Review Article

Efficacy and Safety of Stem Cell Combination Therapy for Osteonecrosis of the Femoral Head: A Systematic Review and Meta-Analysis

Table 1

Baseline characteristics of included RCTs.

StudyYearCountryStudy typeDiagnostic criteriaDisease stagePatientAge (years)Sex ratio (M/F)Intervention/controlStem cell sourceStem cell countsHipsFollow-up (years)

Gangji [18]2011BelgiumRCTARCOI/II1942.2 ± 2.6NACD + cell therapyBMMSCs92.6 ± 22.4 × 107135

Sen [15]2012IndiaRCTARCOI/II40NANACD + cell therapyBMMSCs5.0 × 108262

Zhao [17]2012ChinaRCTARCOI/II10032.7 ± 10.527 : 23CD + cell therapyBMMSCs2.0 × 106535

Rastogi [14]2013IndiaRCTARCOI/II/III4034.67 ± 7.025 : 2CD + cell therapyBMMSCs1.1 × 108302

Ma [11]2014ChinaRCTARCOI/II/III3935.60 ± 8.0515 : 6CD + autologous bone graft with BBCBMMSCs3.0 × 109252

Mao [12]2015ChinaRCTARCOI/II/III5534.60 ± 11.5017 : 13Biomechanical support + cell therapyPBSCs2.47 ± 0.5 × 109483

Tabatabaee [16]2015IranRCTARCOI/II/III1831.0 ± 11.49 : 5CD + cell therapyBMMSCs5.0 ± 2.0 × 108142

Pepke [13]2016GermanyRCTARCOII2444.3 ± 3.410 : 1CD + cell therapyBMMSCsNA112

Hauzeur [5]2018BelgiumRCTARCOIII3848.0 ± 2.814 : 5CD + cell therapyBMMSCs19.45 ± 3.51 × 109232

Hernigou [6]2018FranceRCTARCOI/II12518–5478 : 47CD + cell therapyBMMSCs9.0 ± 2.5 × 10412525

NA = not available; CD = core decompression; BBC = bone marrow buffy coat; BMMSCs = bone marrow mesenchymal stem cells; PBSCs = peripheral blood stem cells.