{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T11:10:29Z","timestamp":1789989029331,"version":"4.0.1"},"reference-count":78,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Osteonecrosis of the femoral head (ONFH) often leads to secondary osteoarthritis and total hip arthroplasty.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Source of data<\/jats:title>\n                  <jats:p>Recent published literatures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Areas of agreement<\/jats:title>\n                  <jats:p>There has been increasing focus on the early intervention in ONFH patients to preserve the native hip articulation, reduce pain and improve function.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Areas of controversy<\/jats:title>\n                  <jats:p>Efficacy of surgical strategies for ONFH is debated. Several clinical studies showed controversial results, and the best treatment has not yet been clarified.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Growing points<\/jats:title>\n                  <jats:p>To provide an overview over current treatment options for ONFH compares their failure rates and conversion to total hip arthroplasty (THA) rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Areas timely for developing research<\/jats:title>\n                  <jats:p>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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bmb\/ldab006","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T16:10:42Z","timestamp":1613059842000},"page":"112-125","source":"Crossref","is-referenced-by-count":45,"title":["Failure and progression to total hip arthroplasty among the treatments for femoral head osteonecrosis: a Bayesian network meta-analysis"],"prefix":"10.1093","volume":"138","author":[{"given":"Filippo","family":"Migliorini","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi SA, Italy"},{"name":"Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK"},{"name":"School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Thornburrow Drive, ST4 7QB Stoke on Trent, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Baroncini","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Eschweiler","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Tingart","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Trauma Surgery, RWTH Aachen University Clinic, 52064 Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Betsch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, University Medical Centre Mannheim of the University Heidelberg, 68167 Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"2021070818173662900_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldaa044","article-title":"Osteotomies for avascular necrosis of the femoral head","author":"Quaranta","year":"2021","journal-title":"Br Med Bull"},{"key":"2021070818173662900_ref2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1093\/bmb\/ldw010","article-title":"Core decompression versus other joint preserving treatments for osteonecrosis of the femoral head: a meta-analysis","volume":"118","author":"Sadile","year":"2016","journal-title":"Br Med Bull"},{"key":"2021070818173662900_ref3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-197207000-00008","article-title":"Avascular necrosis of the femoral head in the adult. 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