks, and research priorities within the THA approach literature from 2000 to 2026. Multi...
| Publicado en: | Inquiry (00469580) Vol. 63; pp. 1 - 24 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
4/25/2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=193250517&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 193250517 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 4/25/2026 vid: 63 pid: 344 pub: Sage Publications Inc. artinfo: ui: 193250517 10.1177/00469580261439653 ppf: 1 ppct: 23 formats: tig: atl: Research Trends and Knowledge Evolution of Surgical Approaches in Primary Total Hip Arthroplasty: A Bibliometric Analysis. aug: au: Liu, Yang Wang, Chong Zou, Hao Wang, Chengguang Peng, Xu affil: People's Hospital of Chongqing Hechuan, China The First Affiliated Hospital of Chongqing Medical University Hechuan District Hospital, China su: Intellect Medical information storage & retrieval systems Serial publications Total hip replacement Research funding Descriptive statistics Minimally invasive procedures Operative surgery Orthopedic surgery MEDLINE International relations Patient-centered care Bibliometrics Medical research Evidence synthesis Medical databases Online information services Authors Data analysis software sug: subj: Intellect Medical information storage & retrieval systems Serial publications Total hip replacement Research funding Descriptive statistics Minimally invasive procedures Operative surgery Orthopedic surgery MEDLINE International relations Patient-centered care Bibliometrics Medical research Evidence synthesis Medical databases Online information services Authors Data analysis software keyword: bibliometric analysis direct anterior approach evidence synthesis implementation science knowledge mapping research trends surgical approaches total hip arthroplasty ab: Total hip arthroplasty (THA) critically influences outcomes; however, a comprehensive mapping of the research landscape remains absent. We systematically characterized the knowledge structure, collaborative networks, and research priorities within the THA approach literature from 2000 to 2026. Multi-database bibliometric analysis integrated data from the Web of Science, PubMed, Embase, and Cochrane Library. Following deduplication, 4023 publications were analyzed using Bibliometrix, VOSviewer, and CiteSpace to map publication trends, collaboration networks, thematic evolution, and citation dynamics. Annual publications demonstrated sustained expansion (annual growth rate: 9.68% over the complete-year window 2000-2024), with marked acceleration after 2020 and peak production exceeding 300 publications during 2023 to 2024. The United States emerged as the primary hub (30.7% of publications), with European and East Asian centers forming secondary nodes. The Journal of Arthroplasty anchored volume (637 publications), while high-impact general journals (JBJS-Am, CORR) achieved the greatest citation efficiency (>60 citations per publication). Keyword clustering revealed well-differentiated themes (Q = 0.351, S = 0.706) centered on outcome surveillance, direct anterior approach evaluation, and positioning accuracy. Citation bursts documented a 3-phase evolution: minimally invasive descriptions (2003-2012), comparative benchmarking (2012-2020), and registry-based evidence (2018-2026). The field has matured from seeking universal approach superiority toward patient-, surgeon-, and system-specific selection paradigms. Priority directions include implementation science for learning curves, standardized patient-centered outcomes, health economic assessment, and approach-technology-pathway interaction studies. Geographic expansion beyond North American and European centers is essential for evaluating context-dependent effectiveness across diverse healthcare systems worldwide. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
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