A systematic review of the CJFH classification of osteonecrosis of the femoral head

Objective To sort out and analyze the findings on biomechanics and evidence-based clinical study of the China-Japan Friendship Hospital (CJFH) classification of osteonecrosis of the femoral head (ONFH) in the past ten years.Methods Search for researches related to CJFH classification in CNKI, WanFan...

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Main Authors: LIU Tianyang, SUN Wei, GAO Fuqiang, LI Zirong
Format: Article
Language:zho
Published: Editorial Office of New Medicine 2024-07-01
Series:Yixue xinzhi zazhi
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Online Access:https://yxxz.whuznhmedj.com/futureApi/storage/attach/2407/WMXGyVtoH66Exm22Xet7YohonPQnwv39tCML9TTf.pdf
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author LIU Tianyang
SUN Wei
GAO Fuqiang
LI Zirong
author_facet LIU Tianyang
SUN Wei
GAO Fuqiang
LI Zirong
author_sort LIU Tianyang
collection DOAJ
description Objective To sort out and analyze the findings on biomechanics and evidence-based clinical study of the China-Japan Friendship Hospital (CJFH) classification of osteonecrosis of the femoral head (ONFH) in the past ten years.Methods Search for researches related to CJFH classification in CNKI, WanFang Data, VIP, SinoMed, MEDLINE, ScienceDirect, PebMed, Web of Science. Searching time was from July, 2012 to June, 2023. Literature was selected according to inclusion and exclusion criteria. The literature was analyzed from different perspectives, which could be categorized into four aspects: biomechanics, prediction of the collapse of the femoral head, assessment of different joint preserving protocols, and joint preserving choices.Results A total of 34 studies were included. Biomechanical studies explored and validated the CJFH classification from both macro and micro perspectives, providing ample theoretical support for the classification. Additionally, several studies used the CJFH classification to categorize their research subjects. As the classification level increased, both the clinical success rate and femoral head survival rate of patients significantly decreased, and this conclusion applied to most hip-preserving treatment methods. The CJFH classification accurately and reproducibly predicted the progression collapse rate and treatment prognosis of femoral head necrosis, providing evidence support for the clinical application of this classification.Conclusion CJFH classification can predict the collapse of the femoral head, assess joint preserving treatments, and guide clinical decisions. It can be combined with new technology in the aspect of layer selection to ensure clinical applicability and improve accuracy.
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spelling doaj-art-64ecdd93f68f4aa2b855bb46f82b2dbd2025-08-20T02:40:00ZzhoEditorial Office of New MedicineYixue xinzhi zazhi1004-55112024-07-0134774475510.12173/j.issn.1004-5511.2023030276507A systematic review of the CJFH classification of osteonecrosis of the femoral headLIU TianyangSUN WeiGAO FuqiangLI ZirongObjective To sort out and analyze the findings on biomechanics and evidence-based clinical study of the China-Japan Friendship Hospital (CJFH) classification of osteonecrosis of the femoral head (ONFH) in the past ten years.Methods Search for researches related to CJFH classification in CNKI, WanFang Data, VIP, SinoMed, MEDLINE, ScienceDirect, PebMed, Web of Science. Searching time was from July, 2012 to June, 2023. Literature was selected according to inclusion and exclusion criteria. The literature was analyzed from different perspectives, which could be categorized into four aspects: biomechanics, prediction of the collapse of the femoral head, assessment of different joint preserving protocols, and joint preserving choices.Results A total of 34 studies were included. Biomechanical studies explored and validated the CJFH classification from both macro and micro perspectives, providing ample theoretical support for the classification. Additionally, several studies used the CJFH classification to categorize their research subjects. As the classification level increased, both the clinical success rate and femoral head survival rate of patients significantly decreased, and this conclusion applied to most hip-preserving treatment methods. The CJFH classification accurately and reproducibly predicted the progression collapse rate and treatment prognosis of femoral head necrosis, providing evidence support for the clinical application of this classification.Conclusion CJFH classification can predict the collapse of the femoral head, assess joint preserving treatments, and guide clinical decisions. It can be combined with new technology in the aspect of layer selection to ensure clinical applicability and improve accuracy.https://yxxz.whuznhmedj.com/futureApi/storage/attach/2407/WMXGyVtoH66Exm22Xet7YohonPQnwv39tCML9TTf.pdfosteonecrosis of the femoral headcjfh classificationbiomechanicsevidence-based clinical studysystematic review
spellingShingle LIU Tianyang
SUN Wei
GAO Fuqiang
LI Zirong
A systematic review of the CJFH classification of osteonecrosis of the femoral head
Yixue xinzhi zazhi
osteonecrosis of the femoral head
cjfh classification
biomechanics
evidence-based clinical study
systematic review
title A systematic review of the CJFH classification of osteonecrosis of the femoral head
title_full A systematic review of the CJFH classification of osteonecrosis of the femoral head
title_fullStr A systematic review of the CJFH classification of osteonecrosis of the femoral head
title_full_unstemmed A systematic review of the CJFH classification of osteonecrosis of the femoral head
title_short A systematic review of the CJFH classification of osteonecrosis of the femoral head
title_sort systematic review of the cjfh classification of osteonecrosis of the femoral head
topic osteonecrosis of the femoral head
cjfh classification
biomechanics
evidence-based clinical study
systematic review
url https://yxxz.whuznhmedj.com/futureApi/storage/attach/2407/WMXGyVtoH66Exm22Xet7YohonPQnwv39tCML9TTf.pdf
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