The 50 most cited papers in chronic scapholunate reconstruction: a bibliometric analysis

Kenneth H. Levy, Hailey Huddleston, Joey S. Kurtzman, William R. Aibinder, Steven M. Koehler

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Purpose: This study identifies the most impactful papers on scapholunate reconstruction and provides a quantitative assessment of the impact of these papers in order to inform future clinical practice, education, and research of this condition. Methods: The Scopus database was used in May 2020 to identify the 50 most cited clinical articles pertaining solely to chronic scapholunate reconstruction. Citation number and density, publication variables, and Altmetric Attention Scores (AASs) were collected and analyzed. Results: The top 50 articles on chronic scapholunate reconstruction produced 1,868 total citations, with an average of 37.36 ± 39.90 citations per article (range 7–196) and an average citation density of 2.44 ± 2.27. US-based publications (n = 20) and articles published in Journal of Hand Surgery (n = 24) were associated with significantly higher citation number and density (p < 0.01 – p = 0.018). In addition, sample size was positively correlated with citation density (rho = 0.312, p = 0.029). Fourteen articles were associated with an AAS (mean score = 4.07 ± 4.70). There was no significant association between AAS and citation number or density, but AAS did significantly predict citation density (coefficient = 0.378, 95% CI: [0.013–0.741], p = 0.043). Conclusion: Numerous factors, such as journal of publication, location, and sample size, were significantly associated with citation number and/or citation density. Interestingly, AAS was predictive of, but not directly correlated with citation density, suggesting that the impact of scapholunate literature may not be adequately captured with a citation analysis.

Original languageEnglish (US)
Pages (from-to)995-1004
Number of pages10
JournalEuropean Journal of Orthopaedic Surgery and Traumatology
Issue number6
StatePublished - Aug 2021
Externally publishedYes


  • Chronic
  • Reconstruction
  • Scapho-lunate
  • Scapholunate

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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