{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:05:42Z","timestamp":1784293542975,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T00:00:00Z","timestamp":1558656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T00:00:00Z","timestamp":1558656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Special Subject of Henan Provincial Traditional Chinese Medicine Scientific Research","award":["2017ZY2032"],"award-info":[{"award-number":["2017ZY2032"]}]},{"name":"Luoyang Medical and Health Plan","award":["1603004A-8"],"award-info":[{"award-number":["1603004A-8"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Cellular Physiology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In this study, we aim to compare and analyze the biomechanical repair and clinical efficacy of osteonecrosis of the femoral head (ONFH) with the use of metal trabecular bone reconstruction system and free vascularized fibular graft. The study enrolled 66 adult patients from medical records of nontraumatic ARCO 2A\u20133B stage ONFH. A simple ONFH model without surgical treatment was established in 13 cases, 29 cases were treated with metal trabecular bone reconstruction system, and 24 cases were treated with free vascularized fibular graft. Computer\u2010recognized and extracted femur outlines were imported, and three\u2010dimensional reconstructions were performed. The stress concentration and stress peak value were analyzed, and the Harris score, visual analog scale pain score, and operation status of the above patients were compared. Finally, quality of life assessment was performed using SF\u201036 scale. Metal trabecular bone reconstruction system provided less operation time, blood loss, and the total length of postoperative hospital stay than free vascularized fibular graft. Metal trabecular bone reconstruction system promoted bone reconstruction, increased bone mineral density and Harris score. The total clinical effective rate of young patients (20\u201340\u2009years) was higher than that of older patients (41\u201360\u2009years). Metal trabecular bone reconstruction system provided higher physical component summary, mental component summary, and role\/social component summary than free vascularized fibular graft. This study demonstrates that both metal trabecular bone reconstruction system and free vascularized fibular graft can prevent or delay the progression of ONFH, while metal trabecular bone reconstruction system is a better choice because of better short\u2010term clinical efficacy.<\/jats:p>","DOI":"10.1002\/jcp.28700","type":"journal-article","created":{"date-parts":[[2019,5,25]],"date-time":"2019-05-25T00:45:07Z","timestamp":1558745107000},"page":"20957-20968","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Metal trabecular bone reconstruction system better improves clinical efficacy and biomechanical repair of osteonecrosis of the femoral head than free vascularized fibular graft: A case\u2013control study"],"prefix":"10.1002","volume":"234","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1030-7615","authenticated-orcid":false,"given":"Xian\u2010Tao","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Osteonecrosis of the Femeral Head Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying\u2010Jie","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"You\u2010Wen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Wen","family":"Xu","sequence":"additional","affiliation":[{"name":"TianXinFu Medical Appliance Co., Ltd Beijing P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei\u2010Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Osteonecrosis of the Femeral Head Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Da\u2010Wei","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Osteonecrosis of the Femeral Head Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Osteoarthritis Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke\u2010Wei","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Dong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010Jun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hip Injury Luoyang Orthopedics Hospital of Henan Province Luoyang P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Kang","sequence":"additional","affiliation":[{"name":"TianXinFu Medical Appliance Co., Ltd Beijing P.R. 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