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Review of various treatment options and potential therapies for osteonecrosis of the femoral head
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 characteri...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chinese Speaking Orthopaedic Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987013/ https://www.ncbi.nlm.nih.gov/pubmed/30035066 http://dx.doi.org/10.1016/j.jot.2015.09.005 |
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author | Cao, Huijuan Guan, Hanfeng Lai, Yuxiao Qin, Ling Wang, Xinluan |
author_facet | Cao, Huijuan Guan, Hanfeng Lai, Yuxiao Qin, Ling Wang, Xinluan |
author_sort | Cao, Huijuan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5987013 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Chinese Speaking Orthopaedic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-59870132018-07-20 Review of various treatment options and potential therapies for osteonecrosis of the femoral head Cao, Huijuan Guan, Hanfeng Lai, Yuxiao Qin, Ling Wang, Xinluan J Orthop Translat Review Article 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. Chinese Speaking Orthopaedic Society 2015-10-24 /pmc/articles/PMC5987013/ /pubmed/30035066 http://dx.doi.org/10.1016/j.jot.2015.09.005 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Review Article Cao, Huijuan Guan, Hanfeng Lai, Yuxiao Qin, Ling Wang, Xinluan Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title | Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title_full | Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title_fullStr | Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title_full_unstemmed | Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title_short | Review of various treatment options and potential therapies for osteonecrosis of the femoral head |
title_sort | review of various treatment options and potential therapies for osteonecrosis of the femoral head |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987013/ https://www.ncbi.nlm.nih.gov/pubmed/30035066 http://dx.doi.org/10.1016/j.jot.2015.09.005 |
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