Koshino classification 48 was later modified so that stage 1 is nor- mal, stage 2 is a mild flattening of weight-bearing surface, stage 3 is a subchondral lucency, stage 4 is a collapse of the subchondral bone, and stage 5 is characterized by secondary degenerative change
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arashrezaei - (no access) - OKU - Hip and Knee Reconstruction 5.pdf, p70
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