<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>The Archives of Bone and Joint Surgery</title>
			<title_fa></title_fa>
			<short_title>ABJS</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://abjs.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4644</journal_id_issn>
			<journal_id_issn_online>2345-461X</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>3</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>3</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Bone Mineral Density Changes in Multiple Endocrine Neoplasia Type 1: A Systematic Review and Meta-Analysis of Prevalence and Parathyroidectomy Outcomes</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>SYSTEMATIC REVIEW</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: This study aimed to analyze the prevalence of osteopenia and osteoporosis in MEN1-related primary hyperparathyroidism (PHPT), examine the impact of parathyroidectomy (PTX) on bone metabolic outcomes, and compare bone density metrics between sporadic and MEN1-related PHPT.Methods: A systematic review and meta-analysis were conducted in accordance with the guidelines for Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). We searched PubMed, Web of Science, and Scopus up to June 2024, subsequently screening the articles to identify relevant research. Studies focusing on bone mineral density (BMD), T and Z-scores in patients with MEN1-related conditions were included. Meta-analyses were conducted using random-effects models.Results: From the initial 2,563 articles, 15 studies were included in the meta-analysis. The pooled prevalence of osteoporosis and osteopenia in patients with MEN1-related PHPT was 45.2% (95% CI: 39.1-51.4%; I2: 16.7%) and 53.3% (95% CI: 44.4-62.0%; I2: 36.15%), respectively. PTX showed no significant impact on BMD in MEN1-related PHPT patients at the lumbar spine (mean difference: -0.054; P-value = 0.092; I2: 0.86%) or femoral neck (mean difference: -0.025; P-value = 0.219; I2: 0.47%). Comparisons of bone density metrics showed that MEN1-related PHPT patients had significantly lower Z-scores at the lumbar spine (mean difference: -0.676; P-value &lt; 0.001; I2: 41.86%), total hip (mean difference: -0.629; P &lt; 0.001; I2: 23.4%), and femoral neck (mean difference: -0.516; P &lt; 0.001; I2 = 38.82%) compared to patients with sporadic PHPT.Conclusion: Patients with MEN1-related PHPT exhibited a high prevalence of osteopenia and osteoporosis, along with lower BMD metrics compared to those with sporadic PHPT. PTX was not associated with significant changes in BMD among MEN1-related PHPT patients.        Level of evidence: V Objectives: This study aimed to analyze the prevalence of osteopenia and osteoporosis in MEN1-related primary hyperparathyroidism (PHPT), examine the impact of parathyroidectomy (PTX) on bone metabolic outcomes, and compare bone density metrics between sporadic and MEN1-related PHPT.Methods: A systematic review and meta-analysis were conducted in accordance with the guidelines for Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). We searched PubMed, Web of Science, and Scopus up to June 2024, subsequently screening the articles to identify relevant research. Studies focusing on bone mineral density (BMD), T and Z-scores in patients with MEN1-related conditions were included. Meta-analyses were conducted using random-effects models.Results: From the initial 2,563 articles, 15 studies were included in the meta-analysis. The pooled prevalence of osteoporosis and osteopenia in patients with MEN1-related PHPT was 45.2% (95% CI: 39.1-51.4%; I2: 16.7%) and 53.3% (95% CI: 44.4-62.0%; I2: 36.15%), respectively. PTX showed no significant impact on BMD in MEN1-related PHPT patients at the lumbar spine (mean difference: -0.054; P-value = 0.092; I2: 0.86%) or femoral neck (mean difference: -0.025; P-value = 0.219; I2: 0.47%). Comparisons of bone density metrics showed that MEN1-related PHPT patients had significantly lower Z-scores at the lumbar spine (mean difference: -0.676; P-value &lt; 0.001; I2: 41.86%), total hip (mean difference: -0.629; P &lt; 0.001; I2: 23.4%), and femoral neck (mean difference: -0.516; P &lt; 0.001; I2 = 38.82%) compared to patients with sporadic PHPT.Conclusion: Patients with MEN1-related PHPT exhibited a high prevalence of osteopenia and osteoporosis, along with lower BMD metrics compared to those with sporadic PHPT. PTX was not associated with significant changes in BMD among MEN1-related PHPT patients.        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Bone mineral density, Meta-analysis, Multiple Endocrine Neoplasia, Primary Hyperparathyroidism</keyword>
				<start_page>125</start_page>
				<end_page>133</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25657.html</web_url>
			<author_list><author>
				<first_name>Vahid</first_name>
				<middle_name></middle_name>
				<last_name>Mahdavizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mahdavizadev@yahoo.com</email>
				<code>112573</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Emadzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>maryamemadzadeh@yahoo.com</email>
				<code>112574</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Mazloum Khorasani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mazloumz@mums.ac.ir</email>
				<code>112575</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Discovery of Posterior Oblique Ligament (POL) within the Distal Forearm Cruciate Complex (DFCC)</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: To introduce a ligament in the posterior distal extent of the forearm interosseous membrane (IOM).
Methods: Ten cadavers were dissected in which the ligament was consistently present extending obliquely from the distal radius metaphysis to the distal radioulnar joint capsule. The ligament was also explored in a patient during posterior interosseous nerve (PIN) excision.
Results: The posterior oblique ligament (POL) is found consistently in all cadavers via a dorsal approach.
Conclusion: This discovery highlights the complexity of forearm ligamentous structures and their role in the proximal, middle, and distal radio-ulnar stabilization.
        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>DFCC, DOB, DRUJ, IOL, POL</keyword>
				<start_page>134</start_page>
				<end_page>137</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25665.html</web_url>
			<author_list><author>
				<first_name>Amir</first_name>
				<middle_name></middle_name>
				<last_name>Kachooei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>arkachooei@gmail.com</email>
				<code>112602</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Effect of Dexamethasone as an Adjuvant to Bupivacaine for Ultrasound-guided Axillary Plexus Block: A Randomized, Double-blinded Prospective Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: The study evaluated sensory and motor block onset time, duration, and intensity, as well as pain intensity, sedation levels, and vital signs, showing that adding dexamethasone to bupivacaine improved sensory and motor block onset time, duration, and intensity, enhanced sedation effects. Axillary plexus block is a common type of anesthesia for surgical management of upper extremity injuries.Methods: This prospective clinical trial included 72 patients over 18 years of age who were candidates for surgical management of upper extremity injuries with the axillary plexus block approach. The patients were randomly divided into two groups: group BD [30 ml bupivacaine 0.25% with 2ml dexamethasone (n=36)] and group B [30 ml bupivacaine 0.25% with 2ml distilled water (n=36)]. The Pinprick test and Modified Bromage Scale (MBS) were used to evaluate the sensory and motor block levels. Additionally, the Visual Analogue Scale (VAS) and Ramsay Sedation Scale (RSS) were used to assess pain intensity and degree of sedation. All collected data were analyzed using IBM SPSS Statistics version 20 software.Results: The mean age of patients in the B and BD groups was 34.41±11.11 and 36.8±13.3, respectively. According to the results, there was a significant difference in the average time of sensory and motor block onset between two groups, with group BD showing shorter onset time compared to group B (P&lt;0.001). Moreover, the mean duration and intensity of the sensory and motor block were significantly higher in group BD (P&lt;0.05). Additionally, the degree of sedation changes after the block started were more pronounced in group BD. There was no statistically significant difference between the two groups regarding changes in pain intensity, heart rates (HR), mean arterial blood pressure (MABP), and complications (P&gt;0.05).Conclusion: Adding dexamethasone to bupivacaine as a safe adjuvant drug effectively prolongs the axillary plexus block time duration and reduces post-surgery pain. Furthermore, it accelerates the onset time of sensory and motor block.        Level of evidence: II]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Adjuvant, Axillary plexus block, Bupivacaine, Dexamethasone, Ultrasonography guide</keyword>
				<start_page>138</start_page>
				<end_page>145</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25616.html</web_url>
			<author_list><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Khoshrang</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hkhoshrang@yahoo.com</email>
				<code>112414</code>
				<coreauthor>No</coreauthor>
				<affiliation>Anesthesiology Research Center, Department of Anesthesiology, Alzahra Hospital,  Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Haghighi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>manesthesist@gmail.com</email>
				<code>112415</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Anesthesiology Research Center, Department of Anesthesiology, Alzahra Hospital,  Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Atrkarroushan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>atrkarroushan@gmail.com</email>
				<code>112416</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saeed</first_name>
				<middle_name></middle_name>
				<last_name>Hemmati</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hemmatisaeed0@gmail.com</email>
				<code>112417</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Roxana</first_name>
				<middle_name></middle_name>
				<last_name>Azizi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>roxanaazizi1998@gmail.com</email>
				<code>112418</code>
				<coreauthor>No</coreauthor>
				<affiliation>Zanjan University of Medical Science, Zanjan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Plate Breakage Following Internal Fixation of Long Bone Diaphyseal Fractures: A 150-Case Analysis</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: This study analyzed cases of plate breakage following internal fixation of long bone diaphyseal fractures to identify contributing factors and inform clinical practice.
Methods: A retrospective analysis of 150 plate breakage cases after diaphyseal fracture fixation was conducted using data from the &quot;DXY&quot; forum in November 2023. Patient demographics, fracture characteristics, plate specifications, surgical techniques, and outcomes were evaluated.
Results: Plate breakages occurred most frequently in the femur (67.3%), predominantly in wedge or multifragmentary fractures (60.7%). Locking plates were used in 64.7% of cases. Despite high rates of anatomical reduction (87.9% in complex fractures), plate failures occurred at an average of 11.3 months post-operation. High screw density (0.83-0.89 screws used/total holes) was observed across fracture types. In femoral fractures, the fracture zone length to working plate length ratio was notably high (0.91), indicating a relatively short working length.
Conclusion: Findings suggest that prioritizing anatomical reduction and rigid fixation may contribute to plate breakage, potentially due to impaired biological healing. Adherence to contemporary AO principles, emphasizing relative stability and biological fixation techniques, may be crucial in preventing these complications. The study highlights the need for a balanced approach between mechanical stability and biological considerations in fracture management.
        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Biological fixation, Biomechanics, Fracture healing, implant failure, surgical technique</keyword>
				<start_page>146</start_page>
				<end_page>151</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25406.html</web_url>
			<author_list><author>
				<first_name>Yan-Zi</first_name>
				<middle_name></middle_name>
				<last_name>Liu</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>1033379314@qq.com</email>
				<code>111479</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Zibo Hospital of Traditional Chinese Medicine (Zibo Orthopedic Hospital), Zibo, Shandong, China</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Wei</first_name>
				<middle_name></middle_name>
				<last_name>Zhu</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>546636474@qq.com</email>
				<code>111480</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Ophthalmology Surgery, Zibo Central Hospital, Zibo, Shandong, China</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Xue-dong</first_name>
				<middle_name></middle_name>
				<last_name>Tian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>txdxt@qq.com</email>
				<code>111481</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Zibo Hospital of Traditional Chinese Medicine (Zibo Orthopedic Hospital), Zibo, Shandong, China</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Minimally Invasive vs Open First Metatarsophalangeal Joint Cheilectomy: Radiographic Outcomes and Early Complications</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: Current literature on surgical techniques has evaluated minimally invasive surgery (MIS) cheilectomy and its efficacy in comparison to the open technique. However, no study to date has evaluated MIS-Moberg in relation to open and MIS cheilectomy. This study assessed radiological outcomes and early healing and complications of patients who underwent open, MIS, and MIS-Moberg cheilectomies.
Methods: We conducted a retrospective cohort review of 134 patients who underwent first metatarsophalangeal (MTP) cheilectomy at an academic medical center between 2015 and 2024. Success of cheilectomy was determined radiographically. Postoperative complications were identified through medical record review.
Results: 73 open and 61 MIS cheilectomies were performed on 134 patients with a primary diagnosis of hallux rigidus. The pre-operative versus post-operative differences in dorsal cortical length (3.7±1.4) and sagittal articular P1 angle (7.3±4.8) were found to be statistically significant (P&lt;0.05) for the MIS-Moberg group. Ten patients in the open cheilectomy were found to have dorsiflexion and plantarflexion stiffness compared to zero patients in the MIS and MIS-Moberg groups (P&lt;0.01).
Conclusion: We showed a significantly greater rate of plantar- and dorsiflexion stiffness in open surgeries compared to MIS and MIS-Moberg. No other differences in healing rates or radiologic outcomes were observed. Based on preliminary results, the MIS-Moberg can successfully alter the radiographic alignment of the great toe and does not increase complications as compared to open or MIS cheilectomy alone.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Foot and ankle, Hallux rigidus, MIS, Moberg</keyword>
				<start_page>152</start_page>
				<end_page>156</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25349.html</web_url>
			<author_list><author>
				<first_name>Noopur</first_name>
				<middle_name></middle_name>
				<last_name>Ranganathan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nranganathan@mgh.harvard.edu</email>
				<code>111232</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>1 Foot &amp; Ankle Research and Innovation Laboratory (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA
2 Department of Orthopaedic Surgery, Mass General Brigham, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Marium</first_name>
				<middle_name></middle_name>
				<last_name>Raza</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mraza@hms.harvard.edu</email>
				<code>111233</code>
				<coreauthor>No</coreauthor>
				<affiliation>Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Soheil</first_name>
				<middle_name></middle_name>
				<last_name>Ashkani-Esfahani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sashkaniesfahani@mgh.harvard.edu</email>
				<code>111234</code>
				<coreauthor>No</coreauthor>
				<affiliation>Foot &amp; Ankle Research and Innovation Laboratory (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Christopher</first_name>
				<middle_name>P.</middle_name>
				<last_name>Miller</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>cpmiller@mgb.org</email>
				<code>111235</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Foot &amp; Ankle Research and Innovation Laboratory (FARIL), Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA
2 Department of Orthopaedic Surgery, Mass General Brigham, Boston, MA, USA
3 Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Trends in Orthopaedic Surgery on Patients 90 Years Old and Older 2014-2023</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: The United States (US) population is aging with an increasing number of older adults over 90 years old. The primary purpose of this study is to evaluate trends in orthopaedic surgeries in patients 90 years old and greater over the past decade from 2014-2023.Methods: Patients ≥90 years old at the time of surgery at a single orthopaedic specialty practice from 2014 through 2023 were identified. All patients that underwent nonsurgical treatment were excluded. Surgeries were categorized by musculoskeletal area and procedure type by CPT codes. Musculoskeletal areas include Shoulder, Humerus/Elbow, Forearm/Wrist, Hand/Fingers, Pelvis/Hip, Femur/Knee, Leg/Ankle, Foot/Toes, Spine, Integumentary, Nervous System, and Other.Results: Over the last decade, 5,291 orthopaedic surgeries were performed on 4,807 patients 90 years old and older (age range 90-107 years old; 75% female). Of these patients, 91% underwent only one surgery while ≥90 years old, while the remaining underwent between two to five surgeries. The number of surgeries each year ranged from 180 to 680 with a positive correlation between year and number of surgeries and a greater than threefold increase in surgeries 2014-2023. The Pelvis and Hip were the primary musculoskeletal areas of surgery, accounting for 69% of surgeries overall, followed by femur and knee (11%) and nervous system (which includes carpal tunnel release, 5.2%). Most surgeries (69%) were for a fracture or dislocation.Conclusion: There is an increase in volume of orthopaedic surgery on patients ≥90 years old over the last decade between 2014-2023, the majority of which were performed on the hip and pelvis and for fractures or dislocations. As older adults ≥90 years old continue to increase in the population, we project the surgical volume will continue to grow and place a large financial burden on the US healthcare system.        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>centenarians, Fractures, Frail Elderly, nonagenarian, Orthopedics</keyword>
				<start_page>157</start_page>
				<end_page>163</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25409.html</web_url>
			<author_list><author>
				<first_name>Lilah</first_name>
				<middle_name></middle_name>
				<last_name>Fones</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>lilahfones@gmail.com</email>
				<code>111489</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amir</first_name>
				<middle_name>R.</middle_name>
				<last_name>Kachooei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>arkachooei@gmail.com</email>
				<code>111490</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pedro</first_name>
				<middle_name>K.</middle_name>
				<last_name>Beredjiklian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>pedro.beredjiklian@rothmanortho.com</email>
				<code>111491</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedic Institute, Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Shoulder Arthroplasty in Hemophilia</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>In Brief</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (PWH). A search was conducted in PubMed on December 8, 2024, using the keywords “hemophilia” and “shoulder arthroplasty.”  To date only 4 articles (84 shoulder arthroplasties) in PWH have been published.  A recent study with level 3 of evidence has found that five-year implant survival was similar in PWH (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (TSA) survivorship endures lasting and might be proposed to PWH. However, the high risks of both 90-day bleeding complication and venous thromboembolism (VTE) in PWH stressed the special dares of scrupulously weighing factor replacement and VTE prophylaxis pre-, intra-, and postoperatively on an individual patient basis with cautious hematologist coordination.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Hemophilia, prosthetic survival, Results, shoulder, Shoulder Arthroplasty</keyword>
				<start_page>164</start_page>
				<end_page>169</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25423.html</web_url>
			<author_list><author>
				<first_name>E. Carlos</first_name>
				<middle_name></middle_name>
				<last_name>RODRIGUEZ-MERCHAN</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ecrmerchan@hotmail.com</email>
				<code>111552</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hortensia</first_name>
				<middle_name></middle_name>
				<last_name>De la Corte-Rodriguez</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hortensiadelacorterodriguez@yahoo.es</email>
				<code>111553</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Samuel</first_name>
				<middle_name></middle_name>
				<last_name>Antuña</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>santuna@asturias.com</email>
				<code>111554</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Primitivo</first_name>
				<middle_name></middle_name>
				<last_name>Gomez-Cardero</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>gcarderop@hotmail.com</email>
				<code>111555</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>M. Teresa</first_name>
				<middle_name></middle_name>
				<last_name>Alvarez-Roman</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>talvarezroman@gmail.com</email>
				<code>111556</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Hematology, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Victor</first_name>
				<middle_name></middle_name>
				<last_name>Jimene-Yuste</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>vjyuste@gmail.com</email>
				<code>111557</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Hematology, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Teriparatide-induced Sever Persistent Hypercalcemia in an Osteoporotic Patient: A Case Report and Literature Review</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>CASE REPORT</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[A rare case of severe prolonged persistent Teriparatide-induced hypercalcemia (14.3mg/dL on admission) in an osteoporotic patient after ceasing the Teriparatide is reported. This 67-year-old female was admitted with polyuria, xerostomia, constipation, progressive weakness, and a history of Triparatide use due to a previous osteoporotic fracture. Her serum calcium, PTH, and vitamin D levels had been normal before starting Teriparatide. Ninety six hours after ceasing the Teriparatide along with rehydration and Calcitonin treatment, the patient&#039;s serum calcium levels returned to normal. Severe Teriparatide-induced hypercalcemia does not follow any defined pattern and may persist for days and can usually be controlled through ceasing the Teriparatide, rehydration, and close monitoring of the serum calcium level and symptoms.
        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>hypercalcemia, Osteoporosis, Teriparatide</keyword>
				<start_page>170</start_page>
				<end_page>175</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25546.html</web_url>
			<author_list><author>
				<first_name>Sedigheh</first_name>
				<middle_name></middle_name>
				<last_name>Reisian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>reisians4011@mums.ac.ir</email>
				<code>112111</code>
				<coreauthor>No</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shokoufeh</first_name>
				<middle_name></middle_name>
				<last_name>Bonakdaran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>bonakdaransh@mums.ac.ir</email>
				<code>112112</code>
				<coreauthor>No</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Moradi PhD</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>ralimoradi@gmail.com</email>
				<code>112110</code>
				<coreauthor>No</coreauthor>
				<affiliation>2 Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
3 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Ali</first_name>
				<middle_name></middle_name>
				<last_name>Yaghoubi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>yaghoubima@mums.ac.ir</email>
				<code>112113</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>