{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T05:48:25Z","timestamp":1789019305671,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Nontraumatic osteonecrosis of the femoral head (ONFH) is commonly encountered in orthopedics. Without early clinical intervention, most patients with peri\u2010collapse of the ONFH will develop femoral head necrosis and eventually require hip replacement surgery. The aim of this study is to evaluate clinical outcomes in patients with ONFH who underwent \u201clight bulb\u201d core decompression (CD) with arthroscopic assistance and to compare them with the outcomes of those treated with traditional procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of patients with Stage II and IIIA (Peri\u2010collapse) radiographic findings based on the Association Research Circulation Osseous (ARCO) stage for ONFH who underwent \u201clight bulb\u201d CD with or without arthroscopic assistance by a single\u2010surgeon team between March 2014 and December 2018 was performed. All patients were followed up for a minimum of 2\u2009years. The visual analogue scale (VAS) pain score, Harris hip score (HHS), and radiological imaging were evaluated. The categorical parameters were analyzed by chi\u2010square test and the continuous variables conforming to a normal distribution were analyzed by Student's <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included a total of 39 patients (18 and 21 patients in the with and without arthroscopic assistance groups, respectively), with a mean age of 40.3\u2009years and a mean follow\u2010up of 22.2\u2009months. Overall, there was a better VAS score in the arthroscopic assistance group than in the control group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05), There was a significant difference in HHS (80.1\u2009\u00b1\u20099.2 <jats:italic>vs<\/jats:italic> 75.1\u2009\u00b1\u200912.7) at the last follow\u2010up (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The rate of good and excellent outcomes was 94%. Similarly, there was no significant difference in the total rate of complications or conversion to THA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With arthroscopic assistance, \u201clight bulb\u201d CD could be achieved via hip arthroscopy with less trauma, and it offered the opportunity for more precise evaluation and monitoring for therapy and yielded better VAS scores after surgery and better hip function outcomes at the last follow\u2010up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14058","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T00:50:17Z","timestamp":1715129417000},"page":"1399-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Mid\u2010term Clinical Outcomes of \u201cLight Bulb\u201d Core Decompression with Arthroscopic Assistance in Peri\u2010collapse Osteonecrosis of the Femoral Head: A Retrospective Comparative Study"],"prefix":"10.1111","volume":"16","author":[{"given":"Jibin","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Affiliated Hospital of Zunyi Medical University  Zunyi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengpeng","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Affiliated Hospital of Zunyi Medical University  Zunyi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziming","family":"Liu","sequence":"additional","affiliation":[{"name":"Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine Institute of Sports Medicine of Peking University, Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuwan","family":"Li","sequence":"additional","affiliation":[{"name":"Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine Institute of Sports Medicine of Peking University, Peking University Third Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Affiliated Hospital of Zunyi Medical University  Zunyi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6286-1455","authenticated-orcid":false,"given":"Gang","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Affiliated Hospital of Zunyi Medical University  Zunyi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199503000-00018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.01271"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12193"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00071"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.90B7.20125"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0822-1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200105000-00009"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.0800056"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2019.10.043"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000000545"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-019-00643-w"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2853-0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4722-4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1587-9"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2018.10.001"},{"key":"e_1_2_9_17_1","first-page":"17","article-title":"Long term followup of thorough debridement and cancellous bone grafting of the femoral head for avascular necrosis","volume":"306","author":"Rosenwasser MP","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0100424"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2783-6"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513476281"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150118.42360.1d"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.14058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T01:55:00Z","timestamp":1717379700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.14058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,7]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/os.14058"],"URL":"https:\/\/doi.org\/10.1111\/os.14058","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,7]]},"assertion":[{"value":"2023-10-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}