Indian J Orthop. 2026 Jan;60(1):
3-17
Background and Aims: This study performed a comprehensive bibliometric analysis comparing Indian and international highly-cited papers (HCPs) in the Indian Journal of Orthopaedics (IJO).
Methods: The study used a bibliometric design to analyze HCPs published in the IJO between 2007 and 2024, a period selected based on the journal's Scopus coverage. The Scopus database was used for its comprehensive coverage and robust citation analysis capabilities. All documents published in the IJO during this period were retrieved on June 20, 2025. The threshold for an HCP was set at 51 or more citations, as this indicates significant peer recognition and influence within the academic community. For each HCP, the following data was extracted: the title, publication year, and citation count; the country of origin (Indian or foreign); the study type (original article, review, conference paper, editorial, or letter); the subject focus (e.g., trauma, joint disorders, or infection); author and institutional affiliations; and collaboration patterns, defined as single-institution, national collaboration (two or more institutions within India), or international collaboration (institutions from different countries).
Results: The 54 HCPs accumulated 4697 citations, averaging 86.98 per paper. Indian HCPs, averaging 89.61 citations, predominantly comprised original articles and reviews focusing on trauma, joint disorders, and infection. Notably, 74% of Indian HCPs were single-institution studies, with limited international collaboration. In contrast, foreign HCPs, averaging 92.46 citations, exhibited a broader range of topics and more frequent national and international collaborations. Until 2011, Indian publications had a statistically significant lower mean difference in CPP (14.4 ± 2.0) compared to foreign publications (19.4 ± 3.9) with a p-value of 0.042; however, after 2011, this disparity vanished, with both Indian and foreign publications showing an 8.1 mean difference (± 4.2 and ± 4.4 respectively) and a p-value of 0.999.
Conclusions: Indian HCPs focus on localized clinical priorities and have lower collaboration rates than their international counterparts. To enhance the global impact and citation potential of Indian orthopaedic research, expanding national and international collaborations and diversifying research topics is crucial.
Graphical Abstract:
Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-025-01555-7.
Keywords: Academic journals; Bibliometrics; Citation analysis; Evidence-based medicine; High-impact papers; India; Orthopaedics; Research collaboration; Research design