Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review

ABSTRACT Traumatic osteonecrosis of the femoral head (TONFH) refers to ischemic osteonecrosis is resulting from an acute mechanical interruption of the blood supply to the femoral head. The early diagnosis and optimal treatment have been central focuses of research and continue to undergo improvemen...

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Main Authors: Linbao Wang, Yunzhuan Luo, Xing Qiu, Liangliang Cheng, Kaiming Ma, Jianchen Guan, Yuchen Liu, Jiawei Ying, Dewei Zhao
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Orthopaedic Surgery
Subjects:
Online Access:https://doi.org/10.1111/os.14352
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author Linbao Wang
Yunzhuan Luo
Xing Qiu
Liangliang Cheng
Kaiming Ma
Jianchen Guan
Yuchen Liu
Jiawei Ying
Dewei Zhao
author_facet Linbao Wang
Yunzhuan Luo
Xing Qiu
Liangliang Cheng
Kaiming Ma
Jianchen Guan
Yuchen Liu
Jiawei Ying
Dewei Zhao
author_sort Linbao Wang
collection DOAJ
description ABSTRACT Traumatic osteonecrosis of the femoral head (TONFH) refers to ischemic osteonecrosis is resulting from an acute mechanical interruption of the blood supply to the femoral head. The early diagnosis and optimal treatment have been central focuses of research and continue to undergo improvement. Reliable animal models are essential for advancing research into the treatment of the disease. This review aims to provide a comprehensive overview of tetrapod models (rats, rabbits, dogs, and sheep) and bipod models (emus, ostriches), as well as various modeling methods (traumatic hip dislocation, dissection of the round ligament and ligature of the femoral neck, femoral neck fracture (FNF), reduction and internal fixation after femoral neck fracture, and highly selective disruption of the anterior‐superior retinacular vessels). This review examines the advantages, disadvantages, and applicability of each model. Based on blood flow analysis, it proposes a more reliable direction for TONFH modeling: simulating partial blood flow injury in the context of FNF.
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institution DOAJ
issn 1757-7853
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publishDate 2025-03-01
publisher Wiley
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series Orthopaedic Surgery
spelling doaj-art-af5ec85e2a244a7da1b1a3b5f49d129a2025-08-20T02:54:33ZengWileyOrthopaedic Surgery1757-78531757-78612025-03-0117370371310.1111/os.14352Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature ReviewLinbao Wang0Yunzhuan Luo1Xing Qiu2Liangliang Cheng3Kaiming Ma4Jianchen Guan5Yuchen Liu6Jiawei Ying7Dewei Zhao8Department of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University Luzhou ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University Luzhou ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaDepartment of Orthopaedic Affiliated ZhongShan Hospital of Dalian University Dalian ChinaABSTRACT Traumatic osteonecrosis of the femoral head (TONFH) refers to ischemic osteonecrosis is resulting from an acute mechanical interruption of the blood supply to the femoral head. The early diagnosis and optimal treatment have been central focuses of research and continue to undergo improvement. Reliable animal models are essential for advancing research into the treatment of the disease. This review aims to provide a comprehensive overview of tetrapod models (rats, rabbits, dogs, and sheep) and bipod models (emus, ostriches), as well as various modeling methods (traumatic hip dislocation, dissection of the round ligament and ligature of the femoral neck, femoral neck fracture (FNF), reduction and internal fixation after femoral neck fracture, and highly selective disruption of the anterior‐superior retinacular vessels). This review examines the advantages, disadvantages, and applicability of each model. Based on blood flow analysis, it proposes a more reliable direction for TONFH modeling: simulating partial blood flow injury in the context of FNF.https://doi.org/10.1111/os.14352animal modelfemoral neck fractureinflammatory responseretinacular vesselstraumatic osteonecrosis of the femoral head
spellingShingle Linbao Wang
Yunzhuan Luo
Xing Qiu
Liangliang Cheng
Kaiming Ma
Jianchen Guan
Yuchen Liu
Jiawei Ying
Dewei Zhao
Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
Orthopaedic Surgery
animal model
femoral neck fracture
inflammatory response
retinacular vessels
traumatic osteonecrosis of the femoral head
title Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
title_full Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
title_fullStr Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
title_full_unstemmed Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
title_short Analysis of Animal Models of Traumatic Osteonecrosis of the Femoral Head Based on Blood Supply: A Literature Review
title_sort analysis of animal models of traumatic osteonecrosis of the femoral head based on blood supply a literature review
topic animal model
femoral neck fracture
inflammatory response
retinacular vessels
traumatic osteonecrosis of the femoral head
url https://doi.org/10.1111/os.14352
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