ADAMTS-7 has been reported to exaggerate cartilage degeneration and to be associated with TNF-alpha and NF-kappa B signaling pathway. In this study we compared the expression of ADAMTS-7, TNF-alpha, and Phospho-NF-kappa B in patients with femoral neck fracture (FNF) and osteonecrosis of femoral head (ONFH) at different stages. We found that expression of ADAMTS-7, TNF-alpha, and Phospho-NF-kappa B was significantly upregulated in ONFH patients' articular cartilage and related to the pathogenesis of ONFH. Thus we conclude that ADAMTS-7 level appears to be positively associated with expression of TNF-alpha and Phospho-NF-kappa B P65 in cartilage, which may imply its association with cartilage destruction of ONFH.
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