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. 2017 Jan 10;11:62–72. doi: 10.1016/j.jot.2016.11.002

Table 1.

Percentage of necrotic area analysis in classification and correlation with collapse.

Author Year Country Study point Classification Relations with collapse
Kerboul et al [5] 1974 France Necrosis radian Large range: ≥200
Small range: ≤160
Median range: >160, <200
Large range: worse result
Small range: better result
Beltran et al [25] 1990 United States Percentage of necrotic area No collapse occurs in the range <25%, 43% collapse in the range from 25% to 50%, and 87% collapse in the range of 50%.
Sugano et al [22] 1994 Japan Necrosis portion and range (X-ray) IA < 30%
IB < 44%
IC < 88%
Koo and Kim [26] 1994 South Korea Necrosis range Divided into three types: <30%, 30–40%, >40% Collapse rate increases in the upper type.
Koo et al [23] 1995 South Korea Necrosis index (necrosis range) Necrosis index = (A/180)(B/180)(C/180)
A, B, C are three angles
A level: <33
B level: 33–60
C level: 67–100
If the index is >40, collapse of the femoral head occurs.
Steinberg et al [27] 1999 United States Necrosis radian Necrosis radian >200, worse result
Shimizu et al [28] 1994 Japan Necrosis range Grade: high/low sign
Grade: high sign
Grade is confer to be collapse. Grade in the critical range, like weight-bearing area, is vice versa.
Chen et al [29] 2000 China Necrosis radian In core depression operation, all the cases whose necrosis radian is >250 collapse.
Lafforgue et al [24] 1993 France WB value (percentage of necrotic area vs. weight-bearing area) WB = β/γ × 100%
β: range of necrotic area in weight-bearing area
γ: range of weight-bearing area
No collapse when WB is <45%, but collapse occurs when WB is >45%.
Zhao et al [30] 2005 China Necrosis index
Percentage of necrotic area
Some kind of index for predicting necrosis The relative risk of the percentage of necrotic surface area is 1.043.
Ha et al [31] 2006 South Korea Percentage of necrotic area Modified Kerboul et al’s [5] method: Level 1: <200; Level 2: 200–250; Level 3: 250–300; Level 4: >300
Connolly and Weinstein [32] 2006 Turkish Necrosis range Necrotic area <33% would not favour a collapse.