As a common orthopedic disease, osteonecrosis of the femoral head mainly appears in young and middleaged population. However, there is no ideal solution for the disease. Especially, for the early femoral head necrosis, how to maintain the shape and function of femoral head and prevent bone collapse have been an urgent problem in clinic. In recent years, with the development of the tissue engineering, the prevention of femoral head collapse and regeneration of necrotic bone using tissue engineering technology have gained wide attention. In the paper, the research advances in the tissue engineering treatment for early femoral head necrosis were reviewed.