Evidence for using synthetic bone grafts for the treatment of osteonecrosis of the femoral head: a systematic review of the literature and meta-analysis.

Michał Dębiński, Stuart B Goodman, Jerzy Walecki, Konstancja Bobecka-Wesołowska, Marcin K Waśko

Abstract read

In one paragraph

Article in Journal of hip preservation surgery, 2026. 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

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Surgical innovation-hopefully kinder to patients.Journal of hip preservation surgery · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michał DębińskiDepartments of Trauma and Orthopaedic Surgery and Rehabilitation, Mazovian Bródnowski Hospital, Kondratowicza 8, 03-242 Warsaw, mazowieckie, Poland.

Stuart B GoodmanDepartment of Orthopaedic Surgery, Stanford University, 450 Broadway Street, Redwood City, California 94063, United States.

Jerzy WaleckiDepartment of Radiology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, mazowieckie, Poland.

Konstancja Bobecka-WesołowskaFaculty of Mathematics and Information Science, Warsaw University of Technology, Koszykowa 75, 00-662 Warsaw, mazowieckie, Poland.

Marcin K WaśkoDepartment of Radiology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, mazowieckie, Poland.ORCID https://orcid.org/0000-0002-5475-1999

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Synthetic bone grafts (SBGs) potentially add structural stability after core decompression (CD) for osteonecrosis of the femoral head (ONFH). This systematic review assessed the evidence supporting the (i) radiographic efficacy, (ii) revision rates, and (iii) safety of CD and CD with SBG for the treatment of ONFH. A total of 6549 papers were screened. Inclusion criteria were met by 12 studies for CD and by 14 studies for CD + SBG. This study included 931 hips with Stages I or II of ONFH-414 treated with CD, 379 treated with CD + SBG, and 138 treated with CD + SBG with adjuvant therapies (CD + SBG + ADJ). The radiographic progression was 37% for CD, 33% for CD + SBG, and 32% for CD + SBG + ADJ, with no differences between subgroups (

Identifiers

PMID42180019

DOI10.1093/jhps/hnaf035

PMCPMC13195213

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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.