[1]中国中医药研究促进会中医骨伤临床循证医学分会.非创伤性股骨头坏死中西医结合诊疗专家共识[J].中医正骨,2024,36(09):1-11.
点击复制

非创伤性股骨头坏死中西医结合诊疗专家共识()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年09期
页码:
1-11
栏目:
专家共识
出版日期:
2024-09-20

参考文献/References:

[1] MONT M A,SALEM H S,PIUZZI N S,et al.Nontraumatic osteonecrosis of the femoral head:where do we stand today?:a 5-year update[J].J Bone Joint Surg Am,2020,102(12):1084-1099.
[2] ZHAO D W,YU M,HU K,et al.Prevalence of nontraumatic osteonecrosis of the femoral head and its associated risk factors in the Chinese population:results from a nationally representative survey[J].Chin Med J(Engl),2015,128(21):2843-2850.
[3] Microsurgery Department of the Orthopedics Branch of the Chinese Medical Doctor Association,Group from the Osteonecrosis and Bone Defect Branch of the Chinese Association of Reparative and Reconstructive Surgery,Microsurgery and Reconstructive Surgery Group of the Orthopedics Branch of the Chinese Medical Association.Chinese guideline for the diagnosis and treatment of osteonecrosis of the femoral head in adults[J].Orthop Surg,2017,9(1):3-12.
[4] 王景霞,陈卫衡,陈绍红,等.基于“异病同治”理论探讨恒古骨伤愈合剂在4种骨伤科疾病治疗中的应用[J].中医正骨,2021,33(3):34-39.
[5] LI Z R,CHENG L M,WANG K Z,et al.Herbal Fufang Xian Ling Gu Bao prevents corticosteroid-induced osteonecrosis of the femoral head—a first multicentre,randomised,double-blind,placebo-controlled clinical trial[J].J Orthop Translat,2018,12:36-44.
[6] WEI Q S,HONG G J,YUAN Y J,et al.Huo Xue Tong Luo capsule,a vasoactive herbal formula prevents progression of asymptomatic osteonecrosis of femoral head:a prospective study[J].J Orthop Translat,2019,18:65-73.
[7] 魏秋实,何伟,张庆文,等.围塌陷期股骨头坏死不同影像学表现研究[J].中国修复重建外科杂志,2021,35(9):1105-1110.
[8] CUMPSTON M S,MCKENZIE J E,WELCH V A,et al.Strengthening systematic reviews in public health:guidance in the Cochrane handbook for systematic reviews of interventions,2nd edition[J].J Public Health(Oxf),2022,44(4):e588-e592.
[9] SHAO S C,KUO L T,HUANG Y T,et al.Using grading of recommendations assessment, development,and evaluation(GRADE)to rate the certainty of evidence of study outcomes from systematic reviews: a quick tutorial[J].Dermatologica Sinica,2023,41(1):3-7.
[10] ANDO W,SAKAI T,FUKUSHIMA W,et al.Japanese Orthopaedic Association 2019 guidelines for osteonecrosis of the femoral head[J].J Orthop Sci,2021,26(1):46-68.
[11] YOON B H,MONT M A,KOO K H,et al.The 2019 revised version of Association Research Circulation Osseous staging system of osteonecrosis of the femoral head[J].J Arthroplasty,2020,35(4):933-940.
[12] SUGANO N,ATSUMI T,OHZONO K,et al.The 2001 revised criteria for diagnosis,classification,and staging of idiopathic osteonecrosis of the femoral head[J].J Orthop Sci,2002,7(5):601-605.
[13] LIN T,ZHANG W,HE X,et al.Lateral classification system predicts the collapse of JIC type C1 nontraumatic osteonecrosis of the femoral head:a retrospective study[J].BMC Musculoskelet Disord,2023,24(1):757.
[14] MAGNUSSEN R A,GUILAK F,VAIL T P.Articular cartilage degeneration in post-collapse osteonecrosis of the femoral head.Radiographic staging,macroscopic grading,and histologic changes[J].J Bone Joint Surg Am,2005,87(6):1272-1277.
[15] WEI Q S,HE M C,HE X M,et al.Combining frog-leg late-ral view may serve as a more sensitive X-ray position in monitoring collapse in osteonecrosis of the femoral head[J].J Hip Preserv Surg,2022,9(1):10-17.
[16] YANG F,DENG X,XIN P,et al.The value of the frog late-ral view radiograph for detecting collapse of femur head ne-crosis:a retrospective study of 1001 cases[J].Front Med(Lausanne),2022,9:811644.
[17] 杨帆.基于“血瘀”理论探索股骨头坏死CT下低密度影改变的病理特点及与预后的关系[D].广州:广州中医药大学,2021.
[18] WEI Q S,LI Z Q,HONG Z N,et al.Predicting collapse in osteonecrosis of the femoral head using a new method:preserved angles of anterior and lateral femoral head[J].J Bone Joint Surg Am,2022,104(Suppl 2):47-53.
[19] 王秋霞,史传道,张高魁,等.基于股骨头坏死数据库分析成人股骨头坏死误诊相关因素[J].临床误诊误治,2020,33(2):4-9.
[20] 中华中医药学会.股骨头坏死中医辨证标准(2019年版)[J].中医正骨,2019,31(6):1-2.
[21] 乌日莎娜,沈莹姗,袁颖嘉,等.基于“瘀去、新生、骨合”理论从细胞层面探讨祛瘀、活血及补肾中药治疗股骨头坏死的作用机制[J].中医正骨,2022,34(4):61-63.
[22] 沈莹姗,何晓铭,赵雄,等.关于“血瘀证是股骨头坏死主要证候”的调查研究[J].中医正骨,2022,34(4):25-29.
[23] 田佳庆,何敏聪,韦雨柔,等.激素性股骨头坏死囊性变分布规律及病理特点[J].中国组织工程研究,2023,27(31):4996-5001.
[24] CHEN W H,GUO W X,LI J X,et al.Application of protective weight-bearing in osteonecrosis of the femoral head:a systematic review and meta-analysis of randomized controlled trials and observational studies[J].Front Surg,2022,9:1000073.
[25] YEH Y A,CHIANG J H,WU M Y,et al.Association of traditional Chinese medicine therapy with risk of total hip replacement in patients with nontraumatic osteonecrosis of the femoral head:a population-based cohort study[J/OL].Evid Based Complement Alternat Med,2019[2024-07-01].https://pubmed.ncbi.nlm.nih.gov/30915147.
[26] ZHANG Q,YANG F,CHEN Y,et al.Chinese herbal medicine formulas as adjuvant therapy for osteonecrosis of the femoral head:a systematic review and meta-analysis of randomized controlled trials[J].Medicine(Baltimore),2018,97(36):e12196.
[27] YU T,ZHANG Z,XIE L,et al.The influence of traditional Chinese medicine constitutions on the potential repair capacity after osteonecrosis of the femoral head[J].Complement Ther Med,2016,29:89-93.
[28] OUYANG W,MENG Y,GUO G,et al.Efficacy and safety of traditional Chinese medicine in the treatment of osteonecrosis of the femoral head[J].J Orthop Surg Res,2023,18(1):600.
[29] YUAN H F,GUO C A,YAN Z Q.The use of bisphosphonate in the treatment of osteonecrosis of the femoral head:a meta-analysis of randomized control trials[J].Osteoporos Int,2016,27(1):295-299.
[30] LI D,YANG Z,WEI Z,et al.Efficacy of bisphosphonates in the treatment of femoral head osteonecrosis:a PRISMA-compliant meta-analysis of animal studies and clinical trials[J].Sci Rep,2018,8(1):1450.
[31] 马乐,魏秋实,肖欢,等.双膦酸盐治疗股骨头坏死疗效及安全性Meta分析[J].中国骨与关节损伤杂志,2023,38(8):798-802.
[32] ARAI R,TAKAHASHI D,INOUE M,et al.Efficacy of teriparatide in the treatment of nontraumatic osteonecrosis of the femoral head:a retrospective comparative study with alendronate[J].BMC Musculoskelet Disord,2017,18(1):24.
[33] YIN H,YUAN Z,WANG D.Multiple drilling combined with simvastatin versus multiple drilling alone for the treatment of avascular osteonecrosis of the femoral head:3-year follow-up study[J].BMC Musculoskelet Disord,2016,17(1):344.
中医正骨2024年9月第36卷第9期 J Trad Chin Orthop Trauma,2024,Vol.36,No.9(总649)
(总650)中医正骨2024年9月第36卷第9期 J Trad Chin Orthop Trauma,2024,Vol.36,No.9
[34] WANG W,ZHANG N,GUO W,et al.Combined pharmacotherapy for osteonecrosis of the femoral head after severe acute respiratory syndrome and interstitial pneumonia:two and a half to fourteen year follow-up[J].Int Orthop,2018,42(7):1551-1556.
[35] FU W,LIU B,WANG B,et al.Early diagnosis and treatment of steroid-induced osteonecrosis of the femoral head[J].Int Orthop,2019,43(5):1083-1087.
[36] MEI J,PANG L,JIANG Z.The effect of extracorporeal shock wave on osteonecrosis of femoral head: a systematic review and meta-analysis[J].Phys Sportsmed,2022,50(4):280-288.
[37] TAN H,TANG P,CHAI H,et al.Extracorporeal shock wave therapy with imaging examination for early osteonecrosis of the femoral head:a systematic review[J/OL].Int J Surg,2024[2024-07-01].https://pubmed.ncbi.nlm.nih.gov/38896858.
[38] GAO F,SUN W,LI Z,et al.High-energy extracorporeal shock wave for early stage osteonecrosis of the femoral head:a single-center case series[J/OL].Evid Based Complement Alternat Med,2015[2024-07-01].https://pubmed.ncbi.nlm.nih.gov/26609311.
[39] UZUN G,MUTLUOGLU M,ERSEN O,et al.Hyperbaric oxygen therapy in the treatment of osteonecrosis of the femoral head:a review of the current literature[J].Undersea Hyperb Med,2016,43(3):189-199.
[40] PADERNO E,ZANON V,VEZZANI G,et al.Evidence-supported HBO therapy in femoral head necrosis:a systematic review and meta-analysis[J].Int J Environ Res Public Health,2021,18(6):2888.
[41] ANDRONIC O,WEISS O,SHOMAN H,et al.What are the outcomes of core decompression without augmentation in patients with nontraumatic osteonecrosis of the femoral head?[J].Int Orthop,2021,45(3):605-613.
[42] DENG W,WANG Z,ZHOU Y,et al.Does prior core decompression have detrimental effect on subsequent total hip arthroplasty for osteonecrosis of the femoral head:a systematic review and meta-analysis[J].Orthop Traumatol Surg Res,2020,106(8):1553-1560.
[43] ANDRONIC O,HINCAPIÉ C A,BURKHARD M D,et al.Lack of conclusive evidence of the benefit of biologic augmentation in core decompression for nontraumatic osteonecrosis of the femoral head:a systematic review[J].Arthroscopy,2021,37(12):3537-3551.
[44] PHEMISTER D B.Treatment of the necrotic head of the femur in adults[J].J Bone Joint Surg Am,1949,31A(1):55-66.
[45] CHEN L,HONG G,HONG Z,et al.Optimizing indications of impacting bone allograft transplantation in osteonecrosis of the femoral head[J].Bone Joint J,2020,102-B(7):838-844.
[46] WU C T,KUO F C,YEN S H,et al.Impaction bone grafting augmented with a wire coil by the lightbulb technique for osteonecrosis of the femoral head[J].J Arthroplasty,2022,37(10):2063-2070.
[47] LI D,SUN S,YANG Z,et al.Efficacy of modified lightbulb technique by percutaneous femoral neck-head fenestration combined with compacted artificial bone graft for treating precollapse osteonecrosis of the femoral head[J].J Arthroplasty,2023,38(9):1760-1766.
[48] MONT M A,EINHORN T A,SPONSELLER P D,et al.The trapdoor procedure using autogenous cortical and cancellous bone grafts for osteonecrosis of the femoral head[J].J Bone Joint Surg Br,1998,80(1):56-62.
[49] WU C T,YEN S H,LIN P C,et al.Long-term outcomes of Phemister bone grafting for patients with non-traumatic osteonecrosis of the femoral head[J].Int Orthop,2019,43(3):579-587.
[50] YILDIZ C,ERDEM Y,KOCA K.Lightbulb technique for the treatment of osteonecrosis of the femoral head[J].Hip Int,2018,28(3):272-277.
[51] EDMOND T,HAMEED D,OLSEN D,et al.Modified lightbulb non-vascularized bone grafting technique for osteonecrosis of the femoral head[J].Surg Technol Int,2023,42:1677.
[52] YANG F,WEI Q,CHEN X,et al.Vascularized pedicle iliac bone grafts as a hip-preserving surgery for femur head ne-crosis:a systematic review[J].J Orthop Surg Res,2019,14(1):270.
[53] ZHANG L,FAN Y,ZHANG Y,et al.Comparison of sarto-rius muscle-pedicle and circumflex iliac deep bone flap grafts in the treatment of early non-traumatic osteonecrosis of femoral head in young adults[J].Acta Orthop Traumatol Turc,2019,53(4):255-259.
[54] ZHAO D,XIE H,XU Y,et al.Management of osteonecrosis of the femoral head with pedicled iliac bone flap transfer:a multicenter study of 2190 patients[J].Microsurgery,2017,37(8):896-901.
[55] ÜNAL M B,CANSÜ E,PARMAKSIZOGLU F,et al.Treatment of osteonecrosis of the femoral head with free vascularized fibular grafting:results of 7.6-year follow-up[J].Acta Orthop Traumatol Turc,2016,50(3):323-329.
[56] CHO K J,PARK K S,YOON T R.Muscle pedicle bone grafting using the anterior one-third of the gluteus medius attached to the greater trochanter for treatment of Associ-ation Research Circulation Osseous stageⅡosteonecrosis of the femoral head[J].Int Orthop,2018,42(10):2335-2341.
[57] BARLA M,POLIRSZTOK E,PELTIÉ E,et al.Free vascularised fibular flap harvesting in children:an analysis of donor-site morbidity[J].Orthop Traumatol Surg Res,2017,103(7):1109-1113.
[58] HOUDEK M T,BAYNE C O,BISHOP A T,et al.The outcome and complications of vascularised fibular grafts[J].Bone Joint J,2017,99-B(1):134-138.
[59] MONT M A,FAIRBANK A C,KRACKOW K A,et al.Corrective osteotomy for osteonecrosis of the femoral head[J].J Bone Joint Surg Am,1996,78(7):1032-1038.
[60] OSAWA Y,SEKI T,MORITA D,et al.Total hip arthroplasty after transtrochanteric rotational osteotomy for osteonecrosis of the femoral head:a mean 10-year follow-up[J].J Arthroplasty,2017,32(10):3088-3092.
[61] NADEAU M,SÉGUIN C,THEODOROPOULOS J S,et al.Short term clinical outcome of a porous tantalum implant for the treatment of advanced osteonecrosis of the femoral head[J].Mcgill J Med,2007,10(1):4-10.
[62] VEILLETTE C J,MEHDIAN H,SCHEMITSCH E H,et al.Survivorship analysis and radiographic outcome following tantalum rod insertion for osteonecrosis of the femoral head[J].J Bone Joint Surg Am,2006,88(Suppl 3):48-55.
[63] MA J,SUN W,GAO F,et al.Porous tantalum implant in treating osteonecrosis of the femoral head: still a viable option?[J].Sci Rep,2016,6:28227.
[64] PENG P,WANG X,QIU C,et al.Extracellular vesicles from human umbilical cord mesenchymal stem cells prevent steroid-induced avascular necrosis of the femoral head via the PI3K/AKT pathway[J].Food Chem Toxicol,2023,180:114004.
[65] HERNIGOU P,HOMMA Y,HERNIGOU J,et al.Mesenchymal stem cell therapy for bone repair of human hip osteonecrosis with bilateral match-control evaluation:impact of tissue source,cell count,disease stage,and volume size on 908 hips[J].Cells,2024,13(9):776.
[66] HERNIGOU P,BEAUJEAN F.Treatment of osteonecrosis with autologous bone marrow grafting[J].Clin Orthop Relat Res,2002(405):14-23.
[67] ZHANG C,FANG X,HUANG Z,et al.Addition of bone marrow stem cells therapy achieves better clinical outcomes and lower rates of disease progression compared with core decompression alone for early stage osteonecrosis of the femoral head:a systematic review and meta-analysis[J].J Am Acad Orthop Surg,2020,28(23):973-979.
[68] MAO L,JIANG P,LEI X,et al.Efficacy and safety of stem cell therapy for the early-stage osteonecrosis of femoral head:a systematic review and meta-analysis of randomized controlled trials[J].Stem Cell Res Ther,2020,11(1):445.
[69] GUO G,OUYANG W,WANG G,et al.Clinical evaluation of platelet-rich plasma therapy for osteonecrosis of the femoral head:a systematic review and meta-analysis[J].PLoS One,2024,19(5):e0304096.
[70] ZHU H,SHI Z,CAI X,et al.The combination of PLLA/PLGA/PCL composite scaffolds integrated with BMP-2-loaded microspheres and low-intensity pulsed ultrasound alleviates steroid-induced osteonecrosis of the femoral head[J].Exp Ther Med,2020,20(6):126.
[71] GUYATT G H,OXMAN A D,VIST G E,et al.GRADE:an emerging consensus on rating quality of evidence and strength of recommendations[J].BMJ,2008,336(7650):924-926.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(82274544,82004392)
通讯作者:何 伟 E-mail:hw13802516062@126.com
王智勇 E-mail:473937511@qq.com
更新日期/Last Update: 1900-01-01