Publication Name	World Journal of Orthopedics
Manuscript ID	116685
Country	China

Category	Orthopedics
Manuscript Type	Letter to the Editor
Article Title	Re-evaluating conservative hip preservation in osteonecrosis of the femoral head: Lessons from long-term follow-up
Manuscript Source	Unsolicited Manuscript
All Author List	Xia Li, Zhao-Wei Teng and Hong-Ji Pu
Funding Agency and Grant Number	Funding Agency Grant Number National Natural Science Foundation of China 82460289 the Yunnan Provincial Health Commission - Yunnan Provincial Health Commission Medical Discipline Leader Training Program D-2024018
Corresponding Author	Hong-Ji Pu, Associate Professor, MD, Department of Medical Imaging, School of Stomatology, Affiliated Stomatological Hospital, Qujing University of Medicine and Health Sciences, No. 1 Longdong Road, Malong District, Qujing 655000, Yunnan Province, China. hongji_pu@sina.com
Key Words	Osteonecrosis of the femoral head; Hip preservation; Conservative treatment; Long-term outcomes; Commentary
Core Tip	This letter evaluates an in-press study by Chen et al, describing conservative hip preservation in osteonecrosis of the femoral head. The study highlights a high hip-preservation rate and introduces the concept of “survival with collapse”, whereby radiographic progression does not equate to functional decline. This commentary emphasizes appropriate patient selection, radiological predictors, and the value of individualized non-surgical strategies in managing osteonecrosis of the femoral head.
Citation	Li X, Teng ZW, Pu HJ. Re-evaluating conservative hip preservation in osteonecrosis of the femoral head: Lessons from long-term follow-up. World J Orthop 2026; In press

Received	2025-11-24 07:33
Peer-Review Started	2025-11-24 07:33
First Decision by Editorial Office Director	2025-12-30 07:21
Return for Revision	2025-12-30 07:21
Revised	2026-01-06 16:06
Publication Fee Transferred
Second Decision by Editor	2026-01-20 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-20 11:28
Articles in Press	2026-01-20 11:28
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com