Introduction: Osteonecrosis of the femoral head (ONFH) often leads to secondary osteoarthritis and total hip arthroplasty.
Source Of Data: Recent published literatures.
Areas Of Agreement: There has been increasing focus on the early intervention in ONFH patients to preserve the native hip articulation, reduce pain and improve function.
Areas Of Controversy: Efficacy of surgical strategies for ONFH is debated. Several clinical studies showed controversial results, and the best treatment has not yet been clarified.
Growing Points: To 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 Research: 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.
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