 Abstract osteonecrosis of the femoral head, ONFH, is a debilitating and complex condition with unknown causes. Traditional surgical procedures can only slow down its progression, while bone tissue engineering has shown promise in providing more effective solutions. This review provides an overview of the current understanding of ONFH, as well as the advances in bone tissue engineering techniques that have been developed to date. This article was authored by Asin Bien, Tingtinghu, Zhehui LV, and others.