Osteonecrosis of the Femoral Head Based on the Ficat and Arlet Classification: A Literature Review

Cici Enjelia N^1*, Naufaldy Rifqiaulia N², Yusuf Muhammad Reza³, Ira Safitri⁴, T. Nanta Aulia⁵

Abstract

Osteonecrosis is a degenerative bone condition characterized by the death of cellular bone components due to disruption of the subchondral blood supply. Osteonecrosis of the femoral head is the most common location of osteonecrosis. Osteonecrosis causes significant morbidity and impairs quality of life. Early detection of osteonecrosis is important to achieve a good outcome. The Ficat and Arlet classification describes four stages of disease progression based on clinical and radiographic findings. It is generally agreed that the successful treatment of patients with osteonecrosis is directly related to the stage of disease at diagnosis, emphasizing the importance of a reliable classification system. Timely intervention during the early stages of the disease can help in maintaining joint integrity, minimizing pain, and preventing the need for more invasive procedures such as joint replacement.  The review focuses on the Ficat and Arlet classification in cases of osteonecrosis of the femoral head.

Keywords

osteonecrosis; Ficat; Arlet.

Cite This Article

Enjelia N, C., Rifqiaulia N, N., Reza, Y. M., Safitri, I., Aulia, T. N. (2025). Osteonecrosis of the Femoral Head Based on the Ficat and Arlet Classification: A Literature Review. International Journal of Scientific Advances (IJSCIA), Volume 6| Issue 1: Jan-Feb 2025, Pages 114-121, URL: https://www.ijscia.com/wp-content/uploads/2025/01/Volume6-Issue1-Jan-Feb-No.830-114-121.pdf

Volume 6 | Issue 1: Jan – Feb 2025