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Article

Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing

  • Authors:
    • Zhennan Zhang
    • Tong Yu
    • Limin Xie
    • Yubin Li
    • Xun Ke
    • Yang Liu
    • Songmin Huang
    • Hao Deng
    • Yang Bai
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, Guanganmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, P.R. China
  • Pages: 2682-2688
    |
    Published online on: July 20, 2018
       https://doi.org/10.3892/etm.2018.6488
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Abstract

Type classification of osteonecrosis of the femoral head (ONFH) is important for collapse prediction in ONFH, which depends on a complexity of factors. At present, most typing is based on single factors, including the location or size of the necrosis, or the bone repair capacity after ONFH, and is therefore limited. The present study proposes an ‘ABC’ method for ONFH typing based on biomechanics and the stress distribution characteristics of the femoral head's bone trabeculae. In total, 132 ONFH patients (223 hips) were enrolled at Guanganmen Hospital (Beijing, China). Each of the hip joints included was subjected to computerized tomography and/or magnetic resonance imaging. The images with the maximum necrotic area in the coronal femoral head were selected, and the femoral head's maximum transverse diameter was divided into three pillars (A, B and C, from the outside to the inside) according to a 3:4:3 diameter ratio. ONFH was typed according to the number of pillars involved in the necrosis. Differences in the collapse rate of different ONFH types, and the correlation between the theoretical collapse risk and the observed collapse rate was analysed. The ONFH types significantly differed in their collapse rate (χ2=76.93, P<0.001) in the following order: A‑C (88.6%)>AB (74.1%)>BC (52.4%)>A (50%)>B (9.5%)>C (0%). The collapse risk was significantly correlated with the collapse rate (correlation coefficient R=1). The types A‑C and AB had high collapse rates/risks, whereas types B and C had a satisfactory prognosis. The ABC typing proposed in the present study is thus suitable for collapse risk prediction in ONFH. Type classification using this method may provide a valuable reference for selecting regimens for ONFH treatment.
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1 

Zhao DW and Hu YC: Chinese experts' consensus on the diagnosis and treatment of osteonecrosis of the femoral head in adults. Orthop Surg. 4:125–130. 2012. View Article : Google Scholar : PubMed/NCBI

2 

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 and 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. Orthop Surg. 9:3–12. 2017.PubMed/NCBI

3 

Wang F and Zhang YH: Advances in research on the cause and pathological mechanisms of non-traumatic ischemic necrosis of femoral head. J Pract Diagnosis Ther. 2:121–123. 2007.(In Chinese).

4 

Li ZR: Scientific diagnosis and treatment of osteonecrosis of the femoral head. Chinese J Reparative Reconstructive Surg. 9:685–686. 2005.

5 

Floerkemeier T, Thorey F, Daentzer D, Lerch M, Klages P, Windhagen H and von Lewinski G: Clinical and radiological outcome of the treatment of osteonecrosis of the femoral head using the osteonecrosis intervention implant. Int Orthop. 35:489–495. 2011. View Article : Google Scholar : PubMed/NCBI

6 

Yu T, Zhang Z, Xie L, Ke X and Liu Y: The influence of traditional Chinese medicine constitutions on the potential repair capacity after osteonecrosis of the femoral head. Complement Ther Med. 29:89–93. 2016. View Article : Google Scholar : PubMed/NCBI

7 

Moya-Angeler J, Gianakos AL, Villa JC, Ni A and Lane JM: Current concepts on osteonecrosis of the femoral head. World J Orthop. 6:590–601. 2015. View Article : Google Scholar : PubMed/NCBI

8 

Mont MA, Cherian JJ, Sierra RJ, Jones LC and Lieberman JR: Nontraumatic osteonecrosis of the femoral head: Where do we stand today? A Ten-year update. J Bone Joint Surg Am. 97:1604–1627. 2015. View Article : Google Scholar : PubMed/NCBI

9 

Pierce TP, Elmallah RK, Jauregui JJ, Verna DF and Mont MA: Outcomes of total hip arthroplasty in patients with osteonecrosis of the femoral head-a current review. Curr Rev Musculoskelet Med. 8:246–251. 2015. View Article : Google Scholar : PubMed/NCBI

10 

Rajpura A, Wright AC and Board TN: Medical management of osteonecrosis of the hip: A review. Hip Int. 21:385–392. 2011. View Article : Google Scholar : PubMed/NCBI

11 

Gillet C, Dalla Valle A, Gaspard N, Spruyt D, Vertongen P, Lechanteur J, Rigutto S, Dragan ER, Heuschling A, Gangji V and Rasschaert J: Osteonecrosis of the Femoral head: Lipotoxicity exacerbation in MSC and modifications of the bone marrow fluid. Endocrinology. 158:490–502. 2017.PubMed/NCBI

12 

Fukushima W, Fujioka M, Kubo T, Tamakoshi A, Nagai M and Hirota Y: Nationwide epidemiologic survey of idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 468:2715–2724. 2010. View Article : Google Scholar : PubMed/NCBI

13 

Yu T, Xie L, Zhang Z, Ke X and Liu Y: Prediction of osteonecrosis collapse of the femoral head based on the proportion of the proximal sclerotic rim. Int Orthop. 39:1045–1050. 2015. View Article : Google Scholar : PubMed/NCBI

14 

Sugano N, Takaoka K, Ohzono K, Matsui M, Masuhara K and Ono K: Prognostication of nontraumatic avascular necrosis of the femoral head. Significance of location and size of the necrotic lesion. Clin Orthop Relat Res. 303:155–164. 1994.

15 

Morita D, Hasegawa Y, Okura T, Osawa Y and Ishiguro N: Long-term outcomes of transtrochanteric rotational osteotomy for non-traumatic osteonecrosis of the femoral head. Bone Joint J. 99-B:1–183. 2017. View Article : Google Scholar

16 

Koo KH and Kim R: Quantifying the extent of osteonecrosis of the femoral head. A new method using MRI. J Bone Joint Surg Br. 77:875–880. 1995. View Article : Google Scholar : PubMed/NCBI

17 

Nishii T, Sugano N, Ohzono K, Sakai T, Sato Y and Yoshikawa H: Significance of lesion size and location in the prediction of collapse of osteonecrosis of the femoral head: A new three-dimensional quantification using magnetic resonance imaging. J Orthop Res. 20:130–136. 2002. View Article : Google Scholar : PubMed/NCBI

18 

Kerboul M, Thomine J, Postel M and Merle DR: The conservative surgical treatment of idiopathic aseptic necrosis of the femoral head. J Bone Joint Surg Br. 56:291–296. 1974. View Article : Google Scholar : PubMed/NCBI

19 

Min BW, Song KS, Cho CH, Lee SM and Lee KJ: Untreated asymptomatic hips in patients with osteonecrosis of the femoral head. Clin Orthop Relat Res. 466:1087–1092. 2008. View Article : Google Scholar : PubMed/NCBI

20 

Hernigou P and Lambotte JC: Volumetric analysis of osteonecrosis of the femur. Anatomical correlation using MRI. J Bone Joint Surg Br. 83:672–675. 2001. View Article : Google Scholar : PubMed/NCBI

21 

Gardeniers JWM: Report of the Committee of Staging and Nomenclature. ARCO News Letter. 5(2): 79–82. 1993.

22 

Steinberg ME, Hayken GD and Steinberg DR: A quantitative system for staging avascular necrosis. J Bone Joint Surg. 77:34–41. 1995. View Article : Google Scholar

23 

Li ZR, Liu ZH, Sun W, Shi ZC, Wang BL and Zhao FC: The classification of osteonecrosis of the femoral head based on the three pillars structure: China-Japan Friendship Hospital (CJFH) classification. Chin J Orthop. 6:515–520. 2012.(In Chinese).

24 

Li ZR: Osteonecrosis. The People's Health Publishing House; Beijing: 2012, View Article : Google Scholar

25 

Ahn AC and Grodzinsky AJ: Relevance of collagen piezoelectricity to ‘Wolff's Law’: A critical review. Med Eng Phys. 31:733–741. 2009. View Article : Google Scholar : PubMed/NCBI

26 

Tsubota K, Suzuki Y, Yamada T, Hojo M, Makinouchi A and Adachi T: Computer simulation of trabecular remodeling in human proximal femur using large-scale voxel FE models: Approach to understanding Wolff's law. J Biomech. 42:1088–1094. 2009. View Article : Google Scholar : PubMed/NCBI

27 

Chen JH, Liu C and You L: Boning up on Wolff's Law: Mechanical regulation of the cells that make and maintain bone. J Biomech. 43:108–118. 2010. View Article : Google Scholar : PubMed/NCBI

28 

Ma XL, Li HT and Ma JX: Biomechanical properties of principle compressive trabecular bone in proximal femur. Biome Eng Clin Med. 2:118–122. 2012.(In Chinese).

29 

Zhou GQ, Pang ZH, Chen QQ, He W, Chen ZQ, Chen LL and Li ZQ: Reconstruction of the biomechanical transfer path of femoral head necrosis: A subject-specific finite element investigation. Comput Biol Med. 52:96–101. 2014. View Article : Google Scholar : PubMed/NCBI

30 

Li Z, Sun W, Gao F, Liu Z, Shi Z and Wang B: Comparative evaluation of osteonecrosis of the femoral head classification: CJFH classification versus JIC classification. J Hip Surg. 1:44–49. 2017. View Article : Google Scholar

31 

Herring JA, Neustadt JB, Williams JJ, Early JS and Browne RH: The lateral pillar classification of Legg-Calvé-Perthes disease. J Pediatr Orthop. 12:143–150. 1992. View Article : Google Scholar : PubMed/NCBI

32 

Zhang ZN: 3S system-based typing for osteonecrosis and its relation with Chinese medicine-based constitution. Dissertation China Acad Chin Med Sci. 2015.(In Chinese).

33 

Zhang ZN, Xie LM and Yu T: Comparative study on the differentiation of osteonecrosis of femoral head at different sections based on three pillars structure. Chin J Tradit Med Traumatol Orthop. 25:28–31. 2017.(In Chinese).

34 

Yu T, Xie L and Chu F: A sclerotic rim provides mechanical support for the femoral head in osteonecrosis. Orthopedics. 38:e374–e379. 2015. View Article : Google Scholar : PubMed/NCBI

35 

Kim YM, Ahn JH, Kang HS and Kim HJ: Estimation of the extent of osteonecrosis of the femoral head using MRI. J Bone Joint Surg Br. 80:954–958. 1998. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Zhang Z, Yu T, Xie L, Li Y, Ke X, Liu Y, Huang S, Deng H and Bai Y: Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing. Exp Ther Med 16: 2682-2688, 2018.
APA
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y. ... Bai, Y. (2018). Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing. Experimental and Therapeutic Medicine, 16, 2682-2688. https://doi.org/10.3892/etm.2018.6488
MLA
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y., Huang, S., Deng, H., Bai, Y."Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing". Experimental and Therapeutic Medicine 16.3 (2018): 2682-2688.
Chicago
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y., Huang, S., Deng, H., Bai, Y."Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing". Experimental and Therapeutic Medicine 16, no. 3 (2018): 2682-2688. https://doi.org/10.3892/etm.2018.6488
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang Z, Yu T, Xie L, Li Y, Ke X, Liu Y, Huang S, Deng H and Bai Y: Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing. Exp Ther Med 16: 2682-2688, 2018.
APA
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y. ... Bai, Y. (2018). Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing. Experimental and Therapeutic Medicine, 16, 2682-2688. https://doi.org/10.3892/etm.2018.6488
MLA
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y., Huang, S., Deng, H., Bai, Y."Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing". Experimental and Therapeutic Medicine 16.3 (2018): 2682-2688.
Chicago
Zhang, Z., Yu, T., Xie, L., Li, Y., Ke, X., Liu, Y., Huang, S., Deng, H., Bai, Y."Biomechanical bearing‑based typing method for osteonecrosis of the femoral head: ABC typing". Experimental and Therapeutic Medicine 16, no. 3 (2018): 2682-2688. https://doi.org/10.3892/etm.2018.6488
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