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Luxación congénita de rodilla. Protocolo terapéutico y resultados funcionales a largo plazo.

2026-02-12T09:43:44Z

Título : Luxación congénita de rodilla. Protocolo terapéutico y resultados funcionales a largo plazo. Autor : Salvador Marín, Jorge; Miranda Gorozarri, Carlos; EGEA-GÁMEZ, ROSA MARÍA; Alonso Hernández, J.; Martínez Álvarez, S.; Palazón Quevedo, Á. Resumen : Antecedentes y objetivo: La luxación congénita de rodilla es una entidad muy infrecuente,caracterizada por la deformidad en genu recurvatum presente al nacimiento, no existiendo enla actualidad consenso sobre el tratamiento óptimo. El objetivo del presente estudio es analizarlos resultados funcionales y complicaciones a largo plazo tras la aplicación de un protocolo deactuación terapéutica para el manejo de luxación congénita de rodilla (PLCR) creado en uncentro de referencia de ortopedia infantil.Materiales y métodos: Estudio descriptivo retrospectivo de pacientes con luxación congénita derodilla que siguieron el PLCR entre enero de 1997 y diciembre de 2010. Se estudiaron variablesdemográficas, tipo de tratamiento, resultados funcionales al finalizar el seguimiento, com-plicaciones y recidivas. El tratamiento conservador consisitió en yesos seriados, dejando eltratamiento quirúrgico para los casos en los que no se consiguió una flexión pasiva mayor a 30◦o fracasó el tratamiento conservador.Resultados: Nueve pacientes (11 rodillas) cumplieron los criterios de inclusión. El 66,7% fueronni˜nas y el seguimiento medio fue de 15 a˜nos (9-22). En todos los casos se inició tratamientoconservador. De las 11 rodillas tratadas en menos de la mitad (36%) se precisó realizar cirugía.El cuestionario Lysholm medio fue de 90,3 puntos, el WOMAC dolor 0,4 (0-1), WOMAC rigidez1,8 (0-6) y WOMAC función 3,8 (1-12).Conclusiones: La existencia y aplicación del protocolo PLCR en una afección tan infrecuentecomo la luxación congénita de rodilla sugiere unos buenos resultados funcionales a largo plazocon escasas complicaciones y sin recidivas.; Background and objective: Congenital knee dislocation is a very rare entity, characterised bydeformity in knee recurvatum present at birth, and there is currently no consensus on theoptimal treatment. The aim of the present study is to analyse the functional results and long-term complications after the application of a protocol of therapeutic action for the managementof congenital knee dislocation (CKD) created in a reference centre for child orthopaedics.Materials and methods: Retrospective descriptive study of patients with congenital dislocationof the knee who followed CRPL between January 1997 and December 2010. Demographic varia-bles, type of treatment, functional outcomes at the end of the follow-up, complications andrelapses were studied. The conservative treatment consisted of serial casts, leaving the surgicaltreatment for cases in which passive flexion was not achieved above 30◦or the conservativetreatment failed.Results: 9 patients (11 knees) met the inclusion criteria. The 66.7% were girls and the averagefollow-up was 15 years (9-22). In all cases, conservative treatment was initiated. Of the 11knees treated, less than half (36%) required surgery. The average Lysholm questionnaire was90.3 points, the WOMAC pain 0.4 (0-1), WOMAC stiffness 1.8 (0-6) and WOMAC function 3.8(1-12).Conclusions: The existence and application of the PLCR protocol in a pathology as rare ascongenital knee dislocation suggests good long-term functional results with few complicationsand no recurrences.

Factores de riesgo para la demora quirúrgica en la fractura de cadera.

2026-02-12T09:41:57Z

Título : Factores de riesgo para la demora quirúrgica en la fractura de cadera. Autor : Sanz-Reig, Javier; Salvador Marín, Jorge; Ferrández Martínez, J.; Orozco Beltrán, Domingo; Martínez López, J.F. Resumen : Objetivo: Identificar los factores al ingreso relacionados con una demora quirúrgica mayor de 2 días en pacientes mayores de 65 a˜nos con fractura de cadera. Material y métodos: Estudio de una base de datos prospectiva de pacientes mayores de 65 a˜nos con fractura proximal de fémur entre enero de 2015 y abril de 2016. Se incluyeron en el estudio 180 pacientes. Se registraron variables demográficas, día de ingreso, comorbilidades asociadas, estado mental, nivel de deambulación y dependencia, tipo de fractura, toma de medicación anticoagulante o antiagregante, valor de la hemoglobina al ingreso, tipo de tratamiento, y demora quirúrgica. Resultados: La edad media de los pacientes fue de 83,7 a˜nos. El valor medio del índice de comorbilidad de Charlson era de 2,8; con un 70% de pacientes con al menos 2 comorbilidades. La demora quirúrgica media fue de 3,1 días. En el momento del ingreso, 122 pacientes (67,7%) se consideraron aptos para la intervención quirúrgica. De ellos, 80 pacientes (44,4%) fueron intervenidos en los 2 primeros días tras el ingreso. El análisis multivariante mostraba el índice de comorbilidad de Charlson mayor de 2, la anticoagulación, y el ingreso hospitalario de jueves a sábado, como factores independientes asociados a la demora quirúrgica mayor de 2 días. Conclusiones: El porcentaje de pacientes con fractura de cadera intervenidos en los 2 primeros días del ingreso hospitalario es bajo. Los factores asociados a la demora quirúrgica no son modificables. Sin embargo, su conocimiento debería permitir el desarrollo de protocolos de actuación que consiguieran reducir la demora quirúrgica en este grupo de pacientes.; fractureAbstractObjective: To identify pre-operative risk factors for surgical delay of more than 2 days afteradmission in patients older than 65 years with a hip fracture.Material and methods:A prospective observational study was conducted on 180 hip fracturesin patients older than 65 years of age admitted to our hospital from January 2015 to April 2016.The data recorded included, patient demographics, day of admission, pre-fracture comorbidi-ties, mental state, level of mobility and physical function, type of fracture, antiaggregant andanticoagulant medication, pre-operative haemoglobin value, type of treatment, and surgicaldelay.Results: The mean age of the patients was 83.7 years. The mean Charlson Index was 2.8.The pre-fracture baseline co-morbidities were equal or greater than 2 in 70% of cases. Meantiming of surgery was 3.1 days. At the time of admission, 122 (67.7%) patients were fit forsurgery, of which 80 (44.4%) underwent surgery within 2 days. A Charlson index greater than 2,anticoagulant therapy, and admission on Thursday to Saturday, were independently associatedwith a surgical delay greater than 2 days.Conclusions: The rate of hip fracture patients undergoing surgery within 2 days is low. Riskfactors associated to surgical delay are non-modifiable. However, their knowledge should allowthe development of protocols that can reduce surgical delay in this group of patients.

Tendinopatía rotuliana: una guía práctica de consenso para la elección del mejor tratamiento.

2026-02-12T09:40:45Z

Título : Tendinopatía rotuliana: una guía práctica de consenso para la elección del mejor tratamiento. Autor : De Rus Aznar, Ignacio; Cuadrado Rubio, L. E.; Fernández Kelly Rodriguez Marques, Ignacio; González Martín, D.; Salvador Marín, Jorge; Fraga Vicandi, J.; Abat González, F. Resumen : La tendinopatía rotuliana cursa como un cuadro de dolor anterior de rodilla localizado fundamentalmente en el polo inferior de la patela. La causa principal de esta condición degenerativa son los movimientos repetitivos que generan una carga excesiva del tendón, particularmente durante los deportes que impliquen cambios rápidos de dirección, saltos y carreras, como voleibol, baloncesto o fútbol. Representa hasta un 30-45% de las lesiones que sufren los atletas involucrados en deportes de salto, con tiempos de inactividad que pueden alcanzar los 6 meses. Aunque se acepta que el manejo conservador debe suponer la primera línea de tratamiento, existen diferentes alternativas dentro de este, con mecanismos de acción y duración heterogéneos, así como efectividad y niveles de evidencia variables. Asimismo, es difícil encontrar protocolos de tratamiento que sirvan de guía para el manejo de esta patología durante la práctica clínica. Cuando fracasa el tratamiento conservador, se ha descrito la cirugía tanto abierta como artroscópica para el tratamiento de esta patología, con técnicas variables y resultados consistentes. El objetivo de este trabajo es realizar una revisión narrativa para exponer las alternativas de tratamiento más habituales, su mecanismo de acción, así como detallar el nivel de evidencia condisponible para su aplicación y, finalmente, emitir un grado de recomendación para cada uno de ellos. Se pone de manifiesto que la terapia física basada en un programa de ejercicios supervisados ha de suponer la base del tratamiento; no obstante, cuando esta fracasa, parece indicado proporcionar al paciente una técnica invasiva orientada a favorecer los mecanismos de reparación tendinosos, reservando la cirugía para aquellos casos recalcitrantes, puesto que se carece de estudios comparativos de calidad que permitan universalizar su uso.; Patellar tendinopathy is characterized by anterior knee pain fundamentally located in the lower pole of the patella. This degenerative condition is mainly caused by repeated movements that generate excessive loading of the tendon, particularly during sports activities characterized by rapid changes in direction, jumping and running, such as volleyball, basketball or soccer. Patellar tendinopathy accounts for 30-45% of all lesions experienced by jumping athletes, causing inactivity periods of as long as 6 months. Although conservative management is accepted to be the first line treatment option, it comprises a number of different alternatives, with heterogeneous mechanisms of action and duration, as well as variable effectiveness and levels of evidence. Likewise, it is difficult to find treatment protocols that serve as a guide to the management of this disease in the context of clinical practice. When conservative management fails, both open and arthroscopic surgery have been described for the treatment of these disorders, with variable techniques and consistent outcomes. The present study offers a narrative review of the most common treatment options and their mechanisms of action, and details the available level of evidence for their application. Lastly, a grade of recommendation is provided for each of them. It is seen that physical therapy based on supervised exercises should constitute the basis of treatment. However, when this strategy fails, it seems advisable to offer the patient an invasive technique aimed at favoring the mechanisms of tendon repair - reserving surgery for refractory cases, since there is a lack of quality comparative studies allowing generalization of its use.

Factores de riesgo de mortalidad intrahospitalaria en la fractura proximal de fémur.

2026-02-12T09:39:41Z

Título : Factores de riesgo de mortalidad intrahospitalaria en la fractura proximal de fémur. Autor : Sanz-Reig, Javier; Salvador Marín, Jorge; Pérez Alba, José Manuel; Ferrández Martínez, J.; Orozco Beltrán, Domingo; Martínez López, J.F. Resumen : Objetivo: Identificar y cuantificar los factores relacionados con la mortalidad intrahospitalaria en pacientes mayores de 65 a˜ nos con fractura proximal de fémur. Material y métodos:Estudio observacional de cohortes retrospectivo de una base de datos prospectiva de pacientes mayores de 65 a˜ nos con fractura proximal de fémur entre 2011 y 2014. Se incluyeron en el estudio 331 pacientes. Se registraron variables demográficas, procedencia del paciente, grado de deambulación y dependencia, comorbilidades asociadas, estado mental, toma de medicación anticoagulante o antiagregante, valor de la hemoglobina al ingreso, tipo de fractura, tipo de tratamiento, demora quirúrgica y presencia de complicaciones. Resultados: La edad media de los pacientes fue de 83 a˜ nos. En un 73% eran mujeres. Y el 57% presentaron fractura subcapital de fémur. El número de comorbilidades era igual o mayor de 2 en un 62,8%. La mortalidad intrahospitalaria fue del 11,4%. En el estudio univariante, la edad mayor de 90 a˜ nos, sexo varón, no antiagregación, el tratamiento ortopédico de la fractura, un valor de la hemoglobina ≤ 10 g/dl, un número de comorbilidades ≥ 2, un índice de Charlson ≥ 2, un índice de Charlson ajustado a la edad ≥ 6, la insuficiencia cardíaca, el asma, la enfermedad reumática, fueron variables asociadas a la mortalidad intrahospitalaria. Conclusiones: Los factores preoperatorios relacionados con el paciente influyen directamente en la mortalidad intrahospitalaria del paciente con fractura proximal de fémur mayor de 65 a˜ nos. Dado que estos factores no son modificables, recomendamos el desarrollo de protocolos de actuación que permitan reducir la mortalidad intrahospitalaria en este grupo de pacientes.; Objective: To identify and quantify the risk factors for in-hospital mortality in patients older than 65 years with a hip fracture. Materials and methods:Retrospective review of prospectively collected data. We studied a cohort of 331 hip fracture patients older than 65 years of age admitted to our hospital from 2011 to 2014. Patients demographics, type of residence, physical function, mobility, prefracture comorbidities data, cognitive status, anti-aggregant and anticoagulant medication, preoperative haemoglobin value, type of fracture, type of treatment, surgical delay, and complications, were recorded. Results: The average age was 83, 73% female, and 57% had sustained a subcapital fracture. In 62.8% pre-fracture baseline co-morbidities were equal or greater than 2. The in-hospital mortality rate was 11.4%. In univariate analysis, age over 90, male gender, haemoglobin ≤ 10 g/dl, no antiplatelet agents, orthopaedic treatment, number of co-morbidities ≥ 2, Charlson index ≥ 2, age-adjusted Charlson index ≥ 6, congestive heart failure, asthma, rheumatologic disease, were associated with in-hospital mortality. Conclusions: Preoperative patient-related factors have a strong relationship with in-hospital mortality in a hip fracture patients aged older than 65 years. These factors are non-modifiable; we recommend the development of protocols to reduce in-hospital mortality in this group of patients.

Surgical treatment of elbow flexion contracture due to brachial plexus birth injury: A systematic review and meta-analysis.

2026-02-12T09:38:37Z

Título : Surgical treatment of elbow flexion contracture due to brachial plexus birth injury: A systematic review and meta-analysis. Autor : Escudero Pérez, Irene ; Gutierrez-Pereira, Javier; Salvador, Jorge; Ley, Alfonso ; Garcia-Lopez, Antonio Resumen : Background: This study aimed to evaluate the effectiveness of surgical treatments for elbow flexion contracture in patients with brachial plexus birth injury (BPBI), as well as to assess postoperative complications-specifically, loss of elbow flexion-associated with these interventions. A systematic review and meta-analysis were conducted to compare pre- and postoperative outcomes across different surgical techniques. Methods: A systematic search was performed in PubMed, Scopus, and Embase. Eight case series were included, reporting on anterior release, olecranon resection, biceps tendon lengthening, and gradual arthrodiastasis. Mean differences in elbow extension gain and 95% confidence intervals (CIs) were calculated. Subgroup analyses considered follow-up duration and age at surgery. Results: Out of 2700 initially screened articles, eight were included. The mean gain in elbow extension was 29.69° (CI: 23.69-35.53, p < .00001). Gradual arthrodiastasis achieved the highest improvement (47.00°, CI: 37.08-56.92), followed by anterior release (30.36°, CI: 26.56-34.16). Subgroup analysis showed better outcomes in the 12-36 month follow-up group (29.83°, CI: 22.66-37.01). Furthermore, patients over 18 years of age showed the greatest improvement (47.00°, CI: 37.08-59.92); however, this result is based solely on a single study that utilized gradual arthrodiastasis, thereby limiting its generalizability .No significant loss of elbow flexion was observed. Discussion: Surgical interventions significantly improve elbow extension in BPBI patients. Gradual arthrodiastasis is the most effective, though variability in techniques limits direct comparison. Standardized protocols and long-term prospective studies are needed.

Prognostic factors and predictive model for in-hospital mortality following hip fractures in the elderly.

2026-02-12T09:35:13Z

Título : Prognostic factors and predictive model for in-hospital mortality following hip fractures in the elderly. Autor : Sanz-Reig, J.; Salvador Marín, Jorge; Ferrández Martínez, J.; Orozco Beltrán, Domingo; Martínez López, J.F.; Quesada Rico, J.A. Resumen : Purpose: The incidence of hip fractures is increasing within the aging population. Our objective was to identify and quantify the risk factors and develop a predictive model for the in-hospital mortality among hip fracture patients older than 65 years. Methods: This is a prospective study conducted on 331 hip fracture patients older than 65 years admitted to our hospital from 2011 to 2014. Patients' demographics, prehospitalization residential status, prefracture comorbidity data, anti-aggregant and anticoagulant medication, preoperative hemoglobin value, type of fractures, type of treatments, time to surgery, and complications were recorded. Results: The average age was 83 years, 73% female, and 57% of them sustained a femoral neck fracture. In 62.8% of patients, the number of pre-fracture baseline comorbidities was 2. The in-hospital mortality rate was 11.4%. In multivariate analysis, age over 90 years, congestive heart failure, asthma, rheumatologic disease, lung cancer, and not taking antiaggregant medication were independently associated with in-hospital mortality. A formula and risk stratification scoring for predicting the risk for in-hospital mortality was developed. Risk-adjustment model based on these variables had acceptable accuracy for predicting in-hospital mortality (c-statistic 0.77). Conclusion: Advanced age, and five prefracture comorbidities have a strong association with in-hospital mortality in a hip fracture patient older than 65 years old. Our predictive model was specifically designed for the old hip fracture population. It has an accuracy similar to other risk models. The specificity, positive predictive value, and negative predictive value are high. In addition, it could discriminate a high risk patient from a low risk patient for in-hospital mortality.

Histology and Type I Collagen, Tenascin and Elastin Expression in Autologous and Allogeneic Anterior Cruciate Ligamentoplasties.

2026-02-12T09:31:45Z

Título : Histology and Type I Collagen, Tenascin and Elastin Expression in Autologous and Allogeneic Anterior Cruciate Ligamentoplasties. Autor : Guillén-Vicente, I.; Lopez-Alcorocho, Juan Manuel; Salvador Marín, Jorge; RODRIGUEZ IÑIGO, ELENA; Díaz-Motola, G.; Fernández-Jaén, T. F.; Ibáñez, E.; Guillén-García, P. Resumen : Background. Ligamentization has been accepted in Anterior Cruciate Ligament (ACL) surgery. The purpose of this study is to evaluate ligamentization of different allografts and autografts used as plasties through histological and type I collagen (COL1), tenascin (TEN) and elastin (ELA) expression analysis. Methods. Prospective study of patients who underwent ACL reconstruction with at least 1-year follow-up. Biopsies were taken by arthroscopy and tissue sections were stained with hematoxilin-eosin and Masson’s trichrome. Relative COL1, TEN and ELA expression was studied by RT-PCR. Hamstring tendon and intact ACL biopsies were used as controls. Results. Eleven patients with a mean age of 36.6 ± 12.0 years were included. In 9 cases, ACL reconstruction was carried-out with autologous hamstring tendons while in the 2 remaining patients ACL was reconstructed using an achilles allograft. COL1, TEN and ELA expression of plasties was significantly different to ACL but similar to hamstring tendon. Histological analysis showed a dense fibroconnective tissue with cells similar to tenocytes, which could not be classified neither as a tendon nor as a ligament. Conclusions. An ACL plasty, independently of its origin (autologous hamstring or allogeneic achilles) does not become a ligament, at least in our study period (5 years) but it does maintain ACL functionality.

Arthroscopic resection as a rapid recovery treatment for Os acetabuli in soccer players who had undergone hip arthroscopy: a case series with 1‑year follow‑up.

2026-02-12T09:26:55Z

Título : Arthroscopic resection as a rapid recovery treatment for Os acetabuli in soccer players who had undergone hip arthroscopy: a case series with 1‑year follow‑up. Autor : Salvador, Jorge; Seijas, Roberto; Ferré-Aniorte, Alfred; Laiz, Patricia; Barastegui, David; Cugat, Ramón Resumen : IntroductionOs acetabuli (OSA) is defined as a radiopaque structure located around the acetabular rim highly related to Femoroacetabular Impingement (FAI). Its treatment depends on the perspective of post-surgical joint instability. Ossicle resection is recommended if the femoral head is covered enough by the labrum. Previous research has described the results of this technique in general population. The aim of this study is to describe the outcomes and the time and rate of return to play (RTP) after hip arthroscopy and OSA removal in soccer players.MethodsThis study is a retrospective analysis of a prospective database containing all the consecutive soccer players who had undergone hip arthroscopy between 2018 and 2019. The subjects diagnosed with OSA and a center–edge angle (CEA) > 25 ° were included in the analysis. All the patients were treated with arthroscopic removal of the OSA and femoral osteoplasty. Hip function was assessed using the Modified Harris Hip Score (MHHS) before and at 3 and 12 months after surgery. Rate of RTP and competitive level at RTP were assessed at a 1-year follow-up.ResultsBetween 2018 and 2019, 90 soccer players were treated with hip arthroscopy in our facilities. Six of them (6.6%) were diagnosed with OSA. Mean (SD) MHHS values were 69.7 (12.1) before the surgery, 89.7 (6.7) at 3 months post-surgery and 95.7 (5.1) at 12 months post-surgery. All the subjects reported significant improvements in their MHHS scores at 3 and 12 months post-surgery compared with pre-surgery levels (p < 0.01). Non-significant differences were found between 3 and 12 months post-surgery (p > 0.05). All the subjects (100%) returned to previous competitive levels.ConclusionsAfter surgery, all the soccer players returned to previous competitive level. Preoperative MHHS improved significantly at 3 months maintained for up to 12 months.

Factores de riesgo para el ingreso prolongado y mortalidad intrahospitalaria en la fractura del fémur proximal en pacientes mayores de 65 años.

2026-02-12T09:25:53Z

Título : Factores de riesgo para el ingreso prolongado y mortalidad intrahospitalaria en la fractura del fémur proximal en pacientes mayores de 65 años. Autor : Salvador Marín, Jorge; Ferrández Martíneza, F.J.; Fuster Such, C.; Seguí-Ripoll, José Miguel; Orozco Beltrán, D.; Carratalá Munuera, M.C.; Martínez López, J.F.; Marzo Campos, J.C. Resumen : Objetivo: Determinar los factores de riesgo que influyen en la mortalidad intrahospitalaria y/o el incremento de la estancia hospitalaria en pacientes mayores de 65 a˜nos con fractura del fémur proximal. Material y métodos: Estudio retrospectivo de pacientes de edad superior a 65 a˜nos intervenidos por fractura de cadera entre enero de 2015 y diciembre de 2017. Se estudian comorbilidades médicas, psicológicas, funcionales y analíticas presentes al ingreso, así como tratamiento, complicaciones y seguimiento analítico durante el ingreso y estado funcional y residencia al alta para un total de 54 variables. Se realiza un análisis bivariante mediante un punto de corte o endpoint compuesto entre mortalidad intrahospitalaria y el incremento de más de 10 días de estancia hospitalaria. Resultados: Fueron incluidos 360 pacientes con edad media de 84 a˜nos. El 75% eran mujeres y el 53,5% sufrió una fractura pertrocantérea. La media de comorbilidades por paciente fue 2,7 (0-7) siendo las más frecuentes la hipertensión arterial, demencia y diabetes. La mortalidad intrahospitalaria fue del 3,6% (n = 13) y la estancia hospitalaria media fue de 8,4 días (1-35), estando el 16,4% por encima de los 10 días. La presencia de complicaciones médicas (p < 0,001), nivel de hemoglobina al ingreso (p < 0,001), hipertensión arterial (p = 0,012), obesidad (p = 0,018) y Parkinson (p = 0,034) se relacionaron con la aparición del punto de corte estudiado. Conclusión: La hipertensión arterial, obesidad, Parkinson, el nivel de hemoglobina al ingreso y aparición de complicaciones médicas son variables que aumentaron el riesgo de la mortalidad intrahospitalaria y/o una estancia hospitalaria por encima de los 10 días en pacientes mayores de 65 a˜nos con fractura proximal del fémur.; Purpose: To determine the risk factors influencing in-hospital mortality and/or increased hospital stay in patients older than 65 years with proximal femur fracture. Methods: Retrospective study of patients aged over 65 years operated on for hip fracture between January 2015 and December 2017. Medical, psychological, functional and analytical comorbidities present at admission as well as treatment, complications and analytical follow-up during admission and functional status and residence at discharge are studied for a total of 54 variables. A bivariate analysis was performed using a composite endpoint between in-hospital mortality and the increase of more than 10 days of hospital stay. Results: 360 patients were included with a mean age of 84 years. 75% were women and 53.5% suffered a pertrochanteric fracture. The mean number of comorbidities per patient was 2.7 (0-7), the most frequent being hypertension, dementia and diabetes. In-hospital mortality was 3.6% (n: 13) and mean hospital stay was 8.4 days (1-35), with 16.4% exceeding 10 days. The presence of medical complications (p<0.001), hemoglobin level at admission (p<0.001), arterial hypertension (p=0.012), obesity (p=0.018) and parkinson (p=0.034) were related to the occurrence of the studied cut-off point. Conclusion: Arterial hypertension, obesity, Parkinson’s disease, hemoglobin level at admission and occurrence of medical complications are variables that increased the risk of in-hospital mortality and/or a hospital stay above 10 days in patients older than 65 years with proximal femoral fracture.

Evolutionary Analysis of International Scientific Output in Occupational Therapy from 1917 to 2020

2026-02-11T11:52:10Z

Título : Evolutionary Analysis of International Scientific Output in Occupational Therapy from 1917 to 2020 Autor : Espinosa-Sempere, María Cristina; Pérez-Jover, Virtudes; Quesada Rico, Jose Antonio; López-Pineda, Adriana; Carratala-Munuera, Concepcion Resumen : Published evidence on the progress of occupational therapy research from a broad perspective is limited. The purpose of this study was to analyze the international research productivity on occupational therapy from 1917 to 2020. This was a bibliometric study including articles indexed on MEDLINE, Scopus, and CINAHL. The literature search was conducted in June 2021 using the descriptor "occupational therapy" and the term "Ergotherap*", and was limited to citable documents. Price's law and Bradford's law were applied to analyze a number of bibliometric indicators. Research on occupational therapy had an average annual growth rate of 26.4% and followed an exponential model. The top producing countries were the USA (21.52%) and the UK (6.07%). There is a high transience index of 74.81%. The top producing author was Kielhofner, G. (n = 132). Studies with the highest reported scientific evidence accounted for 1.13% (n = 638) of the total number of publications. More randomized controlled trials are necessary to increase the quality of the evidence base. Moreover, a greater collaboration between authors is needed for the professionalization of this research field.