Ischemic necrosis of the femoral head is common in young and middle-aged people, and without intervention, the natural course of most patients will be collapse of the femoral head, fragmentation, and eventually osteoarthritis, which seriously affects the patient’s physical and mental health. Although advances in materials and improved surgical skills have significantly improved the longevity of artificial total hips, the long-term results are still not satisfactory for such patients. Preservation of the patient’s femoral head is still the current direction of treatment and research efforts, and the commonly used methods now include drilling and decompression, osteotomy, and bone grafting with or without blood vessels. Regardless of the results, the indications are that patients with early-stage femoral head necrosis, i.e., lesions before stage III of the Penn State Staging, are more difficult to treat once the femoral head has collapsed. Since July 2001, we have been using concentrated bone marrow composite compression autologous bone grafting for ischemic necrosis of the femoral head in stage III-V with satisfactory results.