Review of various treatment options and potential therapies for osteonecrosis of the femoral head

	Review of various treatment options and potential therapies for osteonecrosis of the femoral head
	Huijuan Cao; Hanfeng Guan; Yuxiao Lai; Ling Qin; Xinluan Wang
刊名	Journal of Orthopaedic Translation
	2016
英文摘要	Size and location of the lesion, subchondral collapse occurrence, and articular cartilage involvement are general disease progression criteria for direct osteonecrosis of the femoral head (ONFH) classifications. Treatment options for ONFH are usually based on individual factors and lesion characteristics. Although spontaneous repair of ONFH occurs in some cases, untreated ONFH is unlikely to escape the fate of subchondral collapse and usually ends up with total hip arthroplasty. Operations to preserve the femoral head, e.g., core decompression and bone grafting, are usually recommended in younger patients. They are helpful to relieve pain and improve function in the affected femoral head without subchondral collapse, however, poor prognosis after surgical procedures remains the major problem for ONFH. Pharmacological and physical therapies only work in the early stage of ONFH and have also been recommended as a supplement or prevention treatment for osteonecrosis. Following advances in basic science, many new insights focus on bone tissue engineering to optimize therapies and facilitate prognosis of ONFH. In this review, disease classifications, current treatment options, potential therapies, and the relevant translational barriers are reviewed in the context of clinical application and preclinical exploration, which would provide guidance for preferable treatment options and translation into novel therapies. Copyright ª 2015, The Authors. Published by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license
收录类别	其他
原文出处	http://www.sciencedirect.com/science/article/pii/S2214031X15000698
语种	英语
内容类型	期刊论文
源URL	[http://ir.siat.ac.cn:8080/handle/172644/10528]
专题	深圳先进技术研究院_医工所
作者单位	Journal of Orthopaedic Translation
推荐引用方式 GB/T 7714	Huijuan Cao,Hanfeng Guan,Yuxiao Lai,et al. Review of various treatment options and potential therapies for osteonecrosis of the femoral head[J]. Journal of Orthopaedic Translation,2016.
APA	Huijuan Cao,Hanfeng Guan,Yuxiao Lai,Ling Qin,&Xinluan Wang.(2016).Review of various treatment options and potential therapies for osteonecrosis of the femoral head.Journal of Orthopaedic Translation.
MLA	Huijuan Cao,et al."Review of various treatment options and potential therapies for osteonecrosis of the femoral head".Journal of Orthopaedic Translation (2016).