<?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>10</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>10</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>When a Surgeon Undergoes Surgery</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>EDITORIAL</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[It has been over 30 years since I began my journey in orthopedic surgery. During this time, I have operated on many patients and listened to countless stories they shared after their procedures. However, six months ago, while still actively practicing, I found myself on the other side of the operating table, undergoing emergency coronary artery bypass surgery.For the first time, I experienced a major surgical process through the eyes of a patient. This period was full of lessons and insights I hope to carry forward in my professional life. I feel compelled to share some of these reflections with my colleagues in the hope that they may offer a glimpse into the patient’s world.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Communication, Surgeon, Surgery</keyword>
				<start_page>603</start_page>
				<end_page>604</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26781.html</web_url>
			<author_list><author>
				<first_name>Reza Shahryar</first_name>
				<middle_name></middle_name>
				<last_name>kamrani</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>rz_kamrani@yahoo.com</email>
				<code>117551</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>MH</first_name>
				<middle_name></middle_name>
				<last_name>Nabian</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>dr.nabian@gmail.com</email>
				<code>117552</code>
				<coreauthor>No</coreauthor>
				<affiliation>Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, 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>Reconstruction of the Distal Radius After Resection of an Aggressive Giant Cell Tumor</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>EDITORIAL</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Giant cell tumor (GCT) of the distal radius presents unique surgical challenges because of its aggressive nature and anatomical complexity. While en-bloc resection is often required, reconstructing the resulting defect remains a debated topic. Among various options, ulnar translocation combined with wrist arthrodesis provides a biologic and structurally stable solution with minimal donor site complications. Recent advances, such as limited arthrodesis, T-shaped locking plates, and preservation of the triangular fibrocartilage and distal ulnar remnant, have enhanced outcomes. These improvements have made ulnar translocation a more function-preserving and cosmetically acceptable method for treating aggressive distal radius GCT.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Distal radius, Giant cell tumor, Reconstruction, Ulnar translocation</keyword>
				<start_page>605</start_page>
				<end_page>606</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26744.html</web_url>
			<author_list><author>
				<first_name>Khodamorad</first_name>
				<middle_name></middle_name>
				<last_name>Jamshidi</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>jamshidi_k@yahoo.com</email>
				<code>117392</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alireza</first_name>
				<middle_name></middle_name>
				<last_name>Mirzaei</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>mirzaeialireza26@gmail.com</email>
				<code>117393</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, 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>AI Revolution in Orthopedic Biomechanics: From Fracture Classification to Real-Time Simulations</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>EDITORIAL</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Over recent decades, orthopedic biomechanics has evolved from classical mechanics-based models to advanced computational simulations. Innovations in modeling and material analysis—such as finite element method (FEM), which has revolutionized the simulation of complex bone responses, and advanced imaging modalities like 3D CT and MRI, which offer detailed anatomical insights—have deepened our understanding of bone behavior. The incorporation of patient-specific data has further enabled personalized fracture analysis and treatment strategies, enhancing precision in orthopedic care.Despite significant advancements, orthopedic biomechanics still faces challenges—particularly in comprehensively understanding complex fracture patterns and effectively applying real-time intraoperative solutions. This editorial explores how artificial intelligence (AI) driven innovations can overcome these persistent challenges and enhance diagnostic accuracy, support personalized treatment plans, and facilitate improved intraoperative decision-making from an engineering perspective.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Artificial intelligence, orthopedic biomechanics, Fracture classification, Real time simulation</keyword>
				<start_page>607</start_page>
				<end_page>610</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26778.html</web_url>
			<author_list><author>
				<first_name>Azadeh</first_name>
				<middle_name></middle_name>
				<last_name>Ghouchani</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>a.ghouchani@eng.ui.ac.ir</email>
				<code>117543</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Biomedical Engineering, Faculty of Engineering, University of Isfahan, Isfahan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name>H.</middle_name>
				<last_name>Ebrahimzadeh</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>ebrahimzadehmh@mums.mums.ac.ir</email>
				<code>117544</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedic Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Science, Mashhad, Iran- Bone and Joint Research Laboratory, Ghaem Hospital, 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>A Systematic Review of Retrospective Evidence on Patient and Surgical Factors in Recurrent Cubital Tunnel Syndrome</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: There is much debate regarding which patient-related risk factors and surgical techniques contribute to recurrent cubital tunnel syndrome (CuTS). This systematic review aimed to identify preoperative risk factors and surgical techniques associated with symptom recurrence or revision surgery following cubital tunnel release. 
Methods: We searched PubMed, Scopus, Cochrane Library, and clinicaltrials.gov databases for potentially eligible articles published between January 2009 and November 2024. Using Covidence, four reviewers screened based on predefined inclusion criteria: studies examining recurrent CuTS following surgery, reporting patient characteristics and/or surgical techniques, and published in English. A standardized Excel sheet was utilized to extract patient demographics, recurrence rates, and revision outcomes. Risk of bias was assessed using the Newcastle-Ottawa Scale. Due to heterogeneity in outcomes, no formal metaanalysis was performed, and a narrative synthesis was done. 
Results: Fourteen studies were included, totaling 49,492 patients with idiopathic CuTS treated with ulnar nerve surgery. Revision rates ranged 1.2–23.8%. Younger age was described as a risk factor in ten studies, although one study identified older age as a predictive risk factor. In contrast, another study described it as a protective factor. Diabetes was associated with recurrence risk in two studies, while sex, BMI, and smoking showed inconsistent associations. Severe preoperative symptoms or higher McGowan scores were associated with poorer outcomes in two studies. Overall, recurrence and revision rates were low across all techniques. 
Conclusion: The retrospective nature and limited power of included studies increase risk of selection and Type II errors. Regardless, there seems to be no significant difference in recurrence/revision rates based on surgical techniques. CuTR was often recommended as an initial procedure while ulnar nerve transposition (UNT) was reserved for revisions or patients with nerve subluxation. 
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>cubital tunnel syndrome, Reoperation, Risk factors, Surgical Decompression, Ulnar Nerve Compression</keyword>
				<start_page>611</start_page>
				<end_page>621</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26740.html</web_url>
			<author_list><author>
				<first_name>Auden</first_name>
				<middle_name>S.</middle_name>
				<last_name>Gu</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>auden.gu@students.jefferson.edu</email>
				<code>117374</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pranav</first_name>
				<middle_name></middle_name>
				<last_name>Bingi</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>pranav.bingi@students.jefferson.edu</email>
				<code>117375</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jordan</first_name>
				<middle_name></middle_name>
				<last_name>Ginder</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>jhg82@drexel.edu</email>
				<code>117376</code>
				<coreauthor>No</coreauthor>
				<affiliation>Drexel University College of Medicine, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jason</first_name>
				<middle_name></middle_name>
				<last_name>Flynn</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>jason.flynn@students.jefferson.edu</email>
				<code>117377</code>
				<coreauthor>No</coreauthor>
				<affiliation>Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Khak</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>mkhak@bidmc.harvard.edu</email>
				<code>117378</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Asif</first_name>
				<middle_name>M.</middle_name>
				<last_name>Ilyas</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>asif.ilyas@rothmanortho.com</email>
				<code>117379</code>
				<coreauthor>No</coreauthor>
				<affiliation>1 Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA
2 Drexel University College of Medicine, Philadelphia, PA, USA
3 Department of Orthopaedic Surgery, Rothman Institute, 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>Comparative Efficacy and Safety of Intravenous vs. Combined Intravenous and Intraarticular Tranexamic Acid Administration in Total Knee Arthroplasty: A Stratified Analysis Based on Bleeding Risk</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: Tranexamic acid (TXA) effectively reduces blood loss in total knee arthroplasty (TKA) without raising thromboembolism risk, though the best administration route is still debated. This study aimed to classify patients based on bleeding risk factors and determine whether intravenous (IV) alone or combined IV and intraarticular (IA) administration of TXA provides the greatest benefit.Methods: This study included 200 patients who underwent TKA, with 100 patients with IV administration only and 100 with combined IV and IA administration. The bleeding risk stratification criteria were based on patient body mass index, age, the use of increased anticoagulant doses in patients with atrial fibrillation, and cases where synovectomy was performed. The primary outcomes measured were tube drainage volume, hemoglobin (Hb) and hematocrit (Ht) levels, and blood transfusion rates. Secondary outcomes included wound complications, symptomatic deep vein thrombosis (DVT), and symptomatic pulmonary embolism (PE).Results: Combined IV and IA administration showed better outcomes in terms of Hb reduction (difference of 0.98 g/dl, 95%CI: 0.69 to 1.26, P&lt;0.0001), Ht reduction (difference of 2.66%, 95% CI: 1.78 to 3.54, P&lt;0.0001), tube drainage (294 vs 358 ml, 95% CI: 11.58 to 115.93, P=0.0170) and shorter hospitalization stay (difference of 0.53 days, 95% CI: 0.16 to 0.90, P=0.0050) compared to only IV administration. Patients who underwent synovectomy had lower tube drainage with combined TXA administration compared to IV only (355.42 ± 161.68 ml vs. 429.79 ± 268.48 ml). Neither group experienced any cases of symptomatic (i.e. DVT) or pulmonary embolism (PE).Conclusion: The combined administration of TXA (IV and IA) in patients undergoing TKA was more effective than IV-only administration.        Level of evidence: II]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>bleeding risk, Enhanced recovery after surgery, intraarticular TXA, intravenous TXA, Physiopathology, Total knee arthroplasty, Tranexamic acid</keyword>
				<start_page>622</start_page>
				<end_page>630</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25870.html</web_url>
			<author_list><author>
				<first_name>Serban</first_name>
				<middle_name></middle_name>
				<last_name>Dragosloveanu</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>serban.dragosloveanu@umfcd.ro</email>
				<code>113494</code>
				<coreauthor>No</coreauthor>
				<affiliation>The Carol Davila University of Medicine and Pharmacy, Bucharest, Romania- Department of Orthopaedics, Foisor Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, Bucharest, Romania</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Bogdan-Sorin</first_name>
				<middle_name></middle_name>
				<last_name>Capitanu</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>bogdan.capitanu@rez.umfcd.ro</email>
				<code>113495</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics, Foisor Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, Bucharest, Romania</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Calin Ion</first_name>
				<middle_name></middle_name>
				<last_name>Dragosloveanu</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>calindragosloveanu@yahoo.com</email>
				<code>113496</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics, Foisor Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, Bucharest, Romania</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alexandra-Ana</first_name>
				<middle_name></middle_name>
				<last_name>Mihailescu</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>mihailescu87alexandra@gmail.com</email>
				<code>113497</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>The Carol Davila University of Medicine and Pharmacy, Bucharest, Romania- Department of Anesthesiology and Critical Care, Foisor Clinical Hospital of Orthopaedics, Traumatology, and Osteoarticular Tuberculosis, Bucharest, Romania</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadali</first_name>
				<middle_name></middle_name>
				<last_name>Enayatollahi</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>maenayatollahi@gmail.com</email>
				<code>113498</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics, Nikan General Hospital, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Cristian</first_name>
				<middle_name></middle_name>
				<last_name>Scheau</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>cristian.scheau@umfcd.ro</email>
				<code>113499</code>
				<coreauthor>No</coreauthor>
				<affiliation>The Carol Davila University of Medicine and Pharmacy, Bucharest, Romania- Department of Radiology and Medical Imaging, Foisor Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, Bucharest, Romania</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>Promising Results of Total Knee Arthroplasty in Patients with Severe Varus Deformity with High Constrained Prosthesis: A 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 existing literature does not provide a clear definition of the outcomes of total knee arthroplasty (TKA) and prosthesis constraint in patients with severe varus deformity. In this study, for the first time, we evaluated the outcomes of TKA and the relationship between prosthesis constraint and these outcomes in patients with severe varus deformity (&gt;30 degrees).
Methods: This prospective cohort study was conducted on 41 patients (54 knees) with varus deformity greater than 30 degrees who underwent TKA between April 2013 and April 2019. The patients were divided into two groups based on the type of prosthesis (high constraint and low constraint). Surgical outcomes were evaluated using the Knee Society Score (KSS), Oxford Knee Score (OKS), range of motion (ROM), and postoperative complications.
Results: High-constrained prostheses (HCP) and low-constrained prostheses (LCP) were used in 44 and 10 knees, respectively. The mean follow-up duration was 77.11 ± 6.55 months. The mean KSS, KSS function, OKS, and ROM significantly improved after surgery compared to preoperative values (P&lt;0.05). The mean improvement in the KSS function score after surgery was significantly higher in patients with HCP compared to those with LCP (p = 0.021). No significant differences were observed for the other variables. No cases required revision.
Conclusion: This prospective non-randomized study, conducted on 41 patients (54 knees) with severe varus deformity (&gt;30º) who underwent total knee arthroplasty (TKA), demonstrated that the mean improvement in the Knee Society Score (KSS) function score after surgery was greater for high-constrained prostheses (HCP, N = 44) compared to low-constrained prostheses (LCP, N = 10). The HCP group included 40 Legacy Constrained Condylar Knees (LCCK) and four hinged knee prostheses, while the LCP group included posterior-stabilizing (PS) prostheses. The mean follow-up duration was 6.5 years. Given the small sample size, randomized clinical trials are needed to validate our preliminary findings.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Constrained prosthesis, Functional score, Knee Osteoarthritis, Severe Varus, Total knee arthroplasty</keyword>
				<start_page>631</start_page>
				<end_page>637</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26680.html</web_url>
			<author_list><author>
				<first_name>Mahmoud</first_name>
				<middle_name></middle_name>
				<last_name>Jabalameli</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>jabalamelimd@yahoo.com</email>
				<code>117132</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alireza</first_name>
				<middle_name></middle_name>
				<last_name>Askari</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>aaskari60@yahoo.com</email>
				<code>117133</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hooman</first_name>
				<middle_name></middle_name>
				<last_name>Yahyazadeh</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>yahyazadehhooman@yahoo.com</email>
				<code>117134</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran- Department of Orthopedic Surgery, Farhikhtegan Hospital, Faculty of Medicine, Tehran Medical Sciences Islamic Azad University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Abolfazl</first_name>
				<middle_name></middle_name>
				<last_name>Bagheridard</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>bagherifard.a@iums.ac.ir</email>
				<code>117135</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Jabalameli</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>mehrdadsadighi88@gmail.com</email>
				<code>117136</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadreza</first_name>
				<middle_name></middle_name>
				<last_name>Dolikhani</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>mohammadreza.dolikhani.78@gmail.com</email>
				<code>117137</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran- Bone Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran-  Department of Orthopedic Surgery, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mehrdad</first_name>
				<middle_name></middle_name>
				<last_name>Sadighi</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>mehrdad_1330@yahoo.com</email>
				<code>117138</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran- Department of Orthopedic Surgery, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, 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>Effects of Standardized Pricing for Distal Radius Implants</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: Critical evaluation of implant costs may help mitigate the cost of orthopedic care. In an effort to decrease the financial burden of operative fixation for fractures of the distal radius, a standardized shelf price was established by a large orthopedic practice for all distal radius implants. We hypothesized that by negotiating a fixed reduced cost, total number of screws, number of locking screws, and number of wasted screws would be unchanged and overall implant utilization would not change.
Methods: This was a retrospective analysis of the effect implant price standardization had on the operative care of distal radius fractures at a single outpatient urban surgical center. The total number of screws, as well as the number discarded during each procedure was reviewed. We analyzed the financials three months before and three months following price standardization. We surveyed the ten fellowship trained hand surgeons affected by the change regarding differences in operating procedure and perceived changes in the attendance and utility of the manufacturer’s representative.
Results: We reviewed 30 distal radius open reduction internal fixations three months before and 28 cases three months following shelf price implementation. On average, there was a 32% reduction in total implant costs after price standardization. No statistically significant difference in any clinical variables were noted. Negligible change was noted in the surgeon experience in representative availability and surgery-related attributes on the survey. 20% of surgeons switched implants due to the cost restrictions.
Conclusion: Despite a set price for distal radius implants, there was no significant difference in the number of screws utilized or discarded after price standardization. Additionally, despite a 32% reduction in cost, the level of representative attendance and utility were similar before and after the change. Surgeons are willing to be flexible in implant choices based on a cost restriction model.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Distal radius, Fracture, Implant, shelf pricing, standardized pricing</keyword>
				<start_page>638</start_page>
				<end_page>642</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26240.html</web_url>
			<author_list><author>
				<first_name>Samantha</first_name>
				<middle_name></middle_name>
				<last_name>Riebesell</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>samriebesell@gmail.com</email>
				<code>115204</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Michael</first_name>
				<middle_name></middle_name>
				<last_name>Rivlin</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>michael.rivlin@rothmanortho.com</email>
				<code>115205</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jeremiah</first_name>
				<middle_name>A.</middle_name>
				<last_name>Adams</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>jeremyadamsbioe@gmail.com</email>
				<code>115206</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Frederic</first_name>
				<middle_name>L.</middle_name>
				<last_name>Liss</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>fredliss@comcast.net</email>
				<code>115207</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Andrew</first_name>
				<middle_name>J.</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>andrewmiller28@gmail.com</email>
				<code>115208</code>
				<coreauthor>No</coreauthor>
				<affiliation>Philadelphia Hand to Shoulder Center, Philadelphia, PA, 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>115209</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Rothman Orthopaedic Institute at Thomas Jefferson University, 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>The Impact of Post-reduction Radiographs of Distal Radius Fractures on Treatment Decisions among Fellowship-trained Orthopedic Hand Surgeons and General Orthopedic Surgeons</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: We aimed to assess the impact of post-reduction radiographic evaluation on treatment decisions by fellowship-trained hand and general orthopedic surgeons. We also evaluated the trend in distal radius fracture treatment between hand surgeons and general orthopedic surgeons.Methods: We collected postero-anterior (PA) and lateral radiographs of a consecutive series of 72 patients with six potential treatment options to be reviewed by the surgeons in three steps. First, they reviewed the patients&#039; age, sex, laterality, hand dominance, and pre-reduction radiographs. Two weeks later, they reviewed the same patients’ post-reduction PA and lateral radiographs in different order. Finally, after another two weeks, they reviewed the patients&#039; pre-reduction and post-reduction PA and lateral radiographs simultaneously.Results: A total of 1,080 responses were analyzed without missing data. Treatment plans remained consistent across pre-reduction, post-reduction, and simultaneous presentations, indicating that post-reduction radiographs did not improve treatment agreement. Fellowship-trained hand surgeons were significantly more likely to select internal fixation than general orthopedic surgeons (P &lt; 0.001). Within-group agreement was low (Kappa = 0.2), reflecting substantial variability in treatment choices. Intra-observer reliability between pre- and post-reduction presentations was nearly perfect (Kappa = 0.9, P = 0.402). Treatment decisions remained unchanged for 70% of hand surgeons and 72% of general orthopedic surgeons, while 13% opted for more invasive and 16% for less invasive approaches. The final treatment decisions in simultaneous presentations closely resembled those in post-reduction presentations for general orthopedic surgeons and pre-reduction presentations for hand surgeons, though the differences were not statistically significant.Conclusion: Although there is a significant trend among hand surgeons toward internal fixation for distal radius fractures, there is great variance among hand surgeons and general orthopedic surgeons about the recommended treatment method for distal radius fractures. Additionally, post-reduction radiographs did not improve variation among surgeons.         Level of evidence: II]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>distal radius fractures, Fellowship-trained hand surgeon, General orthopedic surgeon, Post-reduction Radiographs, Treatment Decisions</keyword>
				<start_page>643</start_page>
				<end_page>648</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26030.html</web_url>
			<author_list><author>
				<first_name>Seyed hadi</first_name>
				<middle_name></middle_name>
				<last_name>Kalantar</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>hadikalantar4@gmail.com</email>
				<code>114265</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ahmadreza</first_name>
				<middle_name></middle_name>
				<last_name>Afshar</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>afshar_ah@yahoo.com</email>
				<code>114268</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedics, Urmia University of Medical Sciences, Urmia, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ara</first_name>
				<middle_name></middle_name>
				<last_name>Nazarian</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>anazaria@bidmc.harvard.edu</email>
				<code>114267</code>
				<coreauthor>No</coreauthor>
				<affiliation>Musculoskeletal Translational Innovation Initiative, Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA- Department of Orthopaedic Surgery, Yerevan State Medical University. Yerevan, Armenia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad javad</first_name>
				<middle_name></middle_name>
				<last_name>Shariyate</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>mshariat@bidmc.harvard.edu</email>
				<code>114266</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Musculoskeletal Translational Innovation Initiative, Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amir Reza</first_name>
				<middle_name></middle_name>
				<last_name>Farhoud</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>am_farhoud@yahoo.com</email>
				<code>114269</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Nima</first_name>
				<middle_name></middle_name>
				<last_name>Bagheri</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>nimab1360@gmail.com</email>
				<code>114270</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aidin</first_name>
				<middle_name></middle_name>
				<last_name>Arabzadeh</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>aidin.medico@gmail.com</email>
				<code>114271</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Babak</first_name>
				<middle_name></middle_name>
				<last_name>Shojaie</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>dr.med.shojaie@gmail.com</email>
				<code>114272</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of plastic and Hand Surgery, Klinikum Bremen Mitte, Göttingen University of Medical Sciences, Bremen Germany</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><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>114273</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA
- Orthopedic 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>Translation, Validation, and Cross-Cultural Adaptation of the Patient and Observer Scar Assessment Scale (POSAS) into Persian</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 aimed to translate, culturally adapt, and validate the Patient and Observer Scar Assessment Scale (POSAS) for Persian-speaking populations, ensuring its applicability and reliability in both clinical and research settings in Iran.
Methods: The cross-cultural adaptation process involved forward and backward translations, expert panel reviews, and pre-testing. A total of 60 post-surgical patients participated in the study. Psychometric evaluations included content validity, internal consistency, and test-retest reliability. Content Validity Ratios (CVRs) and Content Validity Indices (CVIs) were calculated, with thresholds set at 0.51 and 0.79, respectively. Reliability was assessed using Cronbach’s alpha coefficients (≥0.7) and test-retest stability over a two-week interval.
Results: The Persian POSAS demonstrated robust psychometric properties. All items exceeded the CVI threshold, achieving strong expert consensus (CVR ≥0.51). Cronbach’s alpha coefficients were 0.88 and 0.81 for the Observer Scar Assessment Scale (OSAS) and Patient Scar Assessment Scale (PSAS), respectively, indicating high internal consistency. Test-retest reliability confirmed stability over time. These results were consistent with previous adaptations in other languages, including Arabic and Italian.
Conclusion: The Persian adaptation of POSAS is a valid and reliable tool for scar assessment, filling a critical gap in patient-centered care for Persian-speaking populations. This tool enables standardized evaluation of scars and supports clinical research. Future studies should explore its responsiveness to therapeutic interventions and its applicability across diverse patient demographics.
        Level of evidence: Ⅲ]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Cross-Cultural Research, cultural adaptation, Persian Validation, Psychometric Validation, Scar Assessment</keyword>
				<start_page>649</start_page>
				<end_page>655</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26309.html</web_url>
			<author_list><author>
				<first_name>Mohammadreza</first_name>
				<middle_name></middle_name>
				<last_name>Guity</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>m_guity@yahoo.com</email>
				<code>115486</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamed</first_name>
				<middle_name></middle_name>
				<last_name>Naghizadeh</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>hamednaghizadeh@yahoo.com</email>
				<code>115485</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Ayati Firoozabadi</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>dr.mohammad.ayati@gmail.com</email>
				<code>115487</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyyed Saeed</first_name>
				<middle_name></middle_name>
				<last_name>Khabiri</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>saeed.khabiri@gmail.com</email>
				<code>115488</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aidin</first_name>
				<middle_name></middle_name>
				<last_name>Arabzadeh</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>aidin.medico@gmail.com</email>
				<code>115489</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Tehran, 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>Evaluating the Outcome of Meniscus Root Repair Surgery in Patients with Degenerative Meniscus Posterior Root Tears</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: Transtibial pullout repair provides significant clinical improvement in individuals with meniscal root tears; however, there is no consensus on radiological outcomes. In this research, meniscal extrusion and clinical status were evaluated in a homogeneous series of subjects with degenerative medial meniscus posterior root tears (MMPRT).
Methods: This retrospective-prospective study was conducted on 16 subjects with degenerative posterior root tears of the medial meniscus who underwent transtibial pullout repair at Shafa Yahyaian Hospital from March 2017 to February 2021. The study population included two males and 14 females. The average age of the study participants was 50.9 ± 11 years. ‏The patients were followed up for an average of ‏‎19.7±14.8‎‏ months. ‏The Lysholm knee scoring scale was used for clinical evaluation of the knee. MRI (magnetic resonance imaging) was used both before and after surgery to assess the improvement in meniscal extrusion. ‎
Results: The average total Lysholm knee score increased from ‎49.6±10.5 to 79.1±11.1 (P&lt;0.001). The knee status was poor in one subject, fair in ten subjects, good in two subjects, and excellent in three subjects. In the last follow-up session, all subscales of the Lysholm Knee Scoring Scale showed improvement. The mean meniscal extrusion was 5.7±1.8 mm before surgery and 3.4±2.5 mm after surgery based on MRI results (P=0.008). Improvement in Lysholm score was not correlated with improvement in meniscal extrusion.
Conclusion: Transtibial pullout ‎repair provides significant clinical improvement in degenerative meniscal root tears, even in individuals in whom the meniscal extrusion is not reversed.
        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Degenerative meniscal root tear, meniscal extrusion, transtibial pullout technique</keyword>
				<start_page>656</start_page>
				<end_page>662</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26401.html</web_url>
			<author_list><author>
				<first_name>Abolfazl</first_name>
				<middle_name></middle_name>
				<last_name>Bagherifard</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>bagherifd@gmail.com</email>
				<code>115889</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hooman</first_name>
				<middle_name></middle_name>
				<last_name>Yahyazadeh</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>yahyazadehhooman@yahoo.com</email>
				<code>115891</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran - Department of Orthopedic surgery, Farhikhtegan Hospital, Faculty of Medicine, Tehran Medical Sciences Islamic Azad University, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mehdi</first_name>
				<middle_name></middle_name>
				<last_name>Moghtadaei</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>mmoghtadaei@gmail.com</email>
				<code>115890</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alireza</first_name>
				<middle_name></middle_name>
				<last_name>Akbarzadeh Arab</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>dr.alirezaakbarzadeh@gmail.com</email>
				<code>115892</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran - Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masih</first_name>
				<middle_name></middle_name>
				<last_name>Rikhtehgar</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>masih.rikhtehgar83.mr@gmail.com</email>
				<code>115893</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahmoud</first_name>
				<middle_name></middle_name>
				<last_name>Jabalameli</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>jabalamelimd@yahoo.com</email>
				<code>115894</code>
				<coreauthor>No</coreauthor>
				<affiliation>Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, 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>Total Ankle Replacement 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 objective of this paper is to carry out a review of the literature on the contemporary situation of total ankle replacement (TAR) in people with hemophilia (PWH). A search was performed in PubMed on December 29, 2024, utilizing the keywords “hemophilia” and “total ankle replacement.”  To date solely 8 papers (136 TARs) in 103 PWH have been reported.  All published series showed improvement in preoperative pain and function. However, the complication rate was 8.8% (intra-operative fractures of the medial malleolus, delayed wound healings, hematomas). Additional surgery is required in 5.1% of the TARs implanted (ankle arthrolysis due to painful arthrofibrosis, major surgeries, revision surgeries). The estimated 10-year survival free of any TAR removal or ankle fusion (AF) is 92.2%. Regarding the controversy AF or TAR in PWH, a recent systematic review and meta-analysis have found similar clinical results and rates of adverse events between TAR and AF in PWH.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Ankle, ankle fusion, Hemophilia, hemophilic arthropathy, total ankle replacement</keyword>
				<start_page>663</start_page>
				<end_page>667</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26735.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>117354</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopaedic Surgery, 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>Artificial Intelligence and the State of the Art of Orthopedic Surgery</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>LETTER TO THE EDITOR</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[This letter responds to the review &quot;Artificial Intelligence and the State of the Art of Orthopedic Surgery&quot; by Khojastehnezhad et al. While commending the authors, this correspondence highlights critical areas needing further discussion: the risk of healthcare inequity due to implementation barriers, the imperative to preserve fundamental surgical skills, and unresolved medicolegal implications of AI-assisted decisions. It calls for robust prospective RCTs and a balanced approach to integrating AI, ensuring innovation complements rather than compromises clinical expertise and equitable care.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Artificial intelligence, Orthopedic surgery, Healthcare Disparities, Clinical competence, Medicolegal Issues</keyword>
				<start_page>668</start_page>
				<end_page>669</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26774.html</web_url>
			<author_list><author>
				<first_name>Seyed Mohammad Hassan</first_name>
				<middle_name></middle_name>
				<last_name>Moallem</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>mhmoallem@gmail.com</email>
				<code>117535</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>