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ARCO 共识:非创伤性股骨头坏死的发病机制。

ARCO Consensus on the Pathogenesis of Non-traumatic Osteonecrosis of the Femoral Head.

机构信息

Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.

Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

J Korean Med Sci. 2021 Mar 15;36(10):e65. doi: 10.3346/jkms.2021.36.e65.

DOI:10.3346/jkms.2021.36.e65
PMID:33724736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7961868/
Abstract

Osteonecrosis of the femoral head (ONFH) is a devastating disease frequently leading to femoral head collapse and hip arthritis. Specifically, non-traumatic ONFH primarily affects young and middle-aged adults. Although compromised local circulation of the femoral head seems to be pathognomonic for the disease, the pathogenesis is perplexing and continues to be an area of scrutiny and research. Comprehension of the pathogenesis is of crucial importance for developing and guiding treatments for the disease. Therefore, we provide an up-to-date consensus on the pathogenesis of non-traumatic ONFH.

摘要

股骨头坏死(ONFH)是一种破坏性疾病,常导致股骨头塌陷和髋关节炎。具体而言,非创伤性 ONFH 主要影响年轻和中年成年人。尽管股骨头局部循环受损似乎是该疾病的特征,但发病机制令人费解,仍然是关注和研究的领域。理解发病机制对于开发和指导该疾病的治疗至关重要。因此,我们就非创伤性 ONFH 的发病机制提供了最新的共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de23/7961868/6e3b3305f95c/jkms-36-e65-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de23/7961868/71e8a0f994e8/jkms-36-e65-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de23/7961868/71e8a0f994e8/jkms-36-e65-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de23/7961868/ad1455c3dd7c/jkms-36-e65-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de23/7961868/6e3b3305f95c/jkms-36-e65-g006.jpg

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Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?: A 5-Year Update.非创伤性股骨头坏死:今天我们站在哪里?:5 年更新。
J Bone Joint Surg Am. 2020 Jun 17;102(12):1084-1099. doi: 10.2106/JBJS.19.01271.
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The 2019 Revised Version of Association Research Circulation Osseous Staging System of Osteonecrosis of the Femoral Head.2019 年版股骨头坏死的协会研究循环性骨坏死分期系统。
J Arthroplasty. 2020 Apr;35(4):933-940. doi: 10.1016/j.arth.2019.11.029. Epub 2019 Nov 27.
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Association of Variant Interactions in , , , , and Genes with the Development of Osteonecrosis of the Femoral Head.
Mesenchymal stem cells: A new strategy for the treatment of femoral head necrosis.
间充质干细胞:治疗股骨头坏死的新策略。
Regen Ther. 2025 Jul 23;30:421-429. doi: 10.1016/j.reth.2025.07.008. eCollection 2025 Dec.
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Exosomal SPRY4 from adipogenic BMSCs impairs angiogenesis via the PTPRB/TIE2/PI3K axis in Steroid-induced osteonecrosis of the femoral head.来自成脂骨髓间充质干细胞的外泌体SPRY4通过PTPRB/TIE2/PI3K轴损害激素性股骨头坏死中的血管生成。
Stem Cell Res Ther. 2025 Jul 15;16(1):375. doi: 10.1186/s13287-025-04505-0.
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[Atraumatic necrosis of the femoral head].[股骨头无菌性坏死]
Orthopadie (Heidelb). 2025 Jun 26. doi: 10.1007/s00132-025-04666-z.
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Mpox Infection and Endocrine Health: Bridging the Knowledge Gap.猴痘感染与内分泌健康:弥合知识差距
Medicina (Kaunas). 2025 May 15;61(5):899. doi: 10.3390/medicina61050899.
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Front Physiol. 2025 Apr 16;16:1373721. doi: 10.3389/fphys.2025.1373721. eCollection 2025.
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Int Orthop. 2018 Dec;42(12):2737-2743. doi: 10.1007/s00264-018-3977-9. Epub 2018 May 31.
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