Ischemic necrosis of the femoral head in young people is very troublesome to deal with, mainly because the young factor restricts the choice of surgical options and the efficacy of the long-term results of surgery. If you are in ficat stage 1, 2, or even 3, if the collapse is not very heavy and the osteochondral gap still exists clearly, I still prefer to choose conservative treatment or perform lesion scraping plus compression osteotomy, so that the necrotic lesion is completely cleaned out and the defect is effectively filled. Autologous iliac bone graft has excellent histocompatibility, osteoconductivity, osteogenesis, and scaffolding properties. Therefore, it is a reliable bone grafting material and its results are superior to other alternatives such as allogeneic bone or bioceramic bone. Since the development of this surgical treatment modality the results have been satisfactory. For example, in a 22-year-old patient with trauma-induced ficat stage 3 (pictured), the results of this procedure were very satisfactory. Therefore, for stage 3 patients, it may not be possible to treat them exclusively with arthroplasty. Of course, the effect of stage 1 and 2 is even more certain. After the surgery, if you take Chinese herbal medicine or proprietary Chinese medicine for about 6 months, you can rely on the effect for 5 years.