Predictors of Altmetric Score in Top-Cited Orthopaedic Articles: A Bibliometric Analysis Authors Muhammad Talal Ibrahim Department of Surgery, Aga Khan University, Haider Sheraz Medical College, Aga Khan University, Muhammad Hamza Shuja Dow Medical College, Karachi, Pakistan Hamza Imran Dow Medical College, Karachi, Pakistan Anum Ali Department of Surgery, Aga Khan University, Shahryar Noordin Department of Surgery, Aga Khan University, DOI: https://doi.org/10.47391/JPMA.AKU-10Surg-30 Abstract Research articles are increasingly being disseminated on social media, which is not captured by traditional bibliometrics. The Article-Level Metric score captures the ‘social’ impact of such research articles as well. The current bibliometric analysis was planned to identify predictors of high Altmetric score in the top-cited articles related to orthopaedic surgery. Multilevel, mixedmethod, linear regression was employed to adjust for clustering of article-level and journal-level factors among 810 articles from 27 journals. The study was conducted at Aga Khan University, Karachi, Pakistan from June to December 2023. In multivariable, multilevel, linear regression, each additional citation led to a 0.33-unit increase in Article-Level Metric score (beta=0.33, p=0.02), articles published in the Netherlands had a higher score by 10.6 units compared to Germany (beta=10.60, p=0.01), and each additional unit increase in journal’s impact factor increased the score by 1.73 units (beta=1.73, p=0.04) Keywords: Bibliometrics, Altmetric, Twitter, Social media, Research. Downloads Full Text Article Published 2026-05-18 How to Cite Muhammad Talal Ibrahim, Haider Sheraz, Muhammad Hamza Shuja, Hamza Imran, Anum Ali, & Shahryar Noordin. (2026). Predictors of Altmetric Score in Top-Cited Orthopaedic Articles: A Bibliometric Analysis. Journal of the Pakistan Medical Association, 76(05 (Supp-1), S157-S160. https://doi.org/10.47391/JPMA.AKU-10Surg-30 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 76 No. 05 (Supp-1) (2026): 10th AKU Annual Surgery Conference Supplement Section SHORT COMMUNICATION License Copyright (c) 2026 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.