Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany.
Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi SA, Italy.
Br Med Bull. 2021 Jun 10;138(1):112-125. doi: 10.1093/bmb/ldab006.
Osteonecrosis of the femoral head (ONFH) often leads to secondary osteoarthritis and total hip arthroplasty.
Recent published literatures.
There has been increasing focus on the early intervention in ONFH patients to preserve the native hip articulation, reduce pain and improve function.
Efficacy of surgical strategies for ONFH is debated. Several clinical studies showed controversial results, and the best treatment has not yet been clarified.
To provide an overview over current treatment options for ONFH compares their failure rates and conversion to total hip arthroplasty (THA) rates.
Core decompression (CD) augmented with autologous bone grafting plus the implantation of bone marrow concentrate can decrease the rate of failure and progression to THA rates compared to CD alone.
股骨头坏死（ONFH）常导致继发性骨关节炎和全髋关节置换。
近期发表的文献。
人们越来越关注早期干预 ONFH 患者，以保留原生髋关节，减轻疼痛并改善功能。
ONFH 的手术策略的疗效存在争议。几项临床研究显示出有争议的结果，最佳治疗方法尚未明确。
提供 ONFH 目前治疗选择的概述，比较其失败率和转为全髋关节置换术（THA）的比率。
与单纯 CD 相比，CD 联合自体骨移植加骨髓浓缩物植入可降低失败率和进展为 THA 的比率。
