Evidence map›Paper›PMID 42676427›Full record

SynthesisFrontiers in medicine2026

Peripheral nerve blocks for total knee arthroplasty: a bibliometric and visual analysis, 2016-2025.

Hao-Tian Li, Guang-Yong Lin, Yu Liu, Chuan-Xiang Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hao-Tian Li *Department of Anesthesiology, Wuxi Xinwu District Xinrui Hospital, Wuxi, Jiangsu, China.
Guang-Yong Lin *Department of Anesthesiology, Wuxi Xinwu District Xinrui Hospital, Wuxi, Jiangsu, China.
Yu LiuDepartment of Anesthesiology, The Third People's Hospital of Longgang, Clinical Institute of Shantou University Medical College (The Third People's Hospital of Longgang District Shenzhen), Shenzhen, Guangdong, China.
Chuan-Xiang ZhangDepartment of Anesthesiology, Wuxi Xinwu District Xinrui Hospital, Wuxi, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Total knee arthroplasty (TKA) is associated with substantial postoperative pain that may delay mobilization and recovery. Peripheral nerve blocks (PNBs) are widely studied within multimodal analgesia and enhanced recovery after surgery (ERAS) pathways, but the structure and evolution of this literature have not been comprehensively mapped. This bibliometric study evaluated global publication trends, collaboration patterns, citation structures, and prominent research themes in PNB research for TKA from 2016 to 2025. Methods: Records published from January 1, 2016, to December 31, 2025, were retrieved from the Web of Science Core Collection (WoSCC) and Scopus on January 7, 2026. After database-specific filtering, multistep deduplication, and eligibility screening, 1,225 unique English-language articles were included. Bibliometric analyses were conducted using VOSviewer (version 1.6.20), CiteSpace (version 6.2.R4), and the bibliometrix package in R (version 4.1.2). Full database-specific strategies, screening criteria, data harmonization rules, and analysis settings are provided in the Supplementary Methods. Results: Annual publication output fluctuated but increased overall from 105 records in 2016 to 129 in 2025, with a peak of 134 in 2024. The compound annual growth rate was 2.31% across the nine year-to-year intervals from 2016 to 2025. The United States and China contributed the largest publication volumes, and the Hospital for Special Surgery was the most productive institution. Keyword clustering identified nine clusters (modularity Conclusion: The literature on PNBs for TKA has increasingly examined motor-sparing techniques, functional recovery, long-acting local anesthetic formulations, and longer-term outcomes. Liposomal bupivacaine, chronic postsurgical pain, sleep disturbance, and cognitive outcomes were prominent themes. However, bibliometric prominence should not be interpreted as evidence of clinical superiority or as a basis for treatment recommendations. These findings identify areas of research activity and uncertainty that warrant further evaluation through comparative clinical studies and systematic evidence synthesis.

Indexed as

adductor canal blockbibliometric analysisIPACK blockliposomal bupivacaineperipheral nerve blocktotal knee arthroplasty

Identifiers

PMID42676427
PMCPMC13526949

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.