{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T18:28:26Z","timestamp":1785608906835,"version":"3.56.0"},"reference-count":42,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1016\/j.arth.2021.01.075","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:07:48Z","timestamp":1612310868000},"page":"1879-1886","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Modified Kerboul Angle Predicts Outcome of Core Decompression With or Without Additional Cell Therapy"],"prefix":"10.1016","volume":"36","author":[{"given":"Krit","family":"Boontanapibul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"James I.","family":"Huddleston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek F.","family":"Amanatullah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Maloney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart B.","family":"Goodman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2021.01.075_bib1","doi-asserted-by":"crossref","first-page":"2342","DOI":"10.1016\/j.arth.2020.04.092","article-title":"Diagnosis of osteonecrosis of the femoral head: too little, too late, and independent of etiology","volume":"35","author":"Boontanapibul","year":"2020","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2021.01.075_bib2","doi-asserted-by":"crossref","first-page":"459","DOI":"10.2106\/00004623-199503000-00018","article-title":"Non-traumatic avascular necrosis of the femoral head","volume":"77","author":"Mont","year":"1995","journal-title":"J\u00a0Bone Jt Surg Am Volume"},{"key":"10.1016\/j.arth.2021.01.075_bib5","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s11999-013-3220-3","article-title":"Treatment of femoral head osteonecrosis in the United States: 16-year analysis of the Nationwide Inpatient Sample","volume":"472","author":"Johnson","year":"2014","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib6","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/01.blo.0000150128.57777.8e","article-title":"Core decompression of the femoral head for osteonecrosis using percutaneous multiple small-diameter drilling","volume":"429","author":"Mont","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib7","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.arth.2005.08.018","article-title":"Cost-effectiveness analysis of core decompression","volume":"21","author":"Soohoo","year":"2006","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2021.01.075_bib8","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1007\/s11999-008-0184-9","article-title":"Do modern techniques improve core decompression outcomes for hip osteonecrosis?","volume":"466","author":"Marker","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib9","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s00402-013-1714-9","article-title":"Multiple drilling compared with standard core decompression for avascular necrosis of the femoral head in sickle cell disease patients","volume":"133","author":"Al Omran","year":"2013","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.arth.2021.01.075_bib10","doi-asserted-by":"crossref","first-page":"28","DOI":"10.4103\/0019-5413.143911","article-title":"Management of femoral head osteonecrosis: current concepts","volume":"49","author":"Tripathy","year":"2015","journal-title":"Indian J Orthop"},{"key":"10.1016\/j.arth.2021.01.075_bib11","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00003086-200212000-00003","article-title":"Treatment of osteonecrosis with autologous bone marrow grafting","volume":"405","author":"Hernigou","year":"2002","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib12","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.bone.2011.07.032","article-title":"Autologous bone marrow cell implantation in the treatment of non-traumatic osteonecrosis of the femoral head: five year follow-up of a prospective controlled study","volume":"49","author":"Gangji","year":"2011","journal-title":"Bone"},{"key":"10.1016\/j.arth.2021.01.075_bib13","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.arth.2011.08.008","article-title":"Early results of core decompression and autologous bone marrow mononuclear cells instillation in femoral head osteonecrosis: a randomized control study","volume":"27","author":"Sen","year":"2012","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2021.01.075_bib14","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.bone.2011.11.002","article-title":"Treatment of early stage osteonecrosis of the femoral head with autologous implantation of bone marrow-derived and cultured mesenchymal stem cells","volume":"50","author":"Zhao","year":"2012","journal-title":"Bone"},{"key":"10.1016\/j.arth.2021.01.075_bib15","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1186\/s13287-018-1030-y","article-title":"Clinical efficiency of bone marrow mesenchymal stem cell implantation for osteonecrosis of the femoral head: a matched pair control study with simple core decompression","volume":"9","author":"Kang","year":"2018","journal-title":"Stem Cell Res Ther"},{"key":"10.1016\/j.arth.2021.01.075_bib16","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1007\/s00264-018-3941-8","article-title":"Cell therapy versus simultaneous contralateral decompression in symptomatic corticosteroid osteonecrosis: a thirty year follow-up prospective randomized study of one hundred and twenty five adult patients","volume":"42","author":"Hernigou","year":"2018","journal-title":"Int Orthop"},{"key":"10.1016\/j.arth.2021.01.075_bib17","first-page":"5024","article-title":"Comparison of bone marrow mesenchymal stem cells and core decompression in treatment of osteonecrosis of the femoral head: a meta-analysis","volume":"7","author":"Li","year":"2014","journal-title":"Int J Clin Exp Pathol"},{"key":"10.1016\/j.arth.2021.01.075_bib18","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/scrt505","article-title":"Efficacy of autologous bone marrow buffy coat grafting combined with core decompression in patients with avascular necrosis of femoral head: a prospective, double-blinded, randomized, controlled study","volume":"5","author":"Ma","year":"2014","journal-title":"Stem Cell Res Ther"},{"key":"10.1016\/j.arth.2021.01.075_bib19","doi-asserted-by":"crossref","first-page":"e61","DOI":"10.1038\/emm.2013.128","article-title":"Stem cell implantation for osteonecrosis of the femoral head","volume":"45","author":"Lim","year":"2013","journal-title":"Exp Mol Med"},{"key":"10.1016\/j.arth.2021.01.075_bib20","first-page":"6162","article-title":"Core decompression and autologous bone marrow concentrate for treatment of femoral head osteonecrosis: a randomized prospective study","volume":"8","author":"Pepke","year":"2016","journal-title":"Orthop Rev (Pavia)"},{"key":"10.1016\/j.arth.2021.01.075_bib21","doi-asserted-by":"crossref","first-page":"189","DOI":"10.5301\/hipint.5000552","article-title":"THA conversion rate comparing decompression alone, with autologous bone graft or stem cells in osteonecrosis","volume":"28","author":"Nally","year":"2018","journal-title":"Hip Int"},{"key":"10.1016\/j.arth.2021.01.075_bib22","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1302\/0301-620X.56B2.291","article-title":"The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head","volume":"56","author":"Kerboul","year":"1974","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2021.01.075_bib23","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1302\/0301-620X.73B1.1991778","article-title":"Natural history of nontraumatic avascular necrosis of the femoral head","volume":"73","author":"Ohzono","year":"1991","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2021.01.075_bib24","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1302\/0301-620X.77B6.7593098","article-title":"Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI","volume":"77","author":"Koo","year":"1995","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2021.01.075_bib25","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1302\/0301-620X.77B1.7822393","article-title":"A\u00a0quantitative system for staging avascular necrosis","volume":"77","author":"Steinberg","year":"1995","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.arth.2021.01.075_bib26","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1302\/0301-620X.85B6.13794","article-title":"Mid-term prognosis of non-traumatic osteonecrosis of the femoral head","volume":"85","author":"Ito","year":"2003","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"Suppl 3","key":"10.1016\/j.arth.2021.01.075_bib27","first-page":"35","article-title":"Prediction of collapse in femoral head osteonecrosis: a modified Kerboul method with use of magnetic resonance images","volume":"88","author":"Ha","year":"2006","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"Suppl 3","key":"10.1016\/j.arth.2021.01.075_bib28","first-page":"16","article-title":"Systematic analysis of classification systems for osteonecrosis of the femoral head","volume":"88","author":"Mont","year":"2006","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2021.01.075_bib29","doi-asserted-by":"crossref","first-page":"215","DOI":"10.2106\/00004623-199402000-00007","article-title":"Prediction of collapse with magnetic resonance imaging of avascular necrosis of the femoral head","volume":"76","author":"Shimizu","year":"1994","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2021.01.075_bib30","doi-asserted-by":"crossref","first-page":"309","DOI":"10.2106\/00004623-200302000-00019","article-title":"Quantifying the extent of femoral head involvement in osteonecrosis","volume":"85","author":"Cherian","year":"2003","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2021.01.075_bib31","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1148\/radiology.169.1.3420260","article-title":"Avascular necrosis versus other diseases of the hip: sensitivity of MR imaging","volume":"169","author":"Glickstein","year":"1988","journal-title":"Radiology"},{"key":"10.1016\/j.arth.2021.01.075_bib32","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1007\/s11999.0000000000000245","article-title":"Which classification system is most useful for classifying osteonecrosis of the femoral head?","volume":"476","author":"Takashima","year":"2018","journal-title":"Clin orthopaedics Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib33","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.bone.2014.04.034","article-title":"Osteonecrosis repair with bone marrow cell therapies: state of the clinical art","volume":"70","author":"Hernigou","year":"2015","journal-title":"Bone"},{"key":"10.1016\/j.arth.2021.01.075_bib34","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2460\/ajvr.67.10.1655","article-title":"Use of a centrifugation-based, point-of-care device for production of canine autologous bone marrow and platelet concentrates","volume":"67","author":"Thoesen","year":"2006","journal-title":"Am J Vet Res"},{"key":"10.1016\/j.arth.2021.01.075_bib35","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1007\/s00264-018-3830-1","article-title":"The biological basis for concentrated iliac crest aspirate to enhance core decompression in the treatment of osteonecrosis","volume":"42","author":"Goodman","year":"2018","journal-title":"Int Orthop"},{"key":"10.1016\/j.arth.2021.01.075_bib36","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1186\/cc2955","article-title":"Statistics review 12: survival analysis","volume":"8","author":"Bewick","year":"2004","journal-title":"Crit Care"},{"key":"10.1016\/j.arth.2021.01.075_bib37","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.2106\/00004623-200706000-00006","article-title":"Current practices of AAHKS members in the treatment of adult osteonecrosis of the femoral head","volume":"89","author":"McGrory","year":"2007","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2021.01.075_bib38","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/BLO.0b013e3181591c92","article-title":"Osteonecrosis of the hip: novel approaches to evaluation and treatment","volume":"465","author":"Petrigliano","year":"2007","journal-title":"Clin Orthopaedics Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib39","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s11999-013-3220-3","article-title":"Treatment of femoral head osteonecrosis in the United States: 16-year analysis of the Nationwide Inpatient Sample","volume":"472","author":"Johnson","year":"2014","journal-title":"Clin Orthopaedics Relat Res"},{"key":"10.1016\/j.arth.2021.01.075_bib40","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1302\/0301-620X.99B10.BJJ-2017-0233.R2","article-title":"An evidence-based guide to the treatment of osteonecrosis of the femoral head","volume":"99-B","author":"Chughtai","year":"2017","journal-title":"Bone Jt J"},{"key":"10.1016\/j.arth.2021.01.075_bib41","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1302\/2058-5241.4.180073","article-title":"Joint-preserving procedures for osteonecrosis of the femoral head","volume":"4","author":"Atilla","year":"2019","journal-title":"EFORT Open Rev"},{"key":"10.1016\/j.arth.2021.01.075_bib42","doi-asserted-by":"crossref","first-page":"2798","DOI":"10.1016\/j.arth.2020.05.020","article-title":"Initial presentation and progression of secondary osteonecrosis of the knee","volume":"35","author":"Boontanapibul","year":"2020","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2021.01.075_bib43","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.2106\/JBJS.I.00575","article-title":"The natural history of untreated asymptomatic osteonecrosis of the femoral head: a systematic literature review","volume":"92","author":"Mont","year":"2010","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2021.01.075_bib44","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1302\/0301-620X.99B10.BJJ-2017-0233.R2","article-title":"An evidence-based guide to the treatment of osteonecrosis of the femoral head","volume":"99-b","author":"Chughtai","year":"2017","journal-title":"Bone Joint J"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540321001157?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540321001157?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:33:43Z","timestamp":1760121223000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540321001157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["S0883540321001157"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2021.01.075","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Modified Kerboul Angle Predicts Outcome of Core Decompression With or Without Additional Cell Therapy","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2021.01.075","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}