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BACKGROUND: In the present randomized prospective study, 2 different surgical techniques of plantar fasciitis surgery were compared. METHODS: Forty-eight patients who were diagnosed as plantar fasciitis and treated conservatively for at least 6 months and had no response to conservative treatment modalities were involved in this study. The patients were randomly assigned to endoscopic plantar fascia release (EPFR group) or cryosurgery (CS group). Patients were evaluated using American Orthopaedic Foot and Ankle Society ankle/hindfoot scale (AOFAS-AHS) as a primary outcome measurement at baseline and 3 weeks and 3, 6, and 12 months after the initial surgery. At the final follow-up appointment, the Roles- Maudsley score was used to determine patient satisfaction. RESULTS: Five patients did not complete the 1-year follow-up examination (1 in EPFR group and 4 in CS group). Thus, the study group included 43 patients. While both groups were showed significant improvement at the final evaluation, the patients undergoing EPFR had significantly greater AOFAS-AHS scores after 3 months postoperatively. The success rate (Roles and Maudsley score excellent and good) in the ESWT group at month 12 was 87 %, while in the CS group, the success rate was 65%. CONCLUSIONS: Both EPFR and CS were associated with statistically significant improvements at 1-year follow-up, but after 3 months postoperatively, EPFR was associated with better results and higher patient's satisfaction rate when compared with CS.

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PurposeBibliometrics is increasingly used to assess the quantity and quality of scientific research output in many research fields worldwide. However, to the best of our knowledge, no studies have documented the main characteristics of arthroplasty publications from different countries. This study aimed to evaluate the worldwide research productivity and status of Turkey in the field of arthroplasty using bibliometric methods and to provide an insight into the arthroplasty research for surgeons and researchers.MethodsThe Web of Science database was searched to identify arthroplasty articles published between 2006 and 2016. The contributions of countries were evaluated based on publication count, citation average, h-index and publication rate in the top 10 ranked journals. Each countries publication output was adjusted according to population size.ResultsA total of 26.167 articles were identified. World arthroplasty publications were increased significantly over time (p < .005). The United States was the most productive country with 9007 articles (34,4% of total) followed by England with 2939 articles (11,4 of total) and Germany with 1881 articles (7,1% of total). According to average citations per item, Scotland was in the first place followed by Denmark and Sweden, whereas in the first place according to publication output adjusted by population size was Switzerland followed by Denmark and Scotland. The United States was also in the first place according to h-index and publication rate in the top 10 ranked journals. Founding average was 28,8% (7539 of 26164) for the arthroplasty articles that were analyzed in the study.ConclusionThere is a rapid increase in the number of articles in arthroplasty research from 2006 to 2016. The United States was the most productive country as measured by total publications in the arthroplasty field. However, some small European countries with high in-come have higher quality of articles and better productivity when adjusted for population. Gross domestic product (GDP) per capita and research foundation had positive affect on arthroplasty publications, both qualitatively and quantitatively.