Guidelines for clinical diagnosis and treatment of osteonecrosis of the femoral head in adults (2019 version)

Publication date: Available online 6 January 2020Source: Journal of Orthopaedic TranslationAuthor(s): Dewei Zhao, Feng Zhang, Benjie Wang, Baoyi Liu, Lu Li, Shin-Yoon Kim, Stuart B. Goodman, Philippe Hernigou, Quanjun Cui, William C. Lineaweaver, Jiake Xu, Wolf R. Drescher, Ling QinAbstractOsteonecrosis of the femoral head (ONFH) is a common and refractory disease in orthopaedic clinics. The number of patients with ONFH is increasing worldwide every year. There are an estimated 8.12 million patients with nontraumatic osteonecrosis in China alone. Treatment of nontraumatic osteonecrosis has always been a clinical challenge for orthopaedic surgeons. To further standardize diagnosis and treatment of ONFH, these guidelines provide not only basic diagnosis, treatment, and evaluation systems for ONFH but also expert advice and standards in many aspects, including epidemiology, aetiology, diagnostic criteria, pathological staging, prevention and treatment options, and postoperative rehabilitation. The aetiological factors of ONFH can currently be divided into two major categories: traumatic and nontraumatic; however, the specific pathological mechanism of ONFH is not completely clear. Currently, the staging system of ONFH formulated by the Association Research Circulation Osseous is widely used in clinical practice. Based on the changes in the intraosseous blood supply at different stages, the corresponding nonsurgical and surgical treatments are recommended, and when there are risk...
Source: Journal of Orthopaedic Translation - Category: Orthopaedics Source Type: research