• British medical bulletin · Jun 2021

    Review Meta Analysis

    Failure and progression to total hip arthroplasty among the treatments for femoral head osteonecrosis: a Bayesian network meta-analysis.

    • Filippo Migliorini, Nicola Maffulli, Alice Baroncini, Jörg Eschweiler, Markus Tingart, and Marcel Betsch.
    • Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany.
    • Br. Med. Bull. 2021 Jun 10; 138 (1): 112-125.

    IntroductionOsteonecrosis of the femoral head (ONFH) often leads to secondary osteoarthritis and total hip arthroplasty.Source Of DataRecent published literatures.Areas Of AgreementThere has been increasing focus on the early intervention in ONFH patients to preserve the native hip articulation, reduce pain and improve function.Areas Of ControversyEfficacy of surgical strategies for ONFH is debated. Several clinical studies showed controversial results, and the best treatment has not yet been clarified.Growing PointsTo provide an overview over current treatment options for ONFH compares their failure rates and conversion to total hip arthroplasty (THA) rates.Areas Timely For Developing ResearchCore 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.© The Author(s) 2021. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

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