Evidence map›Paper›PMID 39815308›Full record

ArticleJournal of orthopaedic surgery and research2025

Location or size? A finite element analysis study of necrotic lesion impact on femoral head collapse.

Shun Lu, Tianye Lin, Longfei Han, Ziqi Li, Mingcong He, Qiushi Wei

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Finite element analysis of CT-based lateral classification of Japanese Investigation Committee type C1 osteonecrosis of femoral head and its prognostic value].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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5 · Who and what money

Authors and funding

6 authors.

Shun LuGuangzhou University of Chinese Medicine, Guangzhou, 510405, P. R. China.
Tianye LinThe Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510378, P. R. China.
Longfei HanGuangzhou University of Chinese Medicine, Guangzhou, 510405, P. R. China.
Ziqi LiThe Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510378, P. R. China.
Mingcong HeThe Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510378, P. R. China. min-cong.he@hotmail.com.
Qiushi WeiThe Third Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510378, P. R. China. weiqshi@126.com.

Funding

Guangdong Province Basic and Applied Basic Fund Project 2023A1515010551Guangzhou Science and Technology Plan Project - Young Doctor "Sailing" Program 2024A04J5057Key Open Project of Guangdong Institute of Traditional Chinese Medicine Orthopedics and Trauma GYH202101-01;GYH202101-04National Natural Science Foundation General Project 82274544National Natural Science Foundation of China Youth Science Fund 82004392
6 · The paper itself

Abstract

backgroundThe location and size of necrotic lesions are important factors for collapse, The preserved angles (PAs) are divided into anterior preserved angle (APA) and lateral preserved angle (LPA), which could accurately measure the location of necrosis lesion. We used them to evaluate the effect of the location and size of necrotic lesions on collapse by finite element analysis, to offer a framework for evaluating the prognosis of osteonecrosis of the femoral head (ONFH) in clinical settings.

methods3 left hip models were constructed based on CT data. Within each hip model, three necrosis lesion models were modeled, with necrotic tissue volumes of 30%, 50%, and 70% repectively. The ONFH models with LPA of 45.5°, 50.5°, 55.5°, 60.5°, 65.5°, 70.5°, and 75.5° when APA was 60.5°, and ONFH models with APAs of 45.5°, 50.5°, 55.5°, 60.5°, 65.5°, 70.5°, and 75.5° when LPA was 60.5° were Constructed. The maximum von Mises stess of the femoral head and necrotic lesion, as well as the femoral head displacement, were calculated to evaluate the biomechanical effects of these models.

results(1) In models with the same necrotic volume, when APA was 60.5°, the indexes of the LPA < 60.5° models were significantly higher than those of the LPA ≥ 60.5° models (P < 0.05); the differences of the indexes among the LPA ≥ 60.5° models were not statistically significant (P > 0.05). (2) When LPA was 60.5°, the indexes of models with APA < 60.5 ° and APA ≥ 60.5 ° show the same trend as the former. (3) In the models with the same PAs, there was no statistically significant difference in the indexes (P > 0.05).

conclusionThe location of the necrotic lesion exerts a greater impact on femoral head collapse compared with the size of the lesion. The location of the necrosis may deserve more consideration when assessing the risk of collapse in patients with early onset ONFH.

Indexed as

Femur HeadFemur Head NecrosisFinite Element AnalysisFemaleHumansMaleTomography, X-Ray ComputedBiomechanicsCollapseFinite element analysisOsteonecrosis of the femoral headPreserved angles

Identifiers

PMID39815308
PMCPMC11734371

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.