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Table 3 Comparison of CD-based surgery and other NVG surgery outcomes for pre- and postcollapse-stage ONFH

From: Percutaneous autologous impaction bone graft for advanced femoral head osteonecrosis: a retrospective observational study of unsatisfactory short-term outcomes

First author/year

Surgical procedure

Mean age at surgery (years)

Mean follow-up (years)

Number of precollapse ONFH (hips)

Hip survivorship/endpoint

Number of postcollapse ONFH (hips)

Hip survivorship/endpoint

Seyler [18]/2008

Light bulb/NVG/rhBMP-7 (3.5 mg)

35

3

22

81.8% (18/22)

Collapse

17

70.5% (12/17)

THA

Wang [19]/2010

Light bulb/DBM, rhBMP

32.3

2.1

67

92.5% (62/67)

THA

71

88.7% (63/71)

THA

Wang [19]/2010

CD/BMMNC

37.5

2.3

50

78% (39/50)

Radiological progression

9

66.6% (6/9)

Radiological progression

Zhang [20]/2013

Light bulb/BG

31.3

Minimum 2

71

85.4%

Collapse

14

NA

Lim [21]/2013

Multiple CD/Stem cell

36.3

5

79

62.7% (64/102)

Surgery or HHS < 75

49

42.1% (24/57)

Surgery or HHS < 75

Lim [21]/2013

Multiple CD

34.4

5

23

8

Feng [22]/2019

CD/iliac BG/VGTF

33.2

9.7

None

NA

84

92.8% (78/84)

THA

Feng [22]/2019

CD/iliac BG

32.8

9.8

None

NA

51

78.4% (40/51)

THA

Tomaru [23]/2019

CD/BMMNC

42.2

12

43

51.1% (22/43)

Collapse

37

43.2% (16/37)

THA

Liu [24]/2020

CD/β-TCP

36

5

25

45.8% (11/24)

THA

22

13.0% (3/23)

THA

Present study/2020

CD/BG/HA, β-TCP

40.1

3

1

100% (1/1)

Collapse

19

63.1% (12/19)

THA

  1. Hip survivorship was joint preservation rate with the bottom row as an endpoint 
  2. NVG, nonvascularized graft; DBM, demineralized bone matrix; rh, recombinant human; BMP, bone morphogenetic protein; CD, core decompression; BMMNC, bone marrow mononuclear cell; BG, bone graft; VGTF, vascularized greater trochanter flap; β-TCP, beta-tricalcium phosphate; HA, hydroxyapatite; THA, total hip arthroplasty; NA, not applicable; HHS, Harris hip score