Ficat-Arlet Staging (Femoral Head AVN)

Ficat-Arlet staging (Ficat 1985; Ficat & Arlet 1980) of osteonecrosis (avascular necrosis) of the femoral head — the radiographic staging of hip osteonecrosis.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Ficat-Arlet stage
III — collapse (crescent sign, flattening)

Result: Ficat-Arlet stage III: subchondral collapse (crescent sign) with femoral-head flattening; a post-collapse stage.

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What the result means

Stage 0 / I / II
Pre-collapse: silent, normal X-ray (0); pre-radiographic, abnormal MRI (I); sclerosis / cysts, sphericity preserved (II).
Stage III
Subchondral collapse (crescent sign) with femoral-head flattening; joint space preserved. A post-collapse stage.
Stage IV
Secondary osteoarthritis with joint-space narrowing and acetabular changes. A post-collapse stage.

What you enter

  • Ficat-Arlet stage
How this is calculated

Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br. 1985;67(1):3-9. Ficat RP, Arlet J. Ischemia and necroses of bone. 1980. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.