Page 85 - Journal of Special Operations Medicine - Spring 2017

Figure 1 Number of top-cited combat orthopedic articles by Figure 2 Primary topic of the most frequently cited combat
decade, 1940–2010s. The left axis indicates the number of orthopedic articles, 1940–2010s. The left axis indicate the
articles. number of articles by primary topic.

Table 5 Top 10 Journals by Numbers of Top-Cited Combat
Orthopedic Articles, 1940–2013
Table 4 Topics of the 115 Most Frequently Cited Articles No. of
on Combat Orthopedic Trauma and Extremity Injury in the Name of Journal Articles
Past 70 Years (1940–2013)
Journal of Trauma–Injury Infection and
No. of Articles Critical Care 33
Topic (N = 115) Military Medicine 10
Resuscitation 8
Foot and Ankle Clinics 5
Epidemiology (total) 27
Journal of Bone and Joint Surgery,
Combat casualties 7 American Volume 5
Orthopedics 10 Journal of Orthopaedic Trauma 5
Vascular 2 Journal of Vascular Surgery 5
Infections 2 Journal of Cardiovascular Surgery 4
Rehabilitation 6 Injury–International Journal of the Care of
Hemostasis (total) 8 the Injured 3
Agents or dressings 3 Journal of Rehabilitation Research and 3
Development
Tourniquets 4
Annals of Emergency Medicine 2
Clotting factors 1
Infection 7
and Afghanistan often address acute surgical care and ad-
Vascular trauma 28
vances in treatment of combat orthopedic trauma. How-
Neurotrauma 2 ever, this article focuses on manpower issues that modern
Orthopedic trauma 24 armies now face as there are more and more survivors
Prehospital 0 from war wounded. The US Army Physical Evaluation
Board evaluated 464 wounded Servicemembers from Oc-
Trauma system 1
tober 2001 to June 2005 to determine whether the Sol-
Wound management 7 diers were fit to continue to serve. Of those deemed unfit
Anesthesia 3 for service, 69% had orthopedic conditions.

Other studies soon followed, and other nations soon Articles Missing From the Original Search
used their trauma systems similarly.
but Deemed of Classic Importance
The No. 26 article, by Cross et al., the most highly cited Seven articles were found to be missing from our origi-
15
article of the 2010s, described the impact of orthopedic nal search. These missing articles numbered in citations
26
injuries and long-term disabilities in terms of “unfit- from 0 to 331. Beebe and DeBakey had no citations
ting” or disqualifying conditions for US Armed Forces listed in Web of Science, likely because theirs is a re-
Soldiers. Most articles from these recent conflicts in Iraq view of a classic book. Two of the seven articles came

Key Orthopedic and Extremity Injury Articles 63