Document Type : Articles


1 Assistant professor, Sina Orthopedics Research Education Center (SOREC), Sina university hospital, Tehran University of medical Sciences, Tehran, Iran, Islamic Republic Of

2 Sina Orthopedics Research Education Center (SOREC), Sina university hospital, Tehran University of medical Sciences, Tehran IRAN, ISLAMIC REPUBLIC OF

3 Epidemiologis, Dept. of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran Iran, Islamic Republic Of


The altmetric Attention Score scale quantifies the attention that publications receive on various social media. Some studies have been conducted on the correlation between AAS and citations of articles in other disciplines but orthopedics. This study aimed to compare AAS with citation numbers on the top 50 articles regarding citation numbers. For this study the Scopus database was searched for the most 50 cited manuscripts on orthopedics from January 2015 to December 2020. Subsequently, altimetric attention score (AAS) and the number of Tweeters, Dimensions, etc, were retrieved for each article through "Bookmarklet for Researchers" at Results show a statistically low and non-significant relationship was indicated between the citation number and the AAS and also shown the linear relationship between the mention on Twitter and the altmetric attention score.  Most of previous articles represented that there is a weak to moderate relationship between the citation number and the AAS that is similar to our findings. There is a low but significant correlation exists between the AAS and the number of citations. In addition, the AAS is directly and linearly linked to the number of mentions on Twitter.


Agarwal, R. & García, A. J. (2015). Biomaterial strategies for engineering implants for enhanced osseointegration and bone repair. Advanced Drug Delivery Reviews, 94, 53-62.
Agarwal, S., Curtin, J., Duffy, B. & Jaiswal, S. (2016). Biodegradable magnesium alloys for orthopaedic applications: A review on corrosion, biocompatibility and surface modifications. Materials Science and Engineering: C, 68, 948-963.
Arciola, C. R., Campoccia, D. & Montanaro, L. (2018). Implant infections: adhesion, biofilm formation and immune evasion. Nature Reviews Microbiology, 16(7), 397-409.
Barakat, A. F., Nimri, N., Shokr, M., Mahtta, D., Mansoor, H., Mojadidi, M. K., Mahmoud, A. N., Senussi, M., Masri, A. & Elgendy, I. Y. (2018). Correlation of altmetric attention score with article citations in cardiovascular research. Journal of the American College of Cardiology, 72(8), 952-953.
Barbic, D., Tubman, M., Lam, H. & Barbic, S. (2016). An Analysis of Altmetrics in Emergency Medicine. Acad Emerg Med, 23(3), 251-268.
Berbari, E. F., Kanj, S. S., Kowalski, T. J., Darouiche, R. O., Widmer, A. F., Schmitt, S. K., Hendershot, E. F., Holtom, P. D., Huddleston, P. M. & Petermann, G. W. (2015). 2015 infectious diseases society of America (IDSA) clinical practice guidelines for the diagnosis and treatment of native vertebral osteomyelitis in adultsa. Clinical Infectious Diseases, 61(6), e26-e46.
Bornmann, L. (2014). Do altmetrics point to the broader impact of research? An overview of benefits and disadvantages of altmetrics. Journal of Informetrics, 8(4), 895-903.
Bornmann, L. (2015). Alternative metrics in scientometrics: a meta-analysis of research into three altmetrics. Scientometrics, 103(3), 1123-1144.
Chandawarkar, A. A., Gould, D. J. & Grant Stevens, W. (2018). The top 100 social media influencers in plastic surgery on Twitter: who should you be following? Aesthetic Surgery Journal, 38(8), 913-917.
Chang, J., Desai, N. & Gosain, A. (2019). Correlation between altmetric score and citations in pediatric surgery core journals. Journal of Surgical Research, 243, 52-58.
Costas, R., Zahedi, Z. & Wouters, P. (2015). Do “altmetrics” correlate with citations? Extensive comparison of altmetric indicators with citations from a multidisciplinary perspective. Journal of the Association for Information Science and Technology, 66(10), 2003-2019.
Docheva, D., Müller, S. A., Majewski, M. & Evans, C. H. (2015). Biologics for tendon repair. Advanced Drug Delivery Reviews, 84, 222-239.
Eliaz, N. & Metoki, N. (2017). Calcium phosphate bioceramics: a review of their history, structure, properties, coating technologies and biomedical applications. Materials, 10(4), 334.
Eysenbach, G. (2011). Can tweets predict citations? Metrics of social impact based on Twitter and correlation with traditional metrics of scientific impact. Journal of medical Internet research, 13(4), e2012.
Griffin, D., Dickenson, E., O'donnell, J., Awan, T., Beck, M., Clohisy, J., Dijkstra, H., Falvey, E., Gimpel, M. & Hinman, R. (2016). The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. British Journal Of Sports Medicine, 50(19), 1169-1176.
Haustein, S., Costas, R. & Larivière, V. (2015). Characterizing social media metrics of scholarly papers: The effect of document properties and collaboration patterns. PloS one, 10(3), e0120495.
Kaeding, C. C., Pedroza, A. D., Reinke, E. K., Huston, L. J., Consortium, M. & Spindler, K. P. (2015). Risk factors and predictors of subsequent ACL injury in either knee after ACL reconstruction: prospective analysis of 2488 primary ACL reconstructions from the MOON cohort. The American Journal Of Sports Medicine, 43(7), 1583-1590.
Kapadia, B. H., Berg, R. A., Daley, J. A., Fritz, J., Bhave, A. & Mont, M. A. (2016). Periprosthetic joint infection. The Lancet, 387(10016), 386-394. 10.1302/2058-5241.4.180092
Kim, E. S., Yoon, D. Y., Kim, H. J., Lee, K., Kim, Y., Bae, J. S. & Lee, J. H. (2019). The most mentioned neuroimaging articles in online media: a bibliometric analysis of the top 100 articles with the highest Altmetric Attention Scores. Acta Radiol, 60(12), 1680-1686.
Kim, J.-E., Kim, Y., Park, K. M., Yoon, D. Y. & Bae, J. S. (2019). Top 100 Publications as Measured by Altmetrics in the Field of Central Nervous System Inflammatory Demyelinating Disease. BioMed Research International, 2019, 3748091.
Kulkarni, M., Mazare, A., Gongadze, E., Perutkova, Š., Kralj-Iglič, V., Milošev, I., Schmuki, P., Iglič, A. & Mozetič, M. (2015). Titanium nanostructures for biomedical applications. Nanotechnology, 26(6), 062002.
Kunze, K. N., Polce, E. M., Vadhera, A., Williams, B. T., Nwachukwu, B. U., Nho, S. J. & Chahla, J. (2020). What Is the Predictive Ability and Academic Impact of the Altmetrics Score and Social Media Attention? The American Journal of Sports Medicine, 48(5), 1056-1062.
Li, B. & Webster, T. J. (2018). Bacteria antibiotic resistance: New challenges and opportunities for implant‐associated orthopedic infections. Journal of Orthopaedic Research®, 36(1), 22-32.
Loi, F., Córdova, L. A., Pajarinen, J., Lin, T.-h., Yao, Z. & Goodman, S. B. (2016). Inflammation, fracture and bone repair. Bone, 86, 119-130.
Mao, A. S. & Mooney, D. J. (2015). Regenerative medicine: current therapies and future directions. In Proceedings of the National Academy of Sciences, 112 (47), (pp. 14452-14459).
Mirghaderi, S. P., Baghdadi, S., Salimi, M. & Shafiei, S. H. (2022). Scientometric analysis of the top 50 most-cited joint arthroplasty papers: traditional vs altmetric measures. Arthroplasty today, 15, 81-92.
Moon, J. Y., Yun, E. J., Yoon, D. Y., Seo, Y. L., Cho, Y. K., Lim, K. J. & Hong, J. H. (2020). Analysis of the altmetric top 100 articles with the highest altmetric attention scores in medical imaging journals. Jpn J Radiol, 38(7), 630-635.
O'Connor, E. M., Nason, G. J., O'Kelly, F., Manecksha, R. P. & Loeb, S. (2017). Newsworthiness vs scientific impact: are the most highly cited urology papers the most widely disseminated in the media? BJU international, 120(3), 441-454. 10.1111/bju.13881
Prestmo, A., Hagen, G., Sletvold, O., Helbostad, J. L., Thingstad, P., Taraldsen, K., Lydersen, S., Halsteinli, V., Saltnes, T. & Lamb, S. E. (2015). Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. The Lancet, 385(9978), 1623-1633.
Ramamurti, P., Gu, A., Fassihi, S. C., Stake, S., Wei, C., Campbell, J. & Thakkar, S. (2021). Correlation Between Altmetric Score and Traditional Bibliometrics in Total Joint Arthroplasty Research. Arthroplasty Today, 7, 225-229.
Raphel, J., Holodniy, M., Goodman, S. B. & Heilshorn, S. C. (2016). Multifunctional coatings to simultaneously promote osseointegration and prevent infection of orthopaedic implants. Biomaterials, 84, 301-314.
Rosenkrantz, A. B., Ayoola, A., Singh, K. & Duszak Jr, R. (2017). Alternative metrics (“altmetrics”) for assessing article impact in popular general radiology journals. Academic Radiology, 24(7), 891-897.
Sheikh, Z., Najeeb, S., Khurshid, Z., Verma, V., Rashid, H. & Glogauer, M. (2015). Biodegradable materials for bone repair and tissue engineering applications. Materials, 8(9), 5744-5794.
Sing, S. L., An, J., Yeong, W. Y. & Wiria, F. E. (2016). Laser and electron‐beam powder‐bed additive manufacturing of metallic implants: A review on processes, materials and designs. Journal of Orthopaedic Research, 34(3), 369-385.
Skou, S. T., Roos, E. M., Laursen, M. B., Rathleff, M. S., Arendt-Nielsen, L., Simonsen, O. & Rasmussen, S. (2015). A randomized, controlled trial of total knee replacement. New England Journal of Medicine, 373(17), 1597-1606.
Taniguchi, N., Fujibayashi, S., Takemoto, M., Sasaki, K., Otsuki, B., Nakamura, T., Matsushita, T., Kokubo, T. & Matsuda, S. (2016). Effect of pore size on bone ingrowth into porous titanium implants fabricated by additive manufacturing: an in vivo experiment. Materials Science and Engineering: C, 59, 690-701.
Wang, J., Alotaibi, N. M., Ibrahim, G. M., Kulkarni, A. V. & Lozano, A. M. (2017). The Spectrum of Altmetrics in Neurosurgery: The Top 100 "Trending" Articles in Neurosurgical Journals. World Neurosurg, 103, 883-895.e881.
Wang, W. & Yeung, K. W. (2017). Bone grafts and biomaterials substitutes for bone defect repair: A review. Bioactive materials, 2(4), 224-247.
Wang, X., Xu, S., Zhou, S., Xu, W., Leary, M., Choong, P., Qian, M., Brandt, M. & Xie, Y. M. (2016). Topological design and additive manufacturing of porous metals for bone scaffolds and orthopaedic implants: A review. Biomaterials, 83, 127-141.
Wiggins, A. J., Grandhi, R. K., Schneider, D. K., Stanfield, D., Webster, K. E. & Myer, G. D. (2016). Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. The American journal of Sports Medicine, 44(7), 1861-1876.
Zhang, Y., Xu, J., Ruan, Y. C., Yu, M. K., O'Laughlin, M., Wise, H., Chen, D., Tian, L., Shi, D. & Wang, J. (2016). Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats. Nature Medicine, 22(10), 10.1038/nm.4162
Zhao, D., Witte, F., Lu, F., Wang, J., Li, J. & Qin, L. (2017). Current status on clinical applications of magnesium-based orthopaedic implants: A review from clinical translational perspective. Biomaterials, 112, 287-302.