Bibliometric analysis of the top 50 most cited publications of the Journal of Clinical Orthopaedics and Trauma

BackgroundThe Journal of Clinical Orthopaedics and Trauma (JCOT) is one of the top three orthopaedic journals from India. We set out to analyse the top 50 cited articles from JCOT since indexing in PubMed and Scopus.MethodsWe looked into the bibliometrics of the top 50 cited articles and compared citations from PubMed and Scopus, and depicted outputs from VOS viewer analysis on co-authorship and keywords.ResultsTotal citations for top-cited articles were 1076 in numbers, with a maximum of 103.2016 and 2018 were the most productive years. The major contribution was from India with 74%, followed by the USA. New Delhi published maximally at 72%. Clinical topics and narrative reviews were the most common types of studies. Trauma and Adult reconstruction was the most common sub-specialities, and Level 4 was the most frequent level of study. The basic science and COVID-19 related articles received the maximum citations. The authors from Indraprastha Apollo Hospitals published the maximum number of top-50 cited articles in the JCOT.ConclusionsThere is a steady increase in the number of publications in the JCOT, with an increasing number of citation counts. Both the Indian and foreign authors have been publishing in this journal at a comparative rate. Although the citation counts in Scopus are more than those in PubMed for given articles, more than 80% of articles are listed in both databases as top 50 cited articles. The majority of top-cited articles belonged to trauma and adult reconstruction, level III studies, and narrative reviews.     

Bibliometric analysis of COVID-19 related publications in Indian orthopaedic journals

BackgroundThe COVID-19 pandemic has resulted in an infodemic about the novel coronavirus SARS-CoV-2 outbreak to build knowledge and develop mitigation strategies. In addition, scientific journals across the world have studied the impact of COVID-19 on trauma and orthopaedics.MethodsA cross-sectional, bibliometric analysis of the literature was undertaken on COVID-19 related articles from three Pubmed and Scopus indexed orthopaedic journals from India, namely, Indian Journal of Orthopaedics(IJO),Journal of Clinical Orthopaedics and Trauma(JCOT), and Journal of Orthopaedics (JOO), in May 2021. All the article types and study designs were included for this review. The authors, institutions, countries, keywords, and co-authorship mapping were studied.ResultsA total of 112 COVID-19 related documents were retrieved. Period of these publications was from 2^nd April 2020 to 31^st May 2021. Vaishya R. (n = 16) was the most cited author, and Indraprastha Apollo Hospitals (n = 16) was the most cited research Institution. India led the list of countries in academic publication output. On keyword mapping, telemedicine was the most prominent Medical Subject Headings (MeSH) search word.ConclusionThe Indian orthopedic journals have addressed the impact of COVID-19 on orthopaedic practice in India and aborad whilst continuing to publish knowledge about basic science and clinical orthopaedic research studies. The JCOT has outperformed and become the most leading orthopaedic journal from India during the pandemic. COVID -19 articles have been fast tracked, open accessed and attracted more citations in reduced duration of time compared to non-COVID-19 papers.     

Last five years audit of Journal of Clinical Orthopaedics and Trauma (JCOT) - A scientometric analysis

BackgroundWe have studied the growth of Journal of Clinical Orthopaedics and Trauma (JCOT), the official journal of the Delhi Orthopaedic Association indexed in PubMed, Scopus and Embase, along with an analysis of citation trends and levels of evidence of published articles in the last five years.MethodsSCOPUS and PubMed databases (2015–19) were used to extract publication-related data for the last five years. The official website of the journal was also used to retrieve issue-specific data. An audit of recent publications in the JCOT was conducted focusing on number of issues and publications(year wise), types of articles published, review speed, level of evidence of publications, types of publication(speciality wise), number of publications in PubMed and SCOPUS, number of citations(year wise), national and international authorship and the Cite Scores.ResultsThe submissions were increased by 2.8 times and the citations rocketed to 16.6 times in 2019, compared to 2015. A total of 890 papers were there and the journal was cited 1702 times in the last five years. More articles with higher levels of evidence papers are now being published.ConclusionThere has been a significant increase in the numbers of submissions, publications, citations, Cite Score, h-index and contribution by the International authors. Its Editorial efficiency has also been outstanding with timely reviews and editorial decisions. The JCOT has become increasingly internationally relevant in the last five years, in the orthopaedic community. However, JCOT needs to publish more papers with a higher level of evidence like Systematic reviews, Meta-analyses, Randomized Controlled Trials and should only publish top-class lower hierarchy papers (like Case reports, Case-controlled and Retrospective studies).     

Thromboprophylaxis across orthopaedic surgery: Bibliometric analysis of the most cited articles

PurposeOne of the most common adverse events after orthopaedic surgery, with a potential for subsequent serious morbidity and mortality is venous thromboembolism (VTE). Bibliometric analysis has been performed regarding many topics and across orthopaedics. As DVT prophylaxis is a major component of both orthopaedic surgery considerations and research, a bibliometric analysis in this area would prove beneficial in not only in understanding the research done in the field thus far, but would also direct future research efforts.MethodsThe Web of Science (WoS) database from the Institute of Scientific Information (ISI) was used to compile articles for bibliometric analysis using Boolean search: ((Orthopaedic1 OR Orthopaedic1) AND (thromboprophylaxis OR Thromboembolism OR Deep vein thrombosis OR thrombus OR embolism OR anticoagulation OR Embolus OR prophylaxis)).ResultsThe Top 100 cited articles included in the final list generated a total of 21,099 citations. The highest cited article was Prevention of venous thromboembolism by Geerts et al. published in Chest, which had a total of 2802 on WoS, and a calculated citation density of 215.54 of citations/years since publication. Comparing the overall citation against the year of publication there was a slight positive trend favoring more recent publications (R-value: 0.142; adjusted R-squared: 0.01; p = 0.16). Analysis of an articles Level of Evidence (LOE), 17 were grade with a level of I.ConclusionsOrthopaedic thromboprophylaxis is an ever-changing field that is at the forefront of orthopaedic literature. The significant trend favoring high quality research within orthopaedic thromboprophylaxis demonstrates the importance of this topic and there was a need for a guide to best understand the evolution of DVT prophylaxis.     

Impact of COVID-19 on Orthopaedic Care and Practice: A Rapid Review

IntroductionThe COVID-19 pandemic has led to a large body of literature regarding the impact of COVID-19 on orthopaedic care and practice. This rapid review aims to synthesize this published literature to give the orthopaedic fraternity an overview about the best practices that need to be followed during this period.MethodologyA rapid review was conducted following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement for rapid reviews on the impact of COVID-19 on orthopaedic care and practice. A Pubmed search was done to identify all literature related to the impact of COVID-19 on orthopaedic care and practice, published between December 2019 and October 2020 using a predefined search strategy. The final review included 375 peer-reviewed articles addressing the objectives.ResultsThe majority of articles were expert opinions ( 37.1%) and narrative reviews (13.1%). There were 17.3% retrospective studies and 2.1% prospective studies with only one randomized control trial and ten systematic reviews.  83.8% of articles had levels of evidence IV and V, 79.5% of the articles were published in core-orthopaedic journals. Maximum publications were from the United States of America (31.7%), followed by India (11.5%). European countries together contributed to  32.0% of all publications.ConclusionCOVID-19 has had a significant impact on all aspects of orthopaedic care and practice. The pandemic has affected outpatient clinics, emergency and elective surgery, rehabilitation, resident training, personnel management, use of personal protective equipment, telemedicine and all sub-specialities of orthopaedics. Orthopaedic practice will require the incorporation of new technologies, restructuring of health systems and reorganizing of training programs for optimal patient care. There would also be a need for frequent review of emerging literature to provide evidence-based guidelines to the orthopaedic fraternity which will not only help in mitigation of transmission of disease but also ensure continuity of optimum patient care.Supplementary InformationThe online version contains supplementary material available at 10.1007/s43465-021-00354-0.     

Is blockchain ready for orthopaedics? A systematic review

IntroductionThe unique attributes of distributed ledger blockchain systems including robust security, immutability, transparency, and decentralisation, make them highly suitable solutions for many healthcare-related problems. This review examines the potential applications for blockchain technology in the field of orthopaedics, by taking a systematic approach to the evolving blockchain literature and mapping potential use cases against the current needs of orthopaedic practice.MethodA literature search was performed using Pubmed, EMBASE, OVID and the Cochrane library with the primary aim of identifying detailed accounts of blockchain solutions and use cases in healthcare. These articles were then reviewed and mapped against current orthopaedic practice to illustrate applications specific to that specialty.ResultsOne hundred and forty-one papers were identified which described case studies, simulations, or detailed proposals of blockchain solutions in healthcare. Most studies described blockchain solutions at the simulated or prototype testing phase, with only 10 case studies describing blockchains in “real-world” use. The most frequently cited use cases for blockchain technology involved the storage, security and sharing of electronic medical records. Other blockchain solutions focused on the “Internet of Things”, research, COVID 19, supply chains and radiology. There were no solutions focusing specifically on orthopaedics. Many of the described blockchain solutions had considerable scope for application in orthopaedic practice however, providing the potential for greater inter-institutional collaboration, cross border data exchange, enhanced patient participation, and more robust and transparent research practices.ConclusionBlockchain solutions for healthcare are increasing in number and scope and have multiple applications relevant to orthopaedic practice. The orthopaedic community needs to be aware of this innovative and growing field of computer science so that surgeons can leverage the power of blockchain safely for the future of orthopaedics.     

The best cited articles of the European Journal of Orthopaedic Surgery and Traumatology (EJOST): a bibliometric analysis

European Journal of Orthopaedic Surgery and Traumatology (EJOST) was founded in 1991. It was initially named as Orthopédie–Traumatologie, and since then it is dedicated in sharing knowledge and new evidence in the field of orthopaedics. Within 28 volumes and 157 issues, it has published 3218 scientific articles. In the early years of its distribution, published articles were in French, while the last two decades EJOST only hosts English articles between its pages. By the very beginning of its launch, it has been publishing high-quality research articles in all orthopaedic subspecialties and has gradually become one of the leading journals in its specific subject area. The aim of this study was to identify, analyse and categorize the most frequently cited articles, published by EJOST since its launch.     

Challenges and opportunities in developing quality initiatives in orthopaedics

With a renewed focus on quality in US health care, the field of orthopaedic surgery faces both challenges and opportunities to lead the way in providing high-quality musculoskeletal care for patients. Orthopaedics has historically been an eminence-based and tradition-based specialty, and the future will require more evidence in the form of higher-level clinical studies. The orthopaedic oncology literature in 1 leading journal is analyzed between 2005 and 2011 to highlight the published levels of evidence. Models of quality initiatives from leading medical specialty organizations such as the American College of Cardiology are provided. A brief history of past quality efforts from the American Academy of Orthopaedic Surgeons as well as a more detailed review of the current initiatives including clinical practice guidelines, technology overviews, and appropriate use criteria are listed.     

A scientometric analysis of India's publications in arthroplasty in the last two decades from the SCOPUS database

ObjectivesThis study evaluates the publication output of the Indian authors on the topic of Arthroplasty research from 2002 to 2021, using bibliometric methods.MethodsThe Indian publications as listed in the Scopus database were identified by using “Arthroplasty” or “Joint Replacement” in the keyword (“Key”) tag.ResultsIndia contributed 872 publications on Arthroplasty research, constituting a 1.36% share of global output, in the last two decades. Knee Arthroplasty accounted for the largest share (52.4%) in India's output, followed by Hip (35.7%) and others. 841 authors from 413 organizations participated unevenly in the research on this topic, with IISc-Bangalore contributing the largest number of publications (97), followed by Indraprastha Apollo Hospitals (46), Breach Candy Hospital, Bombay(40), and PGIMER, Chandigarh(38). R. Malhotra contributed the largest number of publications (55), followed by R. Vaishya (35 papers) and G.M. Shetty (23 papers). S. Bhan (31.0 and 3.17), A.B. Mullaji (30,13 and 3.08), N.P. Jain (25.75 and 2.63) and H.Pandit (21.88 and 2.24) registered the highest CPP & RCI. The journals which published the highest number of Arthroplasty articles were the Journal of Arthroplasty (123), followed by the Journal of Clinical Orthopaedics & Trauma (50) and International Orthopaedics (32).ConclusionIndia's contribution in the field of Arthroplasty-related publication is still low on a global platform, however, has shown a positive and increasing trend in the last two decades. The maximum publications were related to knee and hip arthroplasty and were from institutions in the major Indian cities of Delhi and Mumbai. More international and multicentric collaboration and external funding may help improve the number of arthroplasty publications in the future.     

Orthopaedic manpower: an overview

What constitutes orthopaedic practice and how many orthopaedic surgeons are desirable for a given population has been discussed since the specialty was founded. The American Academy of Orthopaedic Surgeons began addressing this issue in January 1937. Extensive studies were done in the early 1970s with sponsorship from the American Academy of Orthopaedic Surgeons, the American College of Surgeons, the American Surgical Association, and the Division of Manpower Intelligence of the Department of Health Education and Welfare. These studies involved questionnaire surveys, Delphi panel modeling, and direct observation in a three-day time and motion study of a statistical sample of 150 practices. At the conclusion of these studies, it was observed that orthopaedics was largely a male specialty, practitioners preferred the surgical aspect of their practices to their office practices, that there was no type of practice that was more efficient than another, that the more orthopaedic surgeons there were in a population the more operative procedures were being done, and the character of the practice changes with the ratio of orthopaedist to population drops below 1 to 15,000. After 30 years involvement in health manpower issues the author concludes that there is no substitute for developing a solid database and analyzing trends, that the predictions have been remarkably accurate and although honorable men and women may disagree on the interpretation of data, few will argue that there is a limit on the number of orthopaedic procedures that can be justified in the diagnosis and treatment of a population. The essence of professionalism is self regulation and doing first and foremost what is in the best interest of the patient and society whether there necessitates an increase or a decrease in the number of orthopaedic surgeons being trained or practicing in a given population.     

中国骨科的过去与现在

Orthopaedics in China originated in traditional Chinese medicine and Western medicine. In the first half of twentieth century, Dr. Meng Chimao(Beijing), New Way Sung(Shanghai), Fang Hsienchi, and others contributed a great deal to the development of modern orthopaedics in China. The orthopaedic group was organized under the auspecies of Chinese Medical Association in 1937. The Chinese Medical Association Orthopaedic Society was established in 1980. The main achievements of Orthopaedics in China include replantation of severed limb or fingers, toe transplantation for thumb and finger reconstruction, nerve transfer for brachial plexus avulsion, research and manufacturing of domestic prostheses and the techniques of artifical joint replacement, surgical treatment of severe scoliosis and classification of idiopathic scoliosis, operative treatment of bone tumor, and basic research on giant cell tumor of bone.     

Orthopaedic research and education foundation and industry

Members of orthopaedic industry commit a significant amount of funds each year to support research and education programs that are directly related to their product(s). In addition, industry supports organizations such as the Orthopaedic Research and Education Foundation. The relationship between the Orthopaedic Research and Education Foundation and industry began in the early 1980s. The support to the Orthopaedic Research and Education Foundation from industry primarily has come in the form of unrestricted grants. These grants best can be looked at as an investment rather than a contribution. This form of giving, once called corporate philanthropy is more accurately referred to as strategic philanthropy. Members of industry make these investments to enhance their reputations, build brand awareness, market their products and services, improve employee morale, increase customer loyalty, and establish strategic alliances. The specialty of orthopaedics is among the leaders in medicine in the amount of funding raised within the specialty for research and education programs. This is because of the amount of support from members of industry and the surgeons. During the past 15 years, 40% of the annual support to the Orthopaedic Research and Education Foundation has come from industry and the balance has come from surgeons and members of lay public. Future industry support of the Orthopaedic Research and Education Foundation and other organizations within the specialty of orthopaedics will be dependent on the continued demonstration of tangible returns in areas described.     

中国骨科的过去与现在--在第四届华裔骨科学术大会上的卓越成就特别演讲

中国骨科起源于医学的两大支，即祖国(传统)医学和西方医学。在二十世纪上半叶，孟继懋(北京)、牛惠生(上海)、方先之(天津)等人对中国现代骨科的创建作出了贡献。1937年成立了中华医学会骨科学组，1980年中华医学会骨科分会成立。中国骨科发展的主要成就包括断肢(指)再植、足趾移植再造拇指手指，神经移位治疗臂丛撕脱伤，国产关节置换假体的研制及关节置换技术，严重脊柱侧弯的手术治疗与特发脊柱侧弯分类，骨肿瘤的手术治疗及骨巨细胞瘤的研究等。     

Orthopaedics in China:its past and present

OrthopaedicsinChinaoriginatedfromtwogreatbranchesofmedicine:traditionalChinesemedicine(TCM)andwesternmedicine(WM).ThehistoryofTCMdatesbacktoover3000yearsago.Treatmentoffracture,dislocation,anddeformitiesofbonesandjointshadbeendescribedinthemedicalclassics…     

台湾地区骨科发展历程

早年台湾骨科皆隶属于大外科。1977年台湾成立了骨科医学会,其有两个主要目标:一是推动国内外学术交流,以提升骨科学术水平;二是实施专科医师制度,培育专业人才。1984年,台湾发行最早的骨科期刊———《中华骨科医学杂志》创刊。其后,骨科的7个亚专科医学会逐渐成立。1990年,两岸骨科学术交流开始。1994年华裔骨科学会在香港成立。自此两岸骨科学术交流日益频繁。台湾骨科医学会的不断发展和改革影响了台湾骨科的发展。新技术、新器械的引进解决了很多骨科难题。台湾骨科生物力学的发展,对骨科在诊断及治疗上帮助很大。     

Representation of developing countries in orthopaedic journals: a survey of four influential orthopaedic journals

Background

The developing world contains more than ¾ of the world’s population, and has the largest burden of musculoskeletal disease. Published studies provide crucial information that can influence healthcare policies. Presumably much information regarding burden in the developing world would arise from authors from developing countries. However, the extent of participation of authors from the developing world in widely read orthopaedic journals is unclear.

Purpose

We surveyed four influential English-language orthopaedic journals to document the contributions of authors from developing countries.

Methods

We surveyed Clinical Orthopaedics and Related Research, Journal of Orthopaedic Trauma, and the American and British volumes of The Journal of Bone and Joint Surgery, from May 2007 through May 2010. The country of origin of all authors was identified. We used the designations provided by the International Monetary Fund to define countries as either developed or developing.

Results

Two hundred sixty-five of 3964 publications (7%) included authors from developing countries. Ninety percent of these had authors from developing countries with industrialized and emerging-market economies. Publications from Sub-Saharan Africa accounted for only 0.4% of the 3964 articles reviewed and 5.6% of the 265 articles with developing world authorship. Countries with the least robust economies were least represented. Less than 1/3 of articles with authors from the developing world had coauthors from developed or other developing countries.

Conclusion

Additional studies are needed to determine the reasons for the low representation noted and to establish strategies to increase the number of orthopaedic publications from parts of the world where the burden of musculoskeletal disease is the greatest.     

The other side of conflict: Examining the challenges of female orthopaedic surgeons in the workplace

BackgroundAs more women begin to enter the traditionally male-dominated field of orthopaedics, it is critical to examine their experiences in navigating gender-based conflicts in the workplace.MethodsAn anonymous survey was distributed via a web link to approximately 1,100 members of Ruth Jackson Orthopaedic Society (RJOS) and 1,600 members of Women in Orthopaedics (WIO) Facebook group, with an estimated response rate of 50% and 50% respectively and protocols to mitigate duplicate response. Questions included demographics and presented several workplace scenarios.ResultsOf the 373 respondents, 72% described experiencing some type of workplace conflict self-attributed to being female. Additionally, 8% reported either being forced out or leaving their previous job due to workplace conflict, leading to depression, anxiety, and burnout. 17% of respondents would not choose the same career again if given the opportunity.ConclusionsWorkplace conflict diminishes a surgeon's career satisfaction and may ultimately contribute to burnout. Understanding the relationship between gender bias and orthopaedic surgery is essential in moving towards change, and addressing these issues will create a more positive working environment for female surgeons.     

Applications of thermal imaging with infrared thermography in Orthopaedics

BackgroundPathological conditions with ongoing inflammatory processes result in specific heat signatures at the affected body parts; infrared thermography (IRT) detects these changes and can be utilied in screening such conditions. The modern devices are advanced and their non contact, convenient and precise readings can aid in multiple medical sub fields. Orthopaedics as a broad entity has witnessed utilisation of this technology for different indications and the present scoping review was done to assess these established indications and further scope of its utility.Methodology: A Medline search was done on April 26, 2021 with specific keywords for studies of any design in English language discussing the usage of thermography in Orthopaedics. Animal studies, conference abstracts, systematic reviews, e-posters, case reports, book chapters, and studies describing the use of thermography in non-Orthopaedic patients were excluded.ResultsTotal number of hits were 1380. 43 studies including case series and case control studies were included in the review. The subfields or indications described were pain/arthritis, Charcot's foot/neuropathic ulcers, infections associated with diabetic feet and arthroplasties, reflex sympathetic dystrophy, carpal tunnel syndrome, sports medicine, paediatric orthopaedics, spine, ergonomics and compartment syndrome.ConclusionIRT has been described to be effective in orthopaedic conditions with specific heat signatures and this can assess the trend of the ongoing inflammatory process as well as response to a particular treatment. Additionally, it can specifically determine the exact loci of the pathology for targeted interventions.     

Prevalence of MRSA colonization in an adult urban Indian population undergoing orthopaedic surgery

IntroductionOrthopaedic surgery is technically demanding, implant dependant and expensive. Infection translates into a prolonged morbidity and long-term use of antibiotics. The most common organism involved in osteo-articular infections is Staphylococcus aureus, and colonizes the anterior nares of 25–30% of the population. Carriers are at higher risk for staphylococcal infections after invasive medical or surgical procedures. Prevalence of methicillin resistant Staphylococcus aureus (MRSA) has not been assessed in patients admitted for orthopaedic surgery in the Indian setting.AimTo assess the preoperative prevalence of MRSA colonization in adult patients undergoing orthopaedic surgery in urban India.Materials and methodsThis is a retrospective analysis of patients from 2009 to 2013. A total of 1550 patients admitted for orthopaedic surgery were preoperatively screened with nasal and axillary swabs for MRSA. Swab-positive patients were treated with intranasal mupirocin ointment for 3 days followed by a repeat swab. A record was made of hospitalization in the year prior to surgery and the occurrence of surgical site infection (SSI).ResultsA total of 690 males and 860 females had been screened for MRSA using an inexpensive kit costing 500 Indian rupees. For MRSA, 7/1550 (0.45%) nasal swabs were positive. No patient since 2009 has had a SSI with MRSA.ConclusionMRSA screening prior to orthopaedic surgery is a valuable and cost effective preoperative investigation even though the incidence is low. Mupirocin is effective in clearing MRSA from the nares and maybe used for 3 days to obtain elimination of the bacteria.