Research progress in hip-preserving modalities for early osteonecrosis of the femoral head in young and middle-aged patients
10.3760/cma.j.cn501098-20220728-00524
- VernacularTitle:中青年早期股骨头坏死的保髋治疗方法研究进展
- Author:
Xiaoyang SONG
1
;
Haoqiang ZHANG
;
Yongjie QIAO
;
Yonggang CHENG
;
XinYuan YU
;
Jinpeng LOU
;
Hao LIU
;
Ziyao LI
;
Bo XU
;
Shenghu ZHOU
Author Information
1. 解放军联勤保障部队第九四〇医院关节外科，兰州 730050
- Keywords:
Femur head necrosis;
Hip;
Bone transplantation;
Prostheses and implants;
Arthroplasty
- From:
Chinese Journal of Trauma
2023;39(2):171-177
- CountryChina
- Language:Chinese
-
Abstract:
Osteonecrosis of the femoral head (ONFH) is one of the common and difficult-to-treat orthopedic diseases caused by a variety of factors that lead to abnormal blood flow to the femoral head, which in turn leads to deformation and collapse of the femoral head and eventually results in severe hip joint dysfunction. The key to the treatment is early diagnosis and correct treatment according to the stage classification and active prevention of further aggravation of ONFH aiming to delay or avoid hip replacement surgery in young and middle-aged patients. At present, there are various non-surgical and surgical hip-preserving modalities for early ONFH, designed to slow down the progression of the disease, prevent the femoral head from collapsing and stop the mild collapse. In recent years, with the emergence and development of bone reconstruction biomaterials, artificial bone reconstruction after scraping of ONFH lesions has shown great potential in the treatment of early ONFH. The authors review the research progress in hip-preserving modalities for early ONFH in young and middle-aged patients from non-surgical and surgical perspectives, hoping to provide a reference for clinical treatment of early ONFH.
