“…One way to measure scientific productivity is performing bibliometric studies, which are popularized in all scientific fields in general and the medical field in particular [ [14] , [15] , [16] ]. Previous studies reported a profound deficiency in publications on joint arthroplasty from Africa, while publications from Asian countries, although increasing in number, still lag behind those from North America and Europe [ 6 , 17 , 18 ].…”