股骨头缺血性坏死（ONFH）是一种以股骨头骨坏死病灶的存在为特征的疾病，其原因是血液供应中断。ONFH在年轻和中年成人中较为常见，是该年龄段进行全髋关节置换手术的主要原因。随着使用糖皮质激素治疗白血病的辅助治疗、器官移植以及其他骨髓性疾病的增加，其发病率也在增加。本综述提供了关于其病因、发病机制、自然史、分期系统和治疗的最新信息。还介绍了针对糖皮质激素和酒精相关ONFH的Association Research Circulation Osseous（ARCO）分类标准，2019年ARCO分期系统以及使用计算机断层扫描进行早期ONFH分期的2021年ARCO分类。版权 © 2023年韩国髋关节学会。

Osteonecrosis of the femoral head (ONFH), a condition characterized by the presence of a necrotic bone lesion in the femoral head, is caused by a disruption in the blood supply. Its occurrence is more common in young and middle-aged adults and it is the main reason for performance of total hip arthroplasty in this age group. Its incidence is increasing along with increased use of glucocorticoids for management of adjuvant therapy for treatment of leukemia as well as organ transplantation and other myelogenous diseases. Current information on etiology and pathogenesis, as well as natural history, stage system, and treatments is provided in this review. A description of the Association Research Circulation Osseous (ARCO) criteria for classification of glucocorticoids- and alcohol-associated ONFH, 2019 ARCO staging system, and 2021 ARCO classification using computed tomography for the early stages of ONFH is also provided.Copyright © 2023 by Korean Hip Society.