A Bibliometric Analysis of Complications in Arthroscopic ACL Reconstruction: Two Decades of Insights.

Abstract

Arthroscopic ACL reconstruction, a cornerstone in modern orthopedics, aims to restore knee stability while minimizing complications. Bibliometric analysis provides insights into research trends, influential contributors, and advancements in this field. A systematic analysis of 104 eligible articles on ACL reconstruction complications was conducted using the Web of Science database. Data, including titles, authors, and journals, were extracted. Bibliometric insights were generated using R software, while VOS viewer visualized bibliographic coupling, co-authorship networks, and keyword co-occurrence through interactive mapping techniques. Annual publications peaked in 2022, with the U.S. contributing 73 studies and fostering global collaborations. <i>Arthroscopy: The Journal of Arthroscopic and Related Surgery</i> emerged as the leading journal, with the highest H-index and G-index. Dr. Brian Forsythe was identified as the most prolific author. Key articles addressed complications such as infections. Co-citation and co-authorship analyses highlighted collaborative efforts among institutions, while keyword analysis revealed prominent research themes, including ACL reconstruction techniques, complication management, and outcomes. This 20-year bibliometric review underscores global research trends in arthroscopic ACL reconstruction, with the U.S. leading in both publication volume and impact. Journals like <i>Arthroscopy</i> set benchmarks in the field, while emerging research focuses on improving outcomes, addressing complications, and refining patellar tendon graft techniques. The online version contains supplementary material available at 10.1007/s43465-025-01543-x.