Evidence map›Paper›PMID 40580182›Full record

ArticleMedical gas research2026

A retrospective comparison of hyperbaric oxygen and core decompression for mild to moderate avascular necrosis of the femoral head.

Ming Sun, Hairui Liang, Yong Chen, Siyu Duan, Rongda Xu, Zhencun Cai

Abstract readComparative Study
In one paragraph

Article in Medical gas research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

6 authors.

Ming SunDepartment of Orthopedics Surgery, The Second Affiliated Hospital of Shenyang Medical College, Shenyang, Liaoning Province, China.
Hairui LiangDepartment of Orthopedic Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang, Liaoning Province, China.
Yong ChenDepartment of Orthopedic Surgery, Central Hospital Affiliated to Shenyang Medical College, Shenyang, Liaoning Province, China.
Siyu DuanDepartment of Orthopedics Surgery, The Second Affiliated Hospital of Shenyang Medical College, Shenyang, Liaoning Province, China.
Rongda XuDepartment of Orthopedics Surgery, The Second Affiliated Hospital of Shenyang Medical College, Shenyang, Liaoning Province, China.
Zhencun CaiDepartment of Orthopedics Surgery, The Second Affiliated Hospital of Shenyang Medical College, Shenyang, Liaoning Province, China.ORCID 0009-0006-9221-6707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Avascular necrosis of the femoral head is a condition resulting from disrupted blood supply, leading to ischemia and bone tissue necrosis. Core decompression (CD) restores the blood supply through pressure relief, whereas hyperbaric oxygen (HBO) enhances tissue oxygenation and promotes bone repair. Their combined use may complement each other in improving blood supply, promoting bone healing, and inhibiting disease progression, thus achieving a better therapeutic effect. To assess and compare the efficacy of HBO and/or CD for treating mild to moderate femoral head avascular necrosis, a retrospective study was conducted on patients diagnosed with Ficat stage II non-traumatic osteonecrosis between January 2017 and January 2022 at the Affiliated Central Hospital of Shenyang Medical University, China. A total of 72 patients were divided into HBO, CD, and combination groups, with 24 patients in each group. After 1 year of follow-up, 90% of patients in the HBO group, 85% in the CD group, and 95% in the combination group showed satisfactory improvements in hip joint function. The SF-36 quality of life questionnaire scale scores also significantly improved in all three groups, with the combination group showing the most significant improvement. These findings suggest that HBO offers promising potential for treating non-traumatic femoral head necrosis, with efficacy similar to that of CD. The combination group showed the most significant improvement in both hip joint function and quality of life.

Indexed as

Decompression, SurgicalFemur Head NecrosisHyperbaric OxygenationAdultFemaleHumansMaleMiddle AgedQuality of LifeRetrospective StudiesTreatment Outcomeclinical practicecombination therapycore decompressionefficacyFicat classificationhip joint functionhyperbaric oxygen therapynon-invasive treatmentnon-traumatic femoral head necrosisquality of life

Identifiers

PMID40580182
PMCPMC12318576

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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 Socratic graph.