ORPHA:86820
Familial avascular necrosis of femoral head
Also known as: Familial osteonecrosis of the femoral head
Publications
734
83.1th percentile
Trials
8
Interventional, condition-specific
Researchers
1,070
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
Avascular necrosis of femoral head (ANFH) is a severely disabling disease characterised by groin pain, a limping gait, leg length discrepancy, collapse of the subchondral bone, limitation of hip function and eventual degeneration of the hip joint requiring total hip arthroplasty.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0012126
- MeSH:D005271
- UMLS:C4275066
- NCIT:C35480
Additional Mondo synonyms (3)
aseptic Necrosis of femoral head · aseptic Necrosis of head of femur · familial osteonecrosis of the femoral head
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
734 matched papers (270 in last 10 years) Source
- Phenotype characterisedNot checked
Not yet enriched from Monarch / HPO
- Animal modelNot checked
Not yet enriched from Monarch / Alliance
- Orphan designationNot checked
FDA/EMA orphan-drug designation not enriched yet
- Interventional trialPresent
8 matched on ClinicalTrials.gov (1 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
Not enriched in this build — Monarch phenotype joins were not run for this record.
Animal models (Monarch / Alliance)
Not enriched in this build.
Literature
Is anyone studying this?
734
734 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.
734 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).
270 in the last 10 years · high confidence · 83.1th percentile (publications denominator)
Phrase hits: 625 · MeSH hits: 110
Who's working on it?
1,070
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Zhang Y12 papers · 2024
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Papers in Europe PMC - 02Wang J10 papers · 2025
Cheeloo College of Medicine, Shandong University, Jinan, Shandong, PR China.
Papers in Europe PMC - 03Wang Y9 papers · 2026
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Papers in Europe PMC - 04Li Y8 papers · 2026
Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, PR China.
Papers in Europe PMC - 05Li J7 papers · 2026
Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, PR China.
Papers in Europe PMC - 06Liu Y7 papers · 2025
Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Papers in Europe PMC - 07Wang H7 papers · 2024
College of Basic Medicine, Hebei University of Chinese Medicine, Shijiazhuang, China.
Papers in Europe PMC - 08Liu J6 papers · 2025
Department of Pediatric Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, PR China. liujingwei@email.sdu.edu.cn.
Papers in Europe PMC - 09Chen J5 papers · 2025
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Papers in Europe PMC - 10Chen G4 papers · 2024
Department of Orthopaedic and Trauma Surgery, Affiliated Hospital of Yunnan University, Kunming, Yunnan Province 650000, China.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
8
interventional trials for this specific condition
8 interventional trials matched this specific condition name; 1 currently recruiting in our sample. 118 trials are registered for avascular necrosis, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 27 July 2026
8 interventional trials — more than 73% of diseases in the trials denominator have none at all (5114 of 7003; this disease is at the 90.6th percentile).
high confidence · 90.6th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
8 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06565910·RECRUITING·Bupivacaine Liposome Plus Bupivacaine or Ropivacaine for Pericapsular Nerve Group Block in Hip Arthroplasty (PENG)
Conditions: Femoral Neck Fractures · Femur Head Necrosis · Hip Fractures·Matched via MeSH
Broader category: avascular necrosis
118
Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.
Worth raising with a clinician. How we count trials.
Recruiting under the broader category
- NCT05357378·RECRUITING·Safety and Effectiveness of the HIT Reverse HRS
Conditions: Degenerative Joint Disease · Osteoarthritis, Hip · Avascular Necrosis of Hip · Traumatic Arthropathy-Hip·Matched via name phrase
- NCT06388993·RECRUITING·Marrow Cellution™ vs. Traditional BMA Harvest Project
Conditions: Hip Arthropathy · Avascular Necrosis of Bone · Subchondral Cysts·Matched via name phrase
- NCT07240649·NOT YET RECRUITING·Emerging Indications for Hyperbaric Oxygen Treatment
Conditions: Post-COVID-19 Condition · Ulcerative Colitis · Crohn Disease · Calciphylaxis·Matched via name phrase
- NCT07104084·RECRUITING·Influence of Antiseptic Washes on Wound Healing Complications After THA
Conditions: Hip Osteoarthritis · Avascular Necrosis of Femur Head·Matched via name phrase
- NCT06016634·RECRUITING·Alendronate for Osteonecrosis in Adults With Sickle Cell Disease
Conditions: Sickle Cell Disease · Sickle Cell Anemia · Osteonecrosis · Ischemic Necrosis·Matched via name phrase
- NCT06631638·RECRUITING·EMPHASYS Cup Positioning in THA With Non-Invasive Navigation (Velys Hip Navigation (VHN))
Conditions: Osteoarthritis · Traumatic Arthritis · Rheumatoid Arthritis · Congential Hip Dysplasia·Matched via name phrase
- NCT06772558·NOT YET RECRUITING·Desflurane Potentially Induces Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Perioperative Procedures by Modulating Cdc42 and Clock Proteins
Conditions: Avascular Necrosis of the Femoral Head · Coronary Artery Disease (CAD) · Benign Prostatic Hyperplasia (BPH) · Cholecystitis·Matched via name phrase
- NCT03048201·RECRUITING·Physica System Total Knee Replacement Registry Study
Conditions: Osteoarthritis, Knee · Traumatic Arthritis · Avascular Necrosis · Degenerative Joint Disease of Knee·Matched via name phrase
- NCT07255768·ENROLLING BY INVITATION·Comparison of the Efficacy of Pericapsular Nerve Group Block Alone Versus Pericapsular Nerve Group Block Combined With Superior Cluneal and Superior Gluteal Nerve Blocks in Patients Undergoing Hip Surgery
Conditions: Hip Osteoarthritis · Osteonecrosis of the Femoral Head · Avascular Necrosis of Femur Head · Dysplasia of Hip Joint·Matched via name phrase
- NCT07101562·RECRUITING·Clinical Transformation of Bone Reconstruction With Autologous Bone Marrow Mesenchymal Stem Cells in Vitro to Repair Avascular Necrosis of Femur Head
Conditions: Avascular Necrosis of Femur Head·Matched via name phrase
- NCT05548972·ENROLLING BY INVITATION·G7 Dual Mobility With Vivacit-E or Longevity PMCF
Conditions: Hip Osteoarthritis · Rheumatoid Arthritis · Joint Diseases · Avascular Necrosis·Matched via name phrase
- NCT06931301·NOT YET RECRUITING·Effect of HBOT on Femoral Head Avascular Necrosis (AVN)
Conditions: Osteonecrosis · Avascular Necrosis·Matched via name phrase
- NCT05679232·RECRUITING·Hydrogel Coating to Reduce Post-surgical Infection After Joint Arthroplasty
Conditions: Arthritis · Traumatic Arthritis · Avascular Necrosis·Matched via name phrase
- NCT05587244·ENROLLING BY INVITATION·G7 Freedom Constrained Vivacit-E Liners
Conditions: Osteoarthritis, Hip · Rheumatoid Arthritis · Non-Union Fracture · Trochanteric Fractures·Matched via name phrase
- NCT06123481·RECRUITING·Autologous Bone Marrow Aspirate Treatment for Early-Stage Osteonecrosis
Conditions: Osteonecrosis of the Femoral Head · Avascular Necrosis of the Femoral Head·Matched via name phrase
Observational and natural-history studies
8 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT06410079·NOT YET RECRUITING·Difference in Return to Sports Activity After Hip Arthroplasty by THR or Resurfacing
Conditions: Hip Arthrosis · Femur Head Necrosis·Matched via MeSH
- NCT02230826·RECRUITING·Observational Study to Evaluate Long-Term Outcome in Hip Arthroplasty
Conditions: Hip Replacement · Primary, Secondary or Post-traumatic Osteoarthrosis · Femur Head Necrosis · Congenital Dislocations·Matched via MeSH
Where to find support
We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Familial avascular necrosis of femoral head" OR "Familial avascular necrosis of the femoral head" OR "Familial osteonecrosis of the femoral head" OR "Familial osteonecrosis of femoral head" OR "aseptic Necrosis of femoral head" OR "aseptic Necrosis of the femoral head" OR "aseptic Necrosis of head of femur" OR "aseptic Necrosis of the head of the femur"
MeSH descriptor terms unioned into the query: Femur Head Necrosis
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Familial avascular necrosis of femoral head" OR "Familial avascular necrosis of the femoral head" OR "Familial osteonecrosis of the femoral head" OR "Familial osteonecrosis of femoral head" OR "aseptic Necrosis of femoral head" OR "aseptic Necrosis of the femoral head" OR "aseptic Necrosis of head of femur" OR "aseptic Necrosis of the head of the femur" OR "Femur Head Necrosis"
Interventional trials matched via: mesh (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 8 interventional · 8 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"avascular necrosis"
Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-27T03:07:28.341Z
