<?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>8</month>
				<day>1</day>
			</pubdate>
			<volume>14</volume>
			<number>8</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>Intraarticular Tranexamic Acid in Arthroscopic Knee Procedures: Has There Been Any Progress in the Last 5 Years (2021-2025)?</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[Two of the four articles published after September 2020 were systematic reviews. The first systematic review found that concentrations of TXA beyond 20 mg/mL were cytotoxic to chondrocytes, tenocytes, synoviocytes and periosteum-derived cells. The other systematic review suggested that the utilization of TXA in ACLR diminished the need for joint aspiration, articular bleeding, drain output, and knee inflammation in the postoperative period. The other two articles were clinical studies. One of them contemplated IA-TXA as a potentially efficacious and relatively safe option to diminish postoperative bleeding and pain in ACLR individuals. The other clinical study found that IA-TXA was efficacious in diminishing postoperative bleeding and early postoperative pain in individuals who underwent arthroscopic synovectomy of PVNS. Given the scarcity of well-designed studies on the long-term impact of IA-TXA on chondrocytes, we cannot know whether IA-TXA is harmful in the long-term, although it certainly appears to be beneficial in the short-term following some arthroscopic knee procedures (diminish postoperative bleeding and pain in ACLR and PVNS individuals). It is clear that very little progress has been made in the last five years and that well-designed, long-term studies will be needed to determine whether IA-TXA is harmful to chondrocytes in arthroscopic knee surgery.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>knee, arthroscopic procedures, Tranexamic acid, Intraarticular, Efficacy</keyword>
				<start_page>488</start_page>
				<end_page>490</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27727.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>121859</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>Open Reduction and Internal Fixation (ORIF) for Acetabular Fractures in the Elderly: A Systematic Review and Meta-Analysis</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: To evaluate the outcomes of open reduction and internal fixation (ORIF) in older adults with acetabular fractures, with a focus on postoperative complications, mortality, and conversion to total hip arthroplasty (THA).
Methods: We systematically reviewed studies published between September 2013 and February 2025 in Web of Science, PubMed, Embase, Scopus, and the Cochrane Library. Studies reporting postoperative outcomes of ORIF in elderly patients aged ≥65 years were included. Data extraction and quality assessment were performed independently by two reviewers. Statistical analyses were conducted using Comprehensive Meta-Analysis software, version 3.0.
Results: Twenty-one studies involving 2,410 patients were included in the analysis. Follow-up duration ranged from 12 to 96 months. The pooled mortality rate after ORIF was 11.0% (95% CI: 7.0%–16.7%). The pooled complication rate was 26.5% (95% CI: 21.3%–32.4%), and the pooled rate of conversion to THA was 20.0% (95% CI: 15.2%–26.0%). The pooled infection rate was 5.8% (95% CI: 4.2%–7.9%). Fixation failure occurred in 12.6% of patients (95% CI: 9.8%–15.9%) and was primarily attributed to secondary loss of reduction, implant loosening, or hardware breakage, often requiring revision surgery or conversion to THA.
Conclusion: ORIF in elderly patients with acetabular fractures is associated with substantial risks, including a high complication rate and a notable likelihood of conversion to THA. Alternative treatment strategies, such as primary THA or nonoperative management, should be considered in selected patients.
        Level of evidence: I]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Acetabular fracture, complication, Elderly, Mortality, ORIF, Total hip arthroplasty</keyword>
				<start_page>491</start_page>
				<end_page>499</end_page>
				<web_url>https://abjs.mums.ac.ir/article_28143.html</web_url>
			<author_list><author>
				<first_name>Mohamad</first_name>
				<middle_name></middle_name>
				<last_name>Yegane Shali</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>mohamadyegane1987@gmail.com</email>
				<code>123718</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Orthopedic Subspeciality Research Center (OSRC), Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Parham</first_name>
				<middle_name></middle_name>
				<last_name>Talebian</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>parhamtalebiyan19@gmail.com</email>
				<code>123719</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedic Subspeciality Research Center (OSRC), Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sina</first_name>
				<middle_name></middle_name>
				<last_name>Javidmehr</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>sinajavidmehr@gmail.com</email>
				<code>123720</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, Sina Hospital, 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>Golbakhsh</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>dmrgolbakhsh@yahoo.com</email>
				<code>123721</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedic Subspeciality Research Center (OSRC), 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>Siavashi</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>siavashi@tums.ac.ir</email>
				<code>123722</code>
				<coreauthor>No</coreauthor>
				<affiliation>Tehran University of Medical Sciences, Sina Hospital, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hanie</first_name>
				<middle_name></middle_name>
				<last_name>Abbasi</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>hanie73abbasi@gmail.com</email>
				<code>123723</code>
				<coreauthor>No</coreauthor>
				<affiliation>Tehran University of Medical Sciences, Sina Hospital, 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>Infection Following ACL Reconstruction: From Prevention to Treatment</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[Postoperative infection is a rare, but serious, complication following anterior cruciate ligament reconstruction (ACLR). This review integrates current epidemiological trends, risk factors, and novel diagnostic and therapeutic approaches derived from the existing literature. The estimated incidence of septic arthritis (SA) after ACLR typically ranges from 0.14% to 2.6%. Male sex, smoking, hamstring autograft implantation, being diabetic, and increased body mass index (BMI) are significant risk factors. Intraoperative vancomycin presoaking of the graft, known as the &#039;vancomycin wrap&#039; technique, has significantly decreased infection rates and revolutionized prophylactic procedures. Clinical suspicion and laboratory markers, such as synovial fluid analysis and C-reactive protein (CRP), are used to make the diagnosis of infection.Management often entails urgent arthroscopic debridement and individualized antibiotic treatment, with the principal aim of preserving the ACL graft. Although graft retention is successful in numerous cases, ongoing infection may require graft removal, which results in poorer outcomes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Anterior Cruciate Ligament Reconstruction (ACLR), Instability, Postoperative Infection, Septic arthritis, Surgical site infection</keyword>
				<start_page>500</start_page>
				<end_page>509</end_page>
				<web_url>https://abjs.mums.ac.ir/article_28137.html</web_url>
			<author_list><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Zarei Dezkooh</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>mohammadzarei22@yahoo.com</email>
				<code>123692</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sanaz</first_name>
				<middle_name></middle_name>
				<last_name>Zabihi</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>sanaz.zabihi1999@gmail.com</email>
				<code>123694</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Binava</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>binavar@mums.ac.ir</email>
				<code>123695</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Ganji</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>armin.ganji@gmail.com</email>
				<code>123696</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amir</first_name>
				<middle_name>Shahriar</middle_name>
				<last_name>Ariamanesh</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>ariamanesha@mums.ac.ir</email>
				<code>123697</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name>Hossein</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>123693</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Robert</first_name>
				<middle_name>F.</middle_name>
				<last_name>LaPrade</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>laprademdphd@gmail.com</email>
				<code>123698</code>
				<coreauthor>No</coreauthor>
				<affiliation>Twin Cities Orthopedics, Edina, 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>Associations between MRI Findings of the Anterolateral Ligament in Knee Injuries and Clinical Variables in Candidates for Anterior Cruciate Ligament Reconstruction</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>RESEARCH PAPER</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objectives: To evaluate the associations between magnetic resonance imaging (MRI) findings of the anterolateral ligament (ALL) and clinical variables in patients undergoing anterior cruciate ligament (ACL) reconstruction.
Methods: This retrospective multicenter study included patients with clinically confirmed ACL tears scheduled for reconstruction between January and August 2024 at three orthopedic centers in Mashhad. MRI examinations were performed using a 1.5-T scanner and interpreted by two to three experienced radiologists. Associations between MRI-detected ALL injuries and clinical variables were analyzed statistically.
Results: Eighty-three patients (mean age, 29 years; 90.6% male) were included. MRI identified ALL injuries in 34 patients (41.0%), while 45 patients (54.2%) had no detectable ALL injury; four cases were unclassified. oncomitant ACL and ALL injuries were present in 41.7% of patients. A high-grade pivot shift test was positive in 54.2% of cases. Medial and lateral meniscal injuries were observed in 53.0% and 13.3% of patients, respectively, and joint effusion was present in 60.2%. Significant associations were found between ALL injury and MRI-detected effusion (P = 0.035) as well as a positive pivot shift test (P &amp;lt; 0.001). No significant relationships were observed between ALL injury and age, sex, or anterior drawer test findings.
Conclusion: ALL injuries were significantly associated with joint effusion and positive pivot shift test results in patients undergoing ACL reconstruction. Although a possible association with posterior cruciate ligament buckling was observed, larger studies are needed to confirm this finding.       
 Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Anterior cruciate ligament (ACL), Anterolateral Ligament (ALL), Concomitant Injury, Magnetic Resonance Imaging (MRI), Pivot Shift Test</keyword>
				<start_page>510</start_page>
				<end_page>517</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27934.html</web_url>
			<author_list><author>
				<first_name>Farsad</first_name>
				<middle_name></middle_name>
				<last_name>Nemati Karimooy</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>farsadnemati@gmail.com</email>
				<code>122813</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reza</first_name>
				<middle_name></middle_name>
				<last_name>Ganji</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>armin.ganji@gmail.com</email>
				<code>122814</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Orthopedic Surgery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hadi</first_name>
				<middle_name></middle_name>
				<last_name>Makhmalbaf</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>makhmalbafh@mums.ac.ir</email>
				<code>122815</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><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>122816</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</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>122817</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Moradi</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>moradia@mums.ac.ir</email>
				<code>122818</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences (MUMS), Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Saber</first_name>
				<middle_name></middle_name>
				<last_name>Shoja Ortekand</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>sabershoja4313@gmail.com</email>
				<code>122819</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Behzad</first_name>
				<middle_name></middle_name>
				<last_name>Aminzadeh</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>aminzadehb@mums.ac.ir</email>
				<code>122820</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Radiology, Faculty of Medicine, 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>Cross-Cultural Adaptation, Validity, and Reliability of the Persian Translation of the Merle d’Aubigné-Postel Score</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 Merle d’Aubigné–Postel (MDP) score is a widely used patient-reported outcome measure (PROM) for assessing hip function for pain, walking ability, and mobility. Despite its widespread international use, no validated Persian version has been available to date. This study aimed to translate and culturally adapt the MDP score into Persian and evaluate its reliability and validity in Persian-speaking patients undergoing total hip arthroplasty (THA).
Methods: Following Guillemin et al. guidelines, Persian translation was done using a forward–backward process, followed by expert review and pretesting with 20 patients to ensure clarity and cultural relevance. The adapted instrument was validated in 103 Persian-speaking patients who had undergone THA with at least one year of follow-up. Internal consistency (Cronbach’s alpha), test–retest reliability (intraclass correlation coefficient [ICC]), construct validity (correlation with the Harris Hip Score [HHS]), criterion validity (correlation with HHS and the Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]), and content validity (floor and ceiling effects) were evaluated. Inter-rater reliability for mobility was assessed by three orthopedic residents.
Results: The Persian MDP score demonstrated high internal consistency (α= 0.74) and excellent test–retest reliability (ICC= 0.95; 95%CI: 0.91–0.98). Inter-rater reliability for mobility was excellent (ICC= 0.89; 95%CI: 0.82–0.94). Construct validity was supported by strong domain-specific correlations (e.g., MDP pain vs. HHS pain: r= 0.73; 95%CI: 0.62–0.81). Criterion validity was confirmed by strong correlations with WOMAC (r= 0.745; 95%CI: 0.65–0.82) and HHS (r= 0.753; 95%CI: 0.66–0.83). Content validity showed no floor effect (0%) and an acceptable ceiling effect (14.5%).
Conclusion: The Persian MDP score is a valid and reliable instrument for assessing outcomes after THA in Persian-speaking patients. Its simplicity and strong psychometric properties support its use in clinical and research settings. However, the observed ceiling effect should be considered for excellent postoperative outcomes.
        Level of evidence: III]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Cultural adaptation, Merle d'Aubign&amp;eacute, -Postel score, Patient-reported outcome measures, Total    hip arthroplasty</keyword>
				<start_page>518</start_page>
				<end_page>526</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27996.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>123041</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>Sina</first_name>
				<middle_name></middle_name>
				<last_name>Esmaeili</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>sinaesm81@gmail.com</email>
				<code>123042</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>Mehdi</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>rezaee.mehdi96@gmail.com</email>
				<code>123043</code>
				<coreauthor>No</coreauthor>
				<affiliation>Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masoud</first_name>
				<middle_name></middle_name>
				<last_name>Kazemifard</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>masoud.kazemifard.2013@gmail.com</email>
				<code>123044</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>Ghasem</first_name>
				<middle_name></middle_name>
				<last_name>Daneshgar</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>ghsemd74@gmail.com</email>
				<code>123045</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>123046</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Joint Reconstruction Research Center, 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>Deep Learning-based Detection of Hip Anatomical Landmarks in X-ray Images</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 accurate quantification of hip deformities in medical images presented a significant challenge for radiologists. Inaccurate quantifications can lead to misclassification of diseases and improper treatment. This study introduced two-stage deep learning (DL) models designed for the detection of landmarks in hip X-ray images, aiming to improve the accuracy of deformity quantification.
Methods: This study employed two two-stage deep learning (DL) models based on VGG16 and ResNet50. The first stage aimed to detect the bounding box for each landmark, while the second stage focused on pinpointing the exact location of the landmark within the magnified box. The model automatically identified 16 hip landmarks and measures 12 specific dimensions on each side. Training, validation, and testing were conducted on a dataset comprising 854 3-joint lower limb X-ray images depicting various anomalies.
Results: The model&#039;s measurements were compared with those obtained manually to evaluate performance. The resulting average error ranged from 0.56 to 2.33 mm for different landmarks in the ResNet50-based model. The most accurate measurements were obtained for the femoral head radius and shaft width, with average errors of 0.49 mm and 0.64 mm, respectively. Conversely, the least accurate results were observed for the alpha angle, with an error of 7.37°.
Conclusion: This dataset can be valuable for diverse research endeavors related to the hip region. The 2-stage model demonstrated a brief learning time due to the small image size loaded in both steps, while also offering high precision through the use of a bounding box.
        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>anatomical landmark detection, deep learning (DL), hip abnormalities, two-stage DL model</keyword>
				<start_page>527</start_page>
				<end_page>539</end_page>
				<web_url>https://abjs.mums.ac.ir/article_28144.html</web_url>
			<author_list><author>
				<first_name>Mahdie</first_name>
				<middle_name></middle_name>
				<last_name>Aghasizade</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.aghasizade@ut.ac.ir</email>
				<code>123724</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>School of Mechanical Engineering, University of Tehran, 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>123725</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Masoud</first_name>
				<middle_name></middle_name>
				<last_name>Shariat-Panahi</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>mshariatp@ut.ac.ir</email>
				<code>123726</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Akhlaghi</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>mohammadakhlaghi78@gmail.com</email>
				<code>123727</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, University of Tehran, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Alireza</first_name>
				<middle_name></middle_name>
				<last_name>Almasi Nokiani</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>almasinokiani.ar@iums.ac.ir</email>
				<code>123728</code>
				<coreauthor>No</coreauthor>
				<affiliation>Firoozabadi Clinical Research Development Unit (FACRDU), Iran. University of Medical Sciences (lUMS), Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ramin</first_name>
				<middle_name></middle_name>
				<last_name>Jafarzadeh Khaledi</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>jafarzadeh_r@ut.ac.ir</email>
				<code>123729</code>
				<coreauthor>No</coreauthor>
				<affiliation>Rad Radiology and Sonography Clinic, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hadi</first_name>
				<middle_name>G.</middle_name>
				<last_name>Kashani</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>hghattan@gmail.com</email>
				<code>123730</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Mechanical Engineering, University of Tehran, 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>Designing an Anatomical Plate to Improve Biomechanics and Stability for Distal Humerus Fractures: FEM Investigation and the Influence of Meshing Strategy</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: Distal humerus fractures require stable fixation to restore elbow function, yet conventional plates often exhibit a geometric mismatch with bone morphology, potentially compromising biomechanical performance. Our finite element analysis (FEA) compared a novel anatomical plate designed to conform to native humeral geometry with a conventional plate for treating type B1 distal humerus fractures. The influence of meshing strategy on the outcomes was also evaluated. Both adaptive and uniform approaches were considered.
Methods: A CT-based three-dimensional humerus model with heterogeneous bone properties was reconstructed from scans of a 37-year-old woman. An anatomically contoured plate was compared with a conventional locking plate. Adaptive and uniform meshing were applied separately to each model, and each construct was subsequently tested under 100 N tensile and compressive loads.
Results: The anatomical plate showed higher stiffness (up to 13%), a broader contact pressure distribution (23–28 MPa vs. conventional: 12–18 MPa), and a larger area of sticking contact, whereas the conventional plate produced higher shear stresses (p=0.113). Uniform meshing generated significantly greater interfragmentary motion than adaptive meshing (p=0.008) but caused unrealistically high screw stresses (up to 1526 MPa). Adaptive meshing predicted higher bone stresses, whereas uniform meshing concentrated stresses in the screws. Although meshing affected the absolute stress and strain magnitudes, the comparative differences between plate designs remained consistent.
Conclusion: The anatomically contoured plate offers greater biomechanical stability than conventional designs for distal humerus fractures, as evidenced by reduced displacement and maintained fragment positioning conducive to healing. An adaptive meshing strategy appears more suitable for FEA of complex fixation components because it yields more reliable stress distributions without altering the primary comparative conclusions. Further experimental validation is warranted before clinical application.
        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Anatomical Plate Design, Bone Plates, Distal, Finite element analysis, Fracture fixation, Humeral fractures, Mesh Refinement</keyword>
				<start_page>540</start_page>
				<end_page>549</end_page>
				<web_url>https://abjs.mums.ac.ir/article_28131.html</web_url>
			<author_list><author>
				<first_name>Fahime</first_name>
				<middle_name></middle_name>
				<last_name>Rezazade</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>fahime.rezazade402@eng.ui.ac.ir</email>
				<code>123676</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biomedical Engineering, Faculty of Engineering, University of Isfahan, Isfahan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><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>123675</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Biomedical Engineering, Faculty of Engineering, University of Isfahan, Isfahan, 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 Novel Surgical Technique and Narrative Review for Pectoralis Major Tendon Repair: Integration of Unicortical Button Fixation and DX Reinforcement Matrix Augmentation</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>TECHNICAL NOTE</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Pectoralis major tendon (PMT) ruptures are increasingly seen in athletes, particularly weightlifters, often requiring surgical repair to restore function. Current surgical techniques may be limited by poor tendon quality or significant retraction. We present a novel approach combining unicortical button fixation with DX Reinforcement Matrix augmentation in a competitive weightlifter with a complete PMT rupture and contralateral pectoralis dysfunction. Intraoperatively, the tendon was augmented with a DX Matrix and fixed using a unicortical button to restore the anatomic footprint and reduce repair tension. The patient underwent structured rehabilitation and returned to full activity within six months. MRI at 12 months showed intact tendon healing at the anatomical footprint without graft failure or retraction. The Oxford Shoulder Score was 48 at six months, indicating high patient satisfaction. This technique is designed to provide a biomechanically robust and biologically supportive solution for complex PMT repairs and may improve outcomes, particularly in high-demand individuals. Further evaluation in larger cohorts is needed.
        Level of evidence: V]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>DX Reinforcement Matrix, functional outcomes, pectoralis major tendon rupture, Surgical Repair, tendon augmentation, unicortical button fixation</keyword>
				<start_page>550</start_page>
				<end_page>557</end_page>
				<web_url>https://abjs.mums.ac.ir/article_27814.html</web_url>
			<author_list><author>
				<first_name>Timnit</first_name>
				<middle_name>Gebray</middle_name>
				<last_name>Tekie</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>timnit92@gmail.com</email>
				<code>122290</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Trauma and Orthopaedic Surgery, The Rowley Bristow Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Athanasios</first_name>
				<middle_name></middle_name>
				<last_name>Kalogeropoulos</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>athanasios.kalogeropoulos@gmail.com</email>
				<code>122291</code>
				<coreauthor>No</coreauthor>
				<affiliation>Trauma and Orthopaedic Surgery, The Rowley Bristow Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Georgios</first_name>
				<middle_name></middle_name>
				<last_name>Togias</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>toyiasgeorge@gmail.com</email>
				<code>122292</code>
				<coreauthor>No</coreauthor>
				<affiliation>Trauma and Orthopaedic Surgery, The Rowley Bristow Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Narvani</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>alinarvani@shoulder-elbowsurgery.com</email>
				<code>122293</code>
				<coreauthor>No</coreauthor>
				<affiliation>Trauma and Orthopaedic Surgery, The Rowley Bristow Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohamed</first_name>
				<middle_name></middle_name>
				<last_name>Imam</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>mohdn@hotmail.com</email>
				<code>122294</code>
				<coreauthor>No</coreauthor>
				<affiliation>Trauma and Orthopaedic Surgery, The Rowley Bristow Unit, Ashford and St Peter’s Hospital NHS Foundation Trust, Chertsey, Surrey, United Kingdom</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>