Objectives Authorship trends, female authors' contributions, and the collaboration among institutions have been a concern in the medical field. This study primarily aims to report and compare the number of authors per article and the prevalence of female authors by comparing two orthopaedics journals from the Arab world. The secondary objective of this study is to evaluate the characteristics of the authors' affiliations and the pattern in institutions' collaborations and contributions to the published articles. Methods This cross-sectional study reviewed all articles (until July 2020) published in the Archives of the Egyptian Orthopaedic Journal (EOJ) (the official journal of the Egyptian Orthopaedic Association) and the Journal of Musculoskeletal Surgery and Research (JMSR) (the official journal of the Saudi Orthopaedic Association). Results We evaluated 383 and 122 articles from the EOJ and JMSR, respectively. The average number of authors per article was significantly higher for JMSR (4.3 ± 1.7) than EOJ (2.0 ± 1.0); p = 0.000. There was a significantly larger number of contributions by female authors in JMSR (75, 14.2%) than EOJ (2, 0.3%); p = 0.000. The average number of institutions per article was significantly larger for JMSR (2.1 ± 1.2) than EOJ (1.1 ± 0.3); p = 0.000. For the JMSR, the incidence of national institutions' cooperation (27.9%) and international institutions' contributions (53.3%) were significantly higher than their counterparts for the EOJ—6% and 4.7%, respectively; p = 0.000. Conclusion The JMSR showed superiority regarding the number of authors per article and the prevalence of female authors. The incidence of national institutions' cooperation and international contributions were higher in the JMSR compared with the EOJ.

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Scientific publications are considered as the academic credit for researchers and their institutions. Authors are encouraged to publish in high ranking journals, to gain recognition, citations, exposure, and improve their ranking and classifications. In a previous article, [1] we evaluated the prevalence contributions from authors affiliated with Arabic institutions to the high ranking, Q1 multidisciplinary orthopedic and trauma journal, "The Bone and Joint Journal (BJJ). " We thought of taking another glance at the published articles in BJJ in the period following our previous investigation, to check if any progress has been made by Arabic authors to the journal. WHAT HAS CHANGED?The Journal's impact factor increased from 4.301 (at the time of the original study) to 5.082, currently. Authors' contribution from Arabic institutions was 0.5% (six articles out of 1161) over 5 years (till December 2018), resulting in a publication rate of 1.2 articles/year. Interestingly, contributions increased over the past 2½ years (from January 2019 till now) to 0.8% (seven articles out of a total of 846 articles), resulting in a publication rate of 2.8 articles/year. However, comparing the results obtained in the original study, [1] with the current findings, we found that a research team where all the authors were affiliated to one Arabic institution published one of the six articles mentioned in the original study, and the remaining five articles had a contributing coauthor affiliated to an Arabic institution. In comparison, the current findings showed that in the seven articles published in the past 2½ years, all Arabic authors were contributing coauthors (no article was purely from an Arabic institute). These affiliations had the following coauthorship distribution: Three articles from Egypt, [2][3][4] two articles from Saudi Arabia, [5,6] and one each from Iraq, [7] and one from Kuwait. [8] In one article out of the six coauthors, five were from the same Arabic institution, while the last author was affiliated with a British institute. [4] This observation raises an important question: Are we unable to publish in such a high ranking journal unless we are part of an international group or at least have an international coauthor?How to cite this article: Khalifa AA, Haridy MA. Have we made any progress? A comment on the "Scarcity of publications from the Arab countries in one of the Q1 orthopedic journals, is it us or the journal?"