{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:53:59Z","timestamp":1792799639273,"version":"4.5.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Health Science and Technology development Special Fund Project of Nanjing, China","award":["YKK20201"],"award-info":[{"award-number":["YKK20201"]}]},{"name":"Nanjing Health Science and Technology Development Special Fund Project","award":["ZKX22061"],"award-info":[{"award-number":["ZKX22061"]}]},{"name":"Youth Innovation and Research Fund of the Affiliated Jiangning Hospital with Nanjing Medical University","award":["JNYYZXKY202410"],"award-info":[{"award-number":["JNYYZXKY202410"]}],"id":[{"id":"https:\/\/ror.org\/059gcgy73","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the efficacy of robot-assisted versus traditional core decompression combined with human umbilical cord-derived mesenchymal stem cell transplantation for osteonecrosis of the femoral head.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of thirty-eight patients were divided into two groups according to the surgical technique. The observation group (20 patients, 28 hips) underwent robot-assisted core decompression, while the control group (18 patients, 22 hips) underwent traditional decompression. Both groups underwent human umbilical cord-derived mesenchymal stem cell implantation. Relevant parameters were compared between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the final follow-up, the observation group showed lower visual analog scale scores and necrotic volume as well as higher Harris hip scores and femoral head survival rates than the control group; however, these differences were not statistically significant. The observation group required significantly fewer intraoperative fluoroscopies, experienced less intraoperative blood loss, and had a shorter operation time than the control group (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings suggests that the robotic-assisted technique demonstrates comparable clinical and radiological outcomes as the traditional technique in the treatment of osteonecrosis of the femoral head. However, it may offer significant advantages in terms of surgical precision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261436561","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T19:07:01Z","timestamp":1774984021000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Robot-assisted versus traditional core decompression combined with human umbilical cord-derived mesenchymal stem cell transplantation for osteonecrosis of the femoral head: A retrospective cohort study"],"prefix":"10.1177","volume":"54","author":[{"given":"Xiaolong","family":"Jia","sequence":"first","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linyu","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Affiliated Jiangning Hospital of Nanjing Medical University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Hu","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Zhou","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xudong","family":"Yan","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailong","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Wang","sequence":"additional","affiliation":[{"name":"Clinical Stem Cell Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zhu","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9592-0059","authenticated-orcid":false,"given":"Xiaoli","family":"Fan","sequence":"additional","affiliation":[{"name":"The Affiliated Jiangning Hospital of Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jot.2022.09.008"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04480-6"},{"key":"e_1_3_7_4_2","first-page":"179","article-title":"Operative management of avascular necrosis of the femoral head in skeletally immature patients: a systematic review","volume":"12","author":"Migliorini F","year":"2022","unstructured":"Migliorini F, La Padula G, Oliva F, et\u00a0al. Operative management of avascular necrosis of the femoral head in skeletally immature patients: a systematic review. Life (Basel) 2022; 12: 179.","journal-title":"Life (Basel)"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldaa044"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-023-00181-8"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.67B1.3155745"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.217080"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.06.044"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmpb.2022.106737"},{"key":"e_1_3_7_11_2","first-page":"948","article-title":"Osteonecrosis of the femoral head. Optimizing the early-stage joint-preserving surgical treatment?","volume":"17","author":"Karampinas P","year":"2022","unstructured":"Karampinas P, Galanis A, Papagrigorakis E, et\u00a0al. Osteonecrosis of the femoral head. Optimizing the early-stage joint-preserving surgical treatment? 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