Bibliometric analysis of the top 100 most cited articles related to pathological fractures.

Bibliometric studies in the field of orthopedics have increased because of the large volume of the available literature that prevents understanding the general status of the related field. This study aimed to identify and analyze the 100 most-cited articles related to flatfoot to reveal their characteristics and research trends. Available literature on the Web of Science database until the end of 2020 were analyzed, and the 100 most-cited articles were determined. The characteristics of articles including publication year, authors, institutions, country, journal, number of pages, number of references, study design, level of evidence, main topic, age group, the specialty of the first author, and availability of funding were extracted and statistically analyzed for any association with the number of citations or citation density. The average citation number was 63.1 ± 43.8 (range, 30-278). The average citation density was 3.4 ± 1.8 (range, 0.8-12.6). The United States was the leading country with 65 articles, followed by Taiwan and the United Kingdom with five articles from each. Twenty-six papers had Level III evidence and 36 papers had Level IV evidence. Only three studies had Level I evidence and three had Level II evidence. The majority of articles (43 papers) were published in Foot & Ankle International. Citation density was positively correlated with publication year (P < .001) and the number of references (P = .004). The available data provide general characteristics of the 100 most influential papers about flatfoot. The vast majority of papers had a low level of evidence, indicating the need for higher quality research.

Background:Despite significant effort expended toward exploring fracture patterns, surgical timing, surgical approaches, and possible implants within the calcaneus fracture literature, treatment is still fraught with complications and controversy. This study aims to conduct a citation analysis of the most cited articles related to calcaneus fractures to highlight the most historically influential articles, as well as the more recent breakthrough articles that are leading change within the field.Methods:A literature search was performed via Scopus on September 20, 2021 using the terms “(calcaneus OR calcaneal OR hindfoot) AND (fracture OR injury)” to search “article title, abstract, and keywords” of all primary and review articles. Search results were rigorously reviewed to ensure appropriateness for this study. The 50 highest total cited included articles were analyzed. Title, authors, journal, country of origin, institution, year of publication, citation variables (total citation count, total citation density, citation count from the last 5 years, and 5-year citation density), and level of evidence were collected for each article. One-way analysis of variance with post hoc testing was used to identify differences in citation variables and level of evidence. Pearson correlation was used to directly compare different citation variables.Results:The total citation count average was 178±33, with a total citation density average of 9±2. The year of publication for the 50 articles ranged from 1948 to 2014, with a median year of 1999. Roy W. Sanders was the most productive author in the field, authoring 6 articles and lead authoring 3. The most frequent level of evidence was IV with 19 articles. There was a strong correlation between total citation density and 5-year citation density. The article level of evidence showed no impact on the included measures of an article’s influence.Conclusion:This study successfully analyzes and presents the characteristics among the highest cited articles related to calcaneus fractures. The provided characterization of influential works and authors highlights trends, impactful findings, and future areas of focus within calcaneus fracture literature.Level of Evidence: Review Article.

A bibliometric review of the literature. The aim of this study was to identify the most highly cited articles relating to imaging of the spine and to analyze the most influential papers and evolving trends in spinal imaging research. Spinal imaging is being performed with increasing frequency and is an essential step in the diagnosis and treatment planning of spinal pathology. A comprehensive review of the most influential articles in spinal imaging has not been performed, until now. A selection of search terms and keywords were inputted into the "Web of Science" database and the most highly cited articles in spinal imaging were selected from high impact factor journals. The top 100 articles were analyzed for year of publication, authorship, publishing journals, institution and country of origin, subject matter, article type, and level of evidence. In addition to total citation count, the number of annual citations was also calculated. Citation counts from Scopus and Google Scholar were also obtained for comparison across other citation index platforms. The most highly cited articles in spinal imaging were published over 30 years, between 1983 and 2013. Total citation count ranged from 98 to 1243 with annual citation count ranging from 3.8 to 91.8. The greatest number of highly cited articles was produced in the United States (n = 49), involved magnetic resonance (n = 73) or multimodal (n = 17) imaging and focused on the lumbar spine (n = 42). The journals that contributed the most articles were Spine and Radiology each publishing 26 articles. Our study provided an extensive list of the most historically significant spinal imaging articles, acknowledging the key contributions made to the advancement of this specialist field. 5.

As online media acquires increased utilization as a means of disseminating scientific research, Altmetric analyses are useful to identify socially impactful publications and their characteristics. Accordingly, the objective of this investigation was to determine the most mentioned articles online regarding craniofacial surgery and compare these articles with their most cited counterparts. Using the Web of Science database, 7097 craniofacial surgery publications were identified. Altmetric Attention Score (AAS) and average citations per year (ACpY) were extracted, and articles were ranked by their social and scientific impact. Descriptive, comparative, and correlational analyses were performed to examine characteristics including AAS, ACpY, country of origin, journal, open access (OA) status, publication year, study design, and topic. The average AAS of the 50 most mentioned articles was 83.68 (SD±107.40), and the average citation count of the 50 most cited articles was 76.38 (SD±35.15). OA status was significantly more prevalent among the most mentioned articles (24.0%) relative to all articles (10.72%) and the most cited articles (4.0%). The most mentioned and the most cited articles primarily originated from the United States (64.0% and 38.0%, respectively), discussed topics related to the medical and surgical management of patients (48.0% and 58.0%, respectively), and were systematic reviews (16.0% and 28.0%, respectively). However, there was significantly more geographic diversity in the latter cohort. In summary, this comparative examination reveals important differences between the most mentioned and most cited articles, highlighting the distinct utility of AAS and citation count when evaluating research impact.

Impact Factors and Other Measures of a Journal's Influence

The aim of this investigation was to analyze the 50 most frequently cited articles on hand and wrist surgery of all time and those published during the 21st century.We aimed to evaluate the article, author, and journal characteristics for these publications in order to create a modern reading list of impactful upper-extremity articles. A search of the Journal Citation Reports 2022 edition to identify journals containing possible hand or wrist-related articles was performed. Related journals were identified and then searched on the Web of Science database to identify hand and wrist articles. The top 50 most cited articles overall and the top 50 most cited articles from 2000-2021 were identified and indexed. Several bibliometric parameters, such as study type, study topic, study design, level of evidence, citation count, citation density, the institution of the lead author, the gender of lead and senior authors, and country were analyzed. For the most cited articles of all time, the number of citations ranged from 224 to 1109 with a mean of 368 citations and 15.0 citation density. Citations for the top 50 articles from 2000-2021 ranged from 153 to 950 with a mean of 233 citations and 14.5 citation density. For both groups, the most common level of evidence was level IV (33% and 27%). No correlation between journal impact factor and citation count or citation density was found. In both groups, "fracture" was the most common topic and papers were predominantly written by male authors. Frequently cited publications on hand and wrist surgery are often clinical papers that contain low levels of evidence and tend to focus on topics related to fracture care.Female authors remain underrepresented.

This review aims to identify influential publications discussing cranioplasty using citation count as the primary indicator of impact. A search was conducted using Clarivate's Web of Science Database, resulting in 1752 publications related to cranioplasty. Articles were sorted based on citation count. Further analysis was conducted on parameters including topic, country of origin, affiliated institutions, authorship, publishing journal, references, year of publication, level of evidence, and citation density. The 50 most-cited publications were cited 8089 times, averaging 161.8 citations per article. Our analysis reveals a growing emphasis on biomaterials and their modifications to optimize interventional outcomes. The rise of clinical applications and synthetic material advancements in recent decades has contributed to the increase in impactful publications. This trend is most notable after the year 2000. It is seen a high rate of publications assessing outcomes, complications, and decompressive craniotomies. While these studies have yielded impactful results, the lack of Level of Evidence I studies underscores the need for more extensive clinical studies. As the field continues to evolve, we believe this review will serve as a roadmap of the current state of literature and its future trajectory in investigating interventional outcomes and their clinical impact.

The aim of this study was to identify the 100 most cited classics in the field of hip research analysing their qualities and characteristics. Hip joint related articles were identified and the hundred most cited selected for subsequent analysis of citation count, current citation rate, citation density (citations/article age), authorship, geographic origin institution, and level of evidence (LOE). In a total of 121 journals, 1,311,851 articles were published between 1945 and 2013, of which 1,287 (0.1%) possessed 250 citations or more. Total citations per article for the 100 most-cited ranged from 290 to 3,144 citations.The most common areas of research were degenerative disease and arthroplasty, followed by hip preserving surgery for which the leading authors were William H. Harris and Reinhold Ganz respectively. All articles were published in 8 journals and originated from 9 countries. 10 institutes published 48/100 of the articles. There was a significant negative correlation between both citation rate, citation density and article age. Total citation count was highest for articles published in the decade of 1970. Although 5% (2,103 articles) of hip literature comprised randomised trials (RCTs), only 1 (1%) of the citation classics was an RCT. The study provides intellectual milestones in hip research, reflecting on the qualities and characteristics of the research. Degenerative hip disease and arthroplasty research take up the greatest proportion of citations, followed by hip preserving research. LOE was low and there was only one RCT amongst the classics, emphasising that high LOE is not a prerequisite for a high citation count.

To identify the top-cited articles in the field of sinus augmentation and to analyze the different bibliometric variables that impacted the citation of articles. A search was conducted in the Web of Science database and sorted to find articles that were cited at least 100 times. The articles were then screened by two independent investigators (S.S. and K.C.M.) for inclusion. The included articles were analyzed to generate (1) keyword and title word maps using the VOS viewer program, (2) author timelines and contributions using Bibliometrix, and (3) citation analysis data using the HistCite software (Informer Technologies). Then the data were analyzed for individual variables affected by citation counts using Quasi-Poisson regression, Wilcoxon signed-rank test, and Fisher's exact test. A total of 162 articles were included in the analysis. The number of references in each article was directly proportional and the journal impact factor and number of pages in the included articles were inversely proportional to the number of citations (P < .05). Note that authors from the USA had the highest number of publications within the collection. The top-publishing authors, countries, keywords, and title words were identified. It was observed that the number of references, the journal impact factor, and the number of pages of the included articles significantly impacted citation counts obtained by a given article.

Objective:This study aimed to assess the contributions and global impact of Turkish orthopedics and traumatology research published in high-impact international journals over the past decade (2014-2023). By examining article types, citation metrics, journal impact factors, and author affiliations, the aim was to highlight publication trends, strengths, and areas needing improvement within Turkish orthopedic research.Methods:Using the Web of Science database, keywords were searched under journal categories including “Orthopedics,” “Orthopedics, Rehabilitation and Sports Medicine,” and “Sports Sciences.” Articles from the top 40 orthopedic journals indexed in Science Citation Index Expanded were identified and selected based on their 2022 impact factors. Articles published between January 2014 and December 2023 with first authors affiliated with a Turkish institution were included. Citation density was calculated by dividing the total number of citations by the number of years since publication. Data extracted included publication type, citation count, citation density, research methodology, author affiliations, and institutional contributions.Results:Out of 70 279 articles published globally, 425 orthopedic articles with Turkish first authorship were identified in the selected journals. Most articles were clinical (88.7%), with the most frequent article types being case presentations (31.3%), retrospective cohort studies (17.9%), and laboratory research (11.3%). The least common types were expert opinions, epidemiological studies, and meta-analyses. The majority of articles appeared in Spine Journal (34.6%) and Knee Surgery, Sports Traumatology, Arthroscopy (27.3%), with no articles published in the highest-ranked journal (British Journal of Sports Medicine). Spine surgery was the leading subfield (29.9%), followed by sports, shoulder, and elbow surgery (22.6%) and reconstructive surgery (16%). Orthopedic specialists comprised 56% of first authors, with multicenter studies representing 65.4% of the articles. Public institutions accounted for 80.1% of published articles, while private institutions contributed 19.9%. A total of 356 articles were cited 8349 times, with a median citation number of 9 per article. Mean citation density was highest in meta-analysis (8.5 citation/year), epidemiological studies (8.3 citation/year), and randomized controlled trials (7.8 citation/year), while lowest in case presentations (0.3 citation/year), expert opinions (0.4 citation/year), and laboratory research (2.2 citation/year).Conclusion:Turkish orthopedic research has maintained a significant presence in top orthopedic journals, mostly through clinical studies, especially in spinal and sports injury subfields. Despite high publication volume, citation impact remains relatively lower. Future efforts should encourage higher-impact study designs, international collaborations, and standardized research evaluations to enhance the global influence of Turkish orthopedic literature.Level of Evidence: N/A.

Background:In orthopaedic surgery and other fields, the effect of influential journal articles has been evaluated by their citation counts and their correlation with methodological quality.Purpose:To identify and characterize the 50 most cited articles on shoulder instability, examine trends in publication characteristics, and evaluate the correlation of citations with quality of evidence.Study Design:Cross-sectional study.Methods:The Web of Science and Scopus online databases were searched to identify the top 50 most cited articles on shoulder instability, based on the average number of citations from each database. Article characteristics were recorded, and level of evidence and methodological quality were assessed using the modified Coleman Methodology Score (mCMS), Jadad scale, and Methodological Index for Non-Randomized Studies (MINORS). Spearman correlation was used to evaluate relationships between citations or citation density (citations/y) and level of evidence or methodological scoring. Top cited articles from recent years were also aggregated.Results:The top 50 most cited papers had a mean ± SD number of citations of 381.5 ± 166.7, with a mean of 15.0 ± 8.8 citations/y. Overall, 15 articles (30%) were biomechanical/cadaveric studies, and 15 (30%) were case series. Only 3 (6%) were considered to have level 1 evidence. The mean ± SD mCMS was 54.4 ± 12.7, mean ± SD Jadad score was 3.1 ± 1.4, and mean ± SD MINORS score was 10.5 ± 3.3. There were no significant correlations between citation rank or density and methodological assessments. There were weak correlations between citation rank and publication year (rs = 0.32; P = .022) and between rank and level of evidence (rs = –0.38; P = .047). The correlation between citation density and publication year was moderate (rs = 0.70; P < .0001). There was no difference in citation density of the top 10 articles from 2010 to 2020 compared with the top 10 from the overall list (23.8 ± 5.3 vs 28.8 ± 9.5; P = .16).Conclusion:Influential articles in shoulder instability included a high proportion of biomechanical/cadaveric studies. The majority of top cited articles had lower evidence levels and poorer methodological quality without strong correlation with citations or citation density. There was a moderate correlation between citation density and year of publication.

Purpose: This bibliometric and scientometric analysis aimed to delve into the forefront roles of lasers in endodontics from 1990 to 2024. Methods: A comprehensive electronic search was conducted using “Clarivate Analytics Web of Science, All Databases” to retrieve the most-cited articles pertaining to the topic. These articles were then ranked in descending order according to their citation counts and the top 100 were selected for further analysis. Parameters including citation density, publication year, journal, journal impact factor (IF), country, institution, author, study design, study field, evidence level, laser type, and keywords were meticulously analyzed. Results: The mean and standard deviations of total citation and citation density were 106.47 ± 65.76 and 7.61 ± 5.13, respectively. Positive and negative correlations were found between the number of citations and citation density and age of publication. While the mean number of citations was significantly higher in the period 2001–2010 compared to the other periods (P < 0.05), values were similar between the periods 1990–2000 and 2011–2014 (P > 0.05). Articles were mainly published in the Journal of Endodontics. The most productive country, institutions, and author were the United States, the University of Showa, and Koukichi Matsumoto. Diode and Er: YAG lasers were commonly investigated. Ex vivo studies were mainly performed followed by in vitro ones. The main study field was “antimicrobial effect”. Among keywords, “photodynamic therapy” was used more frequently. Conclusion: Lasers are predominantly utilized to leverage their antimicrobial efficacy. Advancements in technology will lead to improvements in the properties of lasers, thereby enhancing the disinfection of the root canal system.

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