Evidence map›Paper›PMID 42835889›Full record

ArticleArchives of plastic surgery2026

The Top 100 Most Cited Articles in Reconstructive Microsurgery: Identifying Evidence Gaps and Research Trends for Future Investigation: A Bibliometric and Visualization Analysis.

Hatan Mortada, Mustafa Qais Al-Khafaji, Zainalabden E Jefri, Kian Daneshi, Abdulelah Alwadai, Chihiro Matsui, Feras Alshomer

Abstract read
In one paragraph

Article in Archives of plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hatan MortadaDivision of Plastic Surgery, Department of SurgeryKing Saud University Medical CityRiyadh, Riyadh ProvinceSaudi Arabia.ORCID 0000-0003-1283-4136
Mustafa Qais Al-KhafajiDepartment of Plastic SurgeryNorfolk and Norwich University Hospital NHS TrustNorwich, EnglandUnited Kingdom.ORCID 0009-0001-5629-4939
Zainalabden E JefriCollege of MedicineFaculty of Medicine, King Abdulaziz UniversityJeddah, Makkah ProvinceSaudi Arabia.ORCID 0009-0003-4871-0044
Kian DaneshiSchool of Population Health and MedicineInstitute for Sustainable Food, The University of SheffieldSheffield, EnglandUnited Kingdom.ORCID 0009-0000-6478-7891
Abdulelah AlwadaiDepartment of Plastic Surgery and Burn UnitAseer Central HospitalAbha, Aseer ProvinceSaudi Arabia.ORCID 0000-0003-2085-8891
Chihiro MatsuiDepartment of Plastic and Reconstructive SurgeryJuntendo University School of MedicineBunkyo, TokyoJapan.ORCID 0000-0003-0962-5333
Feras AlshomerDepartment of Plastic and Reconstructive SurgeryKing Saud bin Abdulaziz University for Health SciencesRiyadh, Riyadh ProvinceSaudi Arabia.ORCID 0000-0001-9282-3845

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reconstructive microsurgery restores form and function after trauma, oncological resection, or congenital deformities. This study provides a bibliometric analysis of the most cited articles, identifies evidence gaps, and proposes future research priorities. Methods: The top 100 most cited articles were retrieved from Scopus on January 1, 2025, and analyzed for publication trends, authorship, themes, and impact metrics using VOSviewer and R Bibliometrix. Results: From 57,925 articles, the top 100 were selected (mean citations: 251.99 ± 207.78), predominantly in Q1 journals. Head and neck reconstruction dominated (49.5%). Hidalgo D.A. was the most frequent author, and the United States contributed nearly half of all articles. Most provided Level III-IV evidence (38.14% each); none met Level I criteria. Annual citation rates increased from 6.87 (1970s) to 16.32 (2010s). Four evolutionary phases were identified: Technical feasibility, clinical refinement, evidence-based optimization, and emerging interdisciplinary standardization. Conclusions: Three critical findings emerged: (1) No Level I studies and only 7.22% Level II evidence; (2) geographic concentration, with nearly half of contributions from the United States; and (3) a thematic shift from anatomical descriptions toward outcomes research. These findings provide a roadmap for advancing the field.

Indexed as

bibliometric analysisfree tissue flapslymphedemamicrosurgeryreconstructive surgical procedures

Identifiers

PMID42835889
PMCPMC13638247

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.