<?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>2026</year>
				<month>1</month>
				<day>1</day>
			</pubdate>
			<volume>14</volume>
			<number>1</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>Are We Training Surgeons or Supervisors? Artificial Intelligence, Automation, and the Future of Surgical Expertise in Orthopedics</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[Orthopedic surgery isn’t exactly magic, but it demands mastery: doing the right thing reliably, safely, and under pressure. For decades, training has relied on progressive responsibility observation, assistance, supervised performance, and independent practice within a stable environment. Artificial intelligence, computer vision, next-generation robotics, mixed reality, and generative tools are now reshaping that environment and raising a central concern: are we training future surgeons or future supervisors of automated systems? We describe “supervisor drift” in the modern OR as trainees spend more time with planning platforms, navigation, consoles, and overlays, while attendings increasingly verify system accuracy and maintain sterility amid expanding technology. We summarize educational benefits including personalized AI coaching, case vignettes, AR/VR simulation, and AI-assisted templating and preoperative planning, alongside barriers of cost and cultural resistance and early AI literacy courses. Finally, we outline recommendations to prevent deskilling: dual-competency milestones, documentation of AI use, bias and error recognition, protected low-tech cases, and clear governance and accountability.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Artificial Intelligence (AI), virtual reality (VR), orthopedic education, AI-driven, Personalized Learning, residency training</keyword>
				<start_page>1</start_page>
				<end_page>2</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27285.html</web_url>
			<author_list><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Parsa</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>aliparsadr@yahoo.com</email>
				<code>119804</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Orthopedic Research Center, Mashhad University of medical Sciences, Mashhad, Iran
- Department of Orthopedic Surgery, NSU, Miami, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad H.</first_name>
				<middle_name></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.ac.ir</email>
				<code>119805</code>
				<coreauthor>No</coreauthor>
				<affiliation>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>Clinical, Functional, and Radiological Outcomes of Core Decompression in Kienböck’s Disease: A Comprehensive Systematic Review</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: Kienböck&#039;s disease (KD) is a progressive, typically unilateral condition primarily affecting young male manual laborers, causing pain and impaired wrist function. This comprehensive narrative review synthesizes the existing literature to assess clinical, functional, and radiological outcomes of Metaphyseal core decompression (MCD) in KD patients.Methods: A comprehensive narrative review of the literature was conducted in November 2024 using PubMed, Cochrane Library, Google Scholar (top 20 result pages), and Web of Science to identify studies on core decompression for Kienböck’s disease. Eligible articles were qualitatively synthesized with respect to clinical, functional, and radiological outcomes.Results: Eighteen studies comprising 382 patients (mean age 34.5 years) across Lichtman stages I–IIIb were reviewed. MCD techniques were associated with improvements in clinical and functional outcomes, including VAS, DASH, MWS, and PRWE scores. Radiological findings showed variable progression that did not consistently correlate with clinical deterioration. Capitate Forage Procedure (CFP), though limited in data, seems to offer promising early-term results. Major complications were infrequently reported, and a high proportion of patients (91–100%) returned to work. No procedure-related complications were reported in the reviewed studies, and the reoperation rate associated with MCD was relatively low, ranging from 4.2% to 8.3%. MCD may be beneficial for both young and elderly patients, including those with stage IIIb disease, and could offer socioeconomic advantages due to its minimally invasive nature and lack of implant use. MRI-detected vascular changes may suggest long-term benefits, with Schmitt’s method recommended for imaging evaluation.”Conclusion: MCD improves pain relief, range of motion, and grip strength in both early and advanced stages. Pain relief is often observed early, contributing to patient satisfaction, and its efficacy may extend to advanced stage IIIb cases, enabling most patients to return to work. MRI assessments suggest possible long-term vascular benefits. MCD is considered less invasive than RSO, with potential benefits that may justify further cadaveric studies to refine arthroscopic techniques.        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Kienböck disease, Lunate bone, Surgical Decompression</keyword>
				<start_page>3</start_page>
				<end_page>5</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27251.html</web_url>
			<author_list><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>babak.shojaie@gesundheitnord.de</email>
				<code>119660</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Plastic, Hand &amp; Reconstructive surgery, Klinikum Bremen-Mitte, Göttingen University of medical Science, Bremen, Germany</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadhossein</first_name>
				<middle_name></middle_name>
				<last_name>Taherynejad</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>mhtahery99@gmail.com</email>
				<code>119661</code>
				<coreauthor>No</coreauthor>
				<affiliation>2 Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Saremi</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>hosseinsaremi.shoulder@gmail.com</email>
				<code>119662</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>MohammadAmin</first_name>
				<middle_name></middle_name>
				<last_name>Sabahi</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>mamin.sabahi@yahoo.com</email>
				<code>119663</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amirreza</first_name>
				<middle_name></middle_name>
				<last_name>Rostami</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>amirrezar.98.ar@gmail.com</email>
				<code>119664</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Immunology 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>Partial Weight-Bearing after Lower Extremity Surgery: A Review of Current Standards, Innovations, and Patient Compliance</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>CURRENT CONCEPTS REVIEW</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Partial weight bearing (PWB) is a cornerstone of post-operative rehabilitation after lower extremity surgery (LES), balancing mechanical stimulation needed for bone, tendon, and cartilage healing with protection against excessive load that precipitates malunion, non-union, or joint dehiscence. This narrative review synthesizes literature to clarify current indications for PWB, evaluate traditional and emerging methods for prescribing and monitoring load, and identify factors influencing patient adherence. Hip, knee, ankle, and foot procedures commonly warrant PWB, yet optimal targets and progression schedules remain surgeon-dependent and inconsistently standardized. Household scales fail to replicate dynamic gait and are associated with poor long-term accuracy when compared to biofeedback devices, although these are the most widely adopted PWB adjuncts. Recent clinical trials demonstrate that wearable pressure-sensing insoles, audio or visual biofeedback, smartphone applications, telerehabilitation platforms, and virtual/augmented reality (VR/AR) or robotic off-loading devices markedly improve PWB precision, range of motion, muscle preservation, and functional scores without increasing complications. Nevertheless, widespread adoption is limited by cost, device sizing, battery life, and the requirement for continuous wear. Across studies that objectively quantified loading, adherence remains suboptimal, particularly among elderly and obese patients, underscoring the need for targeted educational interventions. Formal patient education, integrated into routine follow-up, may enhance understanding of PWB rationale, foster self-efficacy, and amplify the benefits of technology. Future research should prioritize high-quality randomized trials that combine sensor-derived compliance metrics with machine-learning analytics to individualize loading protocols, elucidate the drivers of non-adherence, and determine the cost-effectiveness of digital health solutions. Standardizing PWB guidelines while leveraging wearable, telehealth, and VR/AR technologies holds promise for accelerating recovery, reducing revision surgeries, and improving quality of life in an aging, fracture-prone population.        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>lower extremity, Patient Compliance, Postoperative care, Telemedicine, Virtual Reality, Wearable Electronic Devices, Weight-Bearing</keyword>
				<start_page>16</start_page>
				<end_page>23</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26813.html</web_url>
			<author_list><author>
				<first_name>Eric</first_name>
				<middle_name>M.</middle_name>
				<last_name>Kunz</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>ekunz005@med.fiu.edu</email>
				<code>117707</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Herbert Wertheim College of Medicine at Florida International University, Miami, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Devon</first_name>
				<middle_name>T.</middle_name>
				<last_name>Foster</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>dfost046@med.fiu.edu</email>
				<code>117708</code>
				<coreauthor>No</coreauthor>
				<affiliation>Herbert Wertheim College of Medicine at Florida International University, Miami, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pooya</first_name>
				<middle_name>M.</middle_name>
				<last_name>Tehrany</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>pooya.tehrany@rothmanortho.com</email>
				<code>117709</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ashkan</first_name>
				<middle_name></middle_name>
				<last_name>Sedigh</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>ashkan.sedigh@villanova.edu</email>
				<code>117710</code>
				<coreauthor>No</coreauthor>
				<affiliation>Villanova University, College of Engineering, Villanova, 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>117711</code>
				<coreauthor>No</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>Comparison of Medial Meniscus Root Repair with Two Surgical Techniques Using Medial and Lateral Tunnels: A Prospective Cohort 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: This study aimed to compare the clinical outcomes of trans-tibial pullout repair of the medial meniscus posterior root using the lateral tibial tunnel versus the conventional medial tibial tunnel.Methods: In this prospective cohort study, patients with posterior root tears of the medial meniscus who underwent surgical repair were divided into two groups based on the tibial tunnel used for fixation: the medial tunnel technique (Group 1) and the lateral tunnel technique (Group 2). The Lysholm score was recorded preoperatively and 12 months postoperatively to assess knee function and the return to daily and sports activities. Demographic data, including age, gender, and associated injuries, were also documented. Statistical analysis was performed using the one-sample t-test, independent t-test, and Pearson correlation.Results: The mean Lysholm score in the medial tunnel group was 92.67 ± 9.28, while in the lateral tunnel group, it was 88.02 ± 13.59. Statistical analysis revealed no significant difference in the Lysholm scores between the two groups (p &gt; 0.05), indicating comparable clinical outcomes for both techniques.Conclusion: Both medial and lateral tibial tunnel techniques for trans-tibial pullout repair of the medial meniscus root yield comparable functional outcomes. The choice of tunnel may be guided by anatomical considerations or surgeon preference, as no significant difference was observed in postoperative recovery, as measured by the Lysholm score.        Level of evidence: II]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Knee Surgery, lateral tunnel technique, Lysholm score, Medial meniscus root tear, medial tunnel technique, trans-tibial pullout repair</keyword>
				<start_page>24</start_page>
				<end_page>30</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26765.html</web_url>
			<author_list><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Shahsavari Pour</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.shahsavari@kmu.ac.ir</email>
				<code>117496</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Hosseini</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>aliho72love@gmail.com</email>
				<code>117497</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Mehrgan Hospital, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Iman</first_name>
				<middle_name></middle_name>
				<last_name>Ghomashi</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>imanqomashi@yahoo.com</email>
				<code>117498</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sajjad</first_name>
				<middle_name></middle_name>
				<last_name>Jafari</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>sajadjafari215415@gmail.com</email>
				<code>117499</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zahra</first_name>
				<middle_name></middle_name>
				<last_name>Sarabandi</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>otis.zahra@yahoo.com</email>
				<code>117500</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Mehrgan Hospital, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fateme</first_name>
				<middle_name></middle_name>
				<last_name>Ahmadi</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>f_ahmadi@kmu.ac.ir</email>
				<code>117495</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Clinical Research Development Unit, Mehrgan Hospital, Kerman University of Medical Sciences, Kerman, 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>Computer-Assisted Surgery is Associated with Reduced Inflammatory Response in Total Knee Arthroplasty: A Randomized Double-Blinded Control Trial</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: Total knee arthroplasty (TKA) is a standard treatment for advanced knee osteoarthritis (OA), but intramedullary reaming used in conventional (CON)-TKA may increase surgical trauma, blood loss, and systemic inflammation. Computer-assisted surgery (CAS)-TKA avoids canal entry and may reduce these adverse effects. This study compared postoperative inflammatory markers between CON-TKA and CAS-TKA.Methods: The study was approved by the Institutional Review Board on September 25, 2019 (COA no. 161/61). Participants were recruited from May 2019 to August 2020, and the trial was retrospectively registered with the Thai Clinical Trials Registry on February 24, 2021 (TCTR20210224007). Forty patients with primary knee OA (mean age 67 years) were randomly assigned to CON-TKA or CAS-TKA. Serum inflammatory markers—interleukin-6, C-reactive protein, and erythrocyte sedimentation rate (sIL-6, sCRP, ESR)—were collected at baseline and at 24 h, 72 h, and 2 weeks after surgery. Synovial markers (jIL-6, jCRP) were obtained intraoperatively and from Hemovac drainage at 24 h. Functional outcomes were assessed using the Knee Osteoarthritis Outcome Score (KOOS) at 2 weeks.Results: The sIL-6 and sCRP levels and ESR at 24 h, 72 h, and 2 weeks after surgery were significantly elevated compared with those at baseline. The CAS-TKA group had a significantly lower change in the sIL-6 and ESR at 2 weeks than the CON-TKA group (5.3 ± 2.9 vs 7.9 ± 4.8, P = 0.040, and 35 ± 16 vs 51 ± 22, P = 0.013). Synovial marker levels did not significantly differ between the two groups. Further, there were no significant differences in KOOS at 2 weeks between the two groups.Conclusion: Compared with CON-TKA, CAS-TKA had a lower inflammatory response and a smaller change in sIL-6 and ESR levels at 2 weeks after surgery. However, its functional benefits should be further investigated.        Level of evidence: I]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Computer-assisted surgery, Inflammatory Marker, Inflammatory response, Interleukin-6, Total knee arthroplasty</keyword>
				<start_page>31</start_page>
				<end_page>40</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27037.html</web_url>
			<author_list><author>
				<first_name>Pruk</first_name>
				<middle_name></middle_name>
				<last_name>Chaiyakit</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>pruk@nmu.ac.th</email>
				<code>118699</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Theerasak</first_name>
				<middle_name></middle_name>
				<last_name>Tempaiboolkul</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>theerasak@nmu.ac.th</email>
				<code>118700</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sittisak</first_name>
				<middle_name></middle_name>
				<last_name>Honsawek</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>sittisak.h@chula.ac.th</email>
				<code>118701</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biochemistry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ittiwat</first_name>
				<middle_name></middle_name>
				<last_name>Onklin</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>ittiwat@nmu.ac.th</email>
				<code>118698</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopaedics &amp; Department of Research and Medical Innovation, Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand</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>Conventional Titanium Acetabular Cups vs. Trabecular Titanium Acetabular Cups in Primary Total Hip Arthroplasty: Ten-year Follow-up Clinical and Radiological Results</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: Evidence supporting the use of trabecular titanium acetabular cups in primary total hip arthroplasty (THA) is generally favorable, especially in the short and mid-term. However, certain considerations remain, and long-term data are still unavailable.Methods: A total of 53 THAs in 47 patients performed at our institution between 2011 and 2015 were included and divided into two groups to compare clinical and radiological outcomes. Group A included 15 patients with conventional titanium cups, while Group B comprised 38 patients who received trabecular titanium cups.Results: There were no significant differences between groups regarding demographics, surgical variables, or complication rates. However, patients in Group B were significantly younger and more frequently underwent surgery via a posterolateral approach. Both groups demonstrated significant improvement in Harris Hip Score (HHS) postoperatively (p &lt; 0.05), with Group B showing significantly higher final scores (p &lt; 0.02). Radiographic cup positioning was similar in both groups. Group B exhibited a higher incidence of initial bone–implant gaps in zone 2, which correlated with higher Body Mass Index (p = 0.005) and greater abduction angles (p = 0.03). No osteolysis or component migration was observed. One asymptomatic loosening was noted in Group A. No cup revisions were required in either group during the minimum 10-year follow-up.Conclusion: Both acetabular cup designs achieved excellent long-term clinical and radiological results. In this cohort, tantalum cups were associated with slightly superior functional outcomes, supporting the hypothesis that higher porosity may promote improved biological integration while maintaining implant stability.        Level of evidence: II]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Conventional, Results, titanium acetabular cups, Total hip arthroplasty, trabecular</keyword>
				<start_page>41</start_page>
				<end_page>48</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26842.html</web_url>
			<author_list><author>
				<first_name>Sarah</first_name>
				<middle_name></middle_name>
				<last_name>Mills-Gañan</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>sarahmillsg@gmail.com</email>
				<code>117837</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ricardo</first_name>
				<middle_name></middle_name>
				<last_name>Fernandez-Fernandez</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>rfdezfdez@yahoo.com</email>
				<code>117838</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Luis-Rodrigo</first_name>
				<middle_name></middle_name>
				<last_name>Merino-Rueda</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>rodrigomerinorueda@gmail.com</email>
				<code>117839</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pablo</first_name>
				<middle_name></middle_name>
				<last_name>Díaz-Freire</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>pablodiazf@salud.madrid.org</email>
				<code>117840</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ana</first_name>
				<middle_name></middle_name>
				<last_name>Cruz-Pardos</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>anuskacp@yahoo.es</email>
				<code>117841</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><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>117842</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedic 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>Correlation between Opioid Prescribing Habits and Patient Satisfaction</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 purpose is to evaluate the correlation between patient-reported satisfaction measures and opioid prescribing practices of hand surgeons.Methods: This retrospective study evaluated the opioid prescription practices of 19 fellowship-trained hand surgeons at a single practice, over a 12-month period. The total number of opioid prescriptions sent, opioid prescriptions per surgery, average total morphine milligram equivalents (MME) prescribed per patient and the average MME per prescription were determined. The correlation coefficients were calculated for the total opioid prescriptions and the likelihood to recommend a physician, the overall service impression and the impression of physician empathy.Results: 5,089 patient satisfaction surveys were completed.  Pearson’s correlation demonstrated the “likelihood to recommend a surgeon” exhibited a moderate negative correlation with the total number of opioid prescriptions and the average MME per prescription (R=-0.38, R2=0.142, and R=-0.30, R2=0.089) respectively. Overall service impression exhibited a moderate negative correlation with total opioid prescriptions and average MME per prescription (R=-0.39, R2=0.142, and R=-0.30, R2=0.088), respectively. Perception of physician empathy exhibited a very weak negative correlation with total opioid prescriptions and weak correlation with average MME per prescription (R=-0.06, R2=0.004 and R=-0.29, R2=0.087), respectively. There were no statistically significant differences.Conclusion: This study demonstrated that measures of patient satisfaction did not correlate with opioid prescriptions.        Level of evidence: IV]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Hand surgery, Opioid, Pain medications, Patient Satisfaction</keyword>
				<start_page>49</start_page>
				<end_page>53</end_page>
				<web_url>https://abjs.mums.ac.ir/article_25805.html</web_url>
			<author_list><author>
				<first_name>Abdo</first_name>
				<middle_name></middle_name>
				<last_name>Bachoura</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>abachoura@gmail.com</email>
				<code>113245</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Rothman Orthopaedics, Orlando, FL, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jacob</first_name>
				<middle_name></middle_name>
				<last_name>Tulipan</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>jacob.tulipan@rothmanortho.com</email>
				<code>113247</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Daren</first_name>
				<middle_name></middle_name>
				<last_name>Aita</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>daren.aita@rothmanortho.com</email>
				<code>113246</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics, Philadelphia, PA, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Daniel</first_name>
				<middle_name></middle_name>
				<last_name>Fletcher</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>daniel.fletcher@rothmanortho.com</email>
				<code>113248</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics, Hamilton Township, NJ, USA</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pedro</first_name>
				<middle_name></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>113249</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rothman Orthopaedics, 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>Are Standing Spinopelvic Parameters Different in Patients with Hip Osteoarthritis Compared to Healthy Individuals? A Comparative 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: This case-control study aimed to investigate standing sagittal spinopelvic alignment in patients with advanced hip osteoarthritis (HOA) and to determine whether their alignment differs from that of healthy individuals.
Methods: This study included 240 participants, comprising 120 healthy individuals in the control group and 120 candidates for total hip arthroplasty due to primary HOA in the case group. Pelvic incidence (PI), sacral slope (SS), and pelvic tilt (PT) were measured in both groups using standing lateral X-rays.
Results: The demographic characteristics of the two groups were not significantly different. In patients with primary HOA, the mean PI, PT, and SS angles were 52.3 ± 10.1, 9.2 ± 4.2, and 44.4 ± 9.3 degrees, respectively. In the control group, the mean PI, PT, and SS values in were 50.2 ± 8.1, 11.2 ± 5.5, and 39.1 ± 8.5 degrees, respectively. The P-value indicated no significant difference in spinopelvic parameters between the control and case groups.
Conclusion: Our study demonstrated that standing spinopelvic parameters do not significantly differ between patients with primary HOA and healthy individuals.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Hip, Osteoarthritis, spine, Spinopelvic, Total hip arthroplasty</keyword>
				<start_page>54</start_page>
				<end_page>59</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26806.html</web_url>
			<author_list><author>
				<first_name>Mohammadreza</first_name>
				<middle_name></middle_name>
				<last_name>Razzaghof</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.razzaghof@gmail.com</email>
				<code>117671</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hooshmand</first_name>
				<middle_name></middle_name>
				<last_name>Zarei</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>d.h.zarei1994@gmail.com</email>
				<code>117672</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran-  Bone, Joint and Related Tissue Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyed Mohammadmisagh</first_name>
				<middle_name></middle_name>
				<last_name>Moteshakereh</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>mohammad_misaghmh@yahoo.com</email>
				<code>117673</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran-  Bone, Joint and Related Tissue Research Center, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Furqan Mohammed</first_name>
				<middle_name></middle_name>
				<last_name>Yaseen Khan</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>drfurqan@outlook.com</email>
				<code>117674</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad Reza</first_name>
				<middle_name></middle_name>
				<last_name>Barzegar</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.barzegar62@gmail.com</email>
				<code>117675</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedic Surgery Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Ghorbanzadeh</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.ghorbanzadeh1353@gmail.com</email>
				<code>117676</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>SM Javad</first_name>
				<middle_name></middle_name>
				<last_name>Mortazavi</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>smjmort@yahoo.com</email>
				<code>117677</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, 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>Quality Of Life and Functional Outcomes in Patients with Spinal Metastatic Bone Disease: A Retrospective Observational 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: Spinal tumors account for 6-8% of all bone tumors, with spinal metastatic bone disease being the most commonly found spinal tumor. Patients with spinal metastatic bone disease typically present with symptoms such as pain, neurological impairments, and potential paralysis. The morbidity associated with spinal metastatic bone disease significantly impacts the patients&#039; quality of life. This study aims to investigate the outcomes of quality of life and functional outcomes in patients with spinal metastatic bone disease.Methods: A retrospective observational study was conducted involving patients with spinal metastatic bone disease treated at Dr. Cipto Mangunkusumo Hospital from January 2021 to December 2023. The functional outcomes in this study were assessed using the Short Form-36 (SF-36) and the Oswestry Disability Index (ODI).Results: A total of 73 patients were included in this study, with breast cancer being the most common primary tumor (53%). Significant associations were found between gender and pain component (P = 0.045) and general health component (P = 0.047) of SF-36 scores. Significant differences were also observed in SF-36 components - physical functioning (P = 0.046, r = -0.562), energy/fatigue (P = 0.035, r = -0.621), and general health (P = 0.027, r = -0.513) with age. Significant differences were observed between pre-therapy and post-therapy in SF-36 scores for physical functioning, role limitations due to physical health, energy/fatigue, pain, general health, and ODI. Post-surgery, SF-36 role limitations due to physical health and ODI scores showed significant improvement. No significant relationships were found between pain severity, extremity weakness, type of therapy, and SF-36 or ODI scores.Conclusion: There are significant associations between gender, age, and functional outcomes in patients with spinal metastatic bone disease. There is improvement in SF-36 scores and ODI scores post-therapy, especially after surgery.        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Oswestry Disability Index, SF-36, Spinal metastatic bone disease</keyword>
				<start_page>60</start_page>
				<end_page>71</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27159.html</web_url>
			<author_list><author>
				<first_name>Muhammad</first_name>
				<middle_name></middle_name>
				<last_name>Yafidy</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>yafidy@gmail.com</email>
				<code>119283</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopaedics &amp; Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Achmad</first_name>
				<middle_name>Fauzi</middle_name>
				<last_name>Kamal</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>fauzikamal@yahoo.com</email>
				<code>119284</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopaedics &amp; Traumatology, Dr. Cipto Mangunkusumo General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia</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>Orthopedic Residency Training Reform in Iran: A Competency-Based Approach</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 aims to critically evaluate the time-based apprenticeship model currently dominating orthopedic residency training in Iran and to design a competency-based curriculum for the first two years that aligns with modern subspecialized practice while addressing trainee burnout and dissatisfaction.Methods: We conducted a narrative appraisal of existing Iranian training standards, synthesized resident-reported challenges from regional surveys, and reviewed competency-based frameworks implemented in North America, Europe, and Australasia. Based on these findings, we developed explicit milestones encompassing medical knowledge, technical skills, communication, professionalism, and wellness. An expert panel then iteratively refined the curriculum and aligned appropriate assessment tools with each milestone.Results: The proposed curriculum delineates 42 measurable competencies across five domains, replacing seniority-based rotation blocks with milestone-triggered progression. It incorporates weekly simulation laboratories, structured feedback, and mentor-led wellness sessions. Comparative analysis demonstrates superior alignment with international standards and suggests enhanced preparedness for fellowship-level practice. A pilot implementation at one academic center revealed increased resident satisfaction and a 30% reduction in reported burnout symptoms after six months.Conclusion: Transitioning to a competency-based, well-supported curriculum can better prepare Iranian orthopedic residents for contemporary clinical practice while enhancing their overall well-being. Nationwide implementation of this model is recommended.        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Competency-based education, Curriculum reform, Iran, Orthopedic residency, Resident wellness</keyword>
				<start_page>72</start_page>
				<end_page>80</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27050.html</web_url>
			<author_list><author>
				<first_name>Omid</first_name>
				<middle_name></middle_name>
				<last_name>salkhori</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>omidsalkhorii303@gmail.com</email>
				<code>118756</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, 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>118757</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><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>118758</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, 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>118759</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hesan</first_name>
				<middle_name></middle_name>
				<last_name>Rezaee</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>hesan.rezaee@gmail.com</email>
				<code>118760</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, 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>118761</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Pouya</first_name>
				<middle_name></middle_name>
				<last_name>Tababaei Irani</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>pouya.tabatabaei94@gmail.com</email>
				<code>118762</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammadreza</first_name>
				<middle_name></middle_name>
				<last_name>Razzaghof</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.razzaghof@gmail.com</email>
				<code>118763</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, 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>118764</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>SM Javad</first_name>
				<middle_name></middle_name>
				<last_name>Mortazavi</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>smjmort@yahoo.com</email>
				<code>118765</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, 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>118766</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
-Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, 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>Managing Distal Tibial Fracture Nonunion Using Custom-Made Three-Dimensional Titanium Cage: A Rare Case Report</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[This case report evaluated the effectiveness of a patient-specific, three-dimensional titanium cage in achieving stable fixation and functional recovery for a complex distal tibial nonunion with extensive bone loss. A 45-year-old male, who sustained a severe nonunion due to high-energy trauma, underwent implantation of a custom-designed titanium cage, which was created using high-resolution CT imaging to ensure a precise anatomical fit. The titanium cage, in combination with a retrograde intramedullary nail and composite bone grafts, provided enhanced structural support and facilitated osseointegration. Thirteen months postoperatively, the patient exhibited minimal pain, full weight-bearing capability, and complete functional recovery. Radiographic evaluations confirmed stable fusion and effective osseointegration, restoring both limb alignment and structural integrity. This case highlights the potential of customized 3D-printed titanium cages for reconstructing significant bone defects in weight-bearing regions, offering a promising solution for complex fractures with severe bone loss by providing structural stability, biocompatibility, and improved clinical outcomes.        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Bone defect reconstruction, Custom titanium cage, Distal tibia nonunion, osseointegration, Tibiotalocalcaneal arthrodesis</keyword>
				<start_page>81</start_page>
				<end_page>87</end_page>
				<web_url>https://abjs.mums.ac.ir/article_26492.html</web_url>
			<author_list><author>
				<first_name>Babak</first_name>
				<middle_name></middle_name>
				<last_name>Otoukesh</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>articlerelated6@gmail.com</email>
				<code>116290</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedics Surgery, Rasool-e-Akram Hospital, School of mMedicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ava</first_name>
				<middle_name></middle_name>
				<last_name>Parvandi</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>ava.parvandi@gmail.com</email>
				<code>116291</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedics Surgery, Rasool-e-Akram Hospital, School of mMedicine, 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>Niroomand</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.moradi2210@gmail.com</email>
				<code>116292</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedics Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Morad</first_name>
				<middle_name></middle_name>
				<last_name>karimpour</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.karimpour@ut.ac.ir</email>
				<code>116293</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, College of Engineering, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Rahmanizadeh</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>rahmanizadehmaryam@gmail.com</email>
				<code>116294</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, College of Engineering, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Shayan</first_name>
				<middle_name></middle_name>
				<last_name>Amiri</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>amiri.shayan23@gmail.com</email>
				<code>116295</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Orthopedics Surgery, Rasool-e-Akram Hospital, School of mMedicine, Iran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>