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ARCO Consensus on the Pathogenesis of Non-traumatic Osteonecrosis of the Femoral Head

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TLDR
In this article, the authors provided an up-to-date consensus on the pathogenesis of non-traumatic osteonecrosis of the femoral head (ONFH) in young and middle-aged adults.
Abstract
Osteonecrosis of the femoral head (ONFH) is a devastating disease frequently leading to femoral head collapse and hip arthritis. Specifically, non-traumatic ONFH primarily affects young and middle-aged adults. Although compromised local circulation of the femoral head seems to be pathognomonic for the disease, the pathogenesis is perplexing and continues to be an area of scrutiny and research. Comprehension of the pathogenesis is of crucial importance for developing and guiding treatments for the disease. Therefore, we provide an up-to-date consensus on the pathogenesis of non-traumatic ONFH.

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Journal ArticleDOI

Osteonecrosis of the Femoral Head in Patients with Hypercoagulability-From Pathophysiology to Therapeutic Implications.

TL;DR: In this paper, the association between hereditary thrombophilia/hypofibrinolysis states and osteonecrosis of the femoral head (ONFH) was highlighted, emphasizing the importance of identifying this condition.
Journal ArticleDOI

The Dynamic Feature of Macrophage M1/M2 Imbalance Facilitates the Progression of Non-Traumatic Osteonecrosis of the Femoral Head

TL;DR: Findings indicate that macrophage M1/M2 imbalance facilitates the progression of NONFH, a chronic inflammatory disease characterized by chronic inflammation, osteonecrosis and tissue fibrosis in the local lesion.
Journal ArticleDOI

Comparisons of Ultrasound-Guided Platelet-Rich Plasma Intra-Articular Injection and Extracorporeal Shock Wave Therapy in Treating ARCO I–III Symptomatic Non-Traumatic Femoral Head Necrosis: A Randomized Controlled Clinical Trial

TL;DR: In this article , the authors compared the effectiveness and safety of extracorporeal shock wave therapy (ESWT) and intra-articular platelet-rich plasma (PRP) injection in symptomatic osteonecrosis patients.
Journal ArticleDOI

Polymer Scaffolds-Enhanced Bone Regeneration in Osteonecrosis Therapy

TL;DR: In this article, a review of applying polymers in osteonecrosis therapy is presented, and the development of biofunctionalized composite polymers based on the polymers combined with different bioactive substances is discussed.
References
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Journal ArticleDOI

Treatment of osteonecrosis with autologous bone marrow grafting.

TL;DR: Grafting was done with autologous bone marrow obtained from the iliac crest of patients operated on for osteonecrosis of the hip with results that indicated patients who had the greater number of progenitor cells transplanted in their hips had better outcomes.
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Femoral head avascular necrosis: correlation of MR imaging, radiographic staging, radionuclide imaging, and clinical findings.

TL;DR: A chronologic pattern of central MR signal features is presented which may allow staging of AVN by MR imaging, and symptoms were least severe in lesions isointense with fat and mostsevere in lesions with low-signal central regions at short and long TRs and TEs.
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The effects of glucocorticoids on adipose tissue lipid metabolism

TL;DR: Although considerable evidence supports the notion that GCs increase lipolysis through glucocorticoid-induced increases of lipase expression, they clearly have antilipolytic effects within these same tissues and cell line models.
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Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today?: A 5-Year Update

TL;DR: Joint-preserving procedures are indicated in the treatment of precollapse disease, and studies of total joint arthroplasty have described excellent outcomes at greater than ten years of follow-up, which is a major advance and has led to a paradigm shift in treating patients.
Journal ArticleDOI

Transient osteoporosis: transient bone marrow edema?

TL;DR: The focal findings on scintigrams confirmed the periarticular distribution of the process and provided evidence of accompanying hyperemia and increased bone mineral metabolism.
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