Fig. 3

Planning and representative computed tomography images. a A screenshot of the preoperative planning. b Coronal computed tomography image shows a bone defect at the drilling route and implanted region 1Â day postoperatively. The yellow dashed line shows the border of the osteonecrotic area of the femoral head. c In contrast, apparent bone regeneration of the osteonecrotic area is observed at 1Â year postoperatively (yellow arrow). The normal contour of the femoral head is maintained. d Apparent bone regeneration of the osteonecrotic area is observed in the implanted region (yellow arrow) and drilling route (yellow arrowheads) at 2Â years postoperatively. Normal contour, thick trabecular bone, and bone regeneration of the drilling route can be observed