Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head

Background: Osteonecrosis, also known as avascular necrosis (AVN), of the femoral head is a debilitating condition characterized by the death of bone tissue due to a lack of blood supply. Surgical interventions, particularly osteotomies, are critical in the management of osteonecrosis, especially in...

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Main Authors: Hrishikesh Saodekar, Yogesh Salphale, Gopal Shinde, Sushrut Babhulkar
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644025001062
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author Hrishikesh Saodekar
Yogesh Salphale
Gopal Shinde
Sushrut Babhulkar
author_facet Hrishikesh Saodekar
Yogesh Salphale
Gopal Shinde
Sushrut Babhulkar
author_sort Hrishikesh Saodekar
collection DOAJ
description Background: Osteonecrosis, also known as avascular necrosis (AVN), of the femoral head is a debilitating condition characterized by the death of bone tissue due to a lack of blood supply. Surgical interventions, particularly osteotomies, are critical in the management of osteonecrosis, especially in its pre-collapse or early stages. We propose a modified version of this osteotomy, which offers a potential for salvaging the femoral head in early cases of AVN of the hip, up to stage 2A, 2B, or early stage 3 (Ficat and Arlet).
format Article
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institution Kabale University
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publishDate 2025-08-01
publisher Elsevier
record_format Article
series Trauma Case Reports
spelling doaj-art-3e604bd43e8a48a084a1231efc0f9a242025-08-20T03:38:59ZengElsevierTrauma Case Reports2352-64402025-08-015810122910.1016/j.tcr.2025.101229Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral HeadHrishikesh Saodekar0Yogesh Salphale1Gopal Shinde2Sushrut Babhulkar3Dept of Orthopaedics, Dr.P.D.M. Medical College, Amravati 444602, IndiaShushrusha Multispecialty Hospital, Lane Opp.Z.P, Chandrapur 442401, India; Corresponding author.Maharashtra PGIMER, MUHS, Nashik, Maharashtra, IndiaSushrut Hospital and Research Centre, 30-A, Central Bazar Road, Near Somalwar High School, Ramdaspeth, Nagpur-10, IndiaBackground: Osteonecrosis, also known as avascular necrosis (AVN), of the femoral head is a debilitating condition characterized by the death of bone tissue due to a lack of blood supply. Surgical interventions, particularly osteotomies, are critical in the management of osteonecrosis, especially in its pre-collapse or early stages. We propose a modified version of this osteotomy, which offers a potential for salvaging the femoral head in early cases of AVN of the hip, up to stage 2A, 2B, or early stage 3 (Ficat and Arlet).http://www.sciencedirect.com/science/article/pii/S2352644025001062Osteonecrosis of the femoral headAvascular necrosisProximal femur osteotomySugioka's osteotomyModified Sugioka osteotomyTranstrochanteric rotational osteotomy (TRO)
spellingShingle Hrishikesh Saodekar
Yogesh Salphale
Gopal Shinde
Sushrut Babhulkar
Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
Trauma Case Reports
Osteonecrosis of the femoral head
Avascular necrosis
Proximal femur osteotomy
Sugioka's osteotomy
Modified Sugioka osteotomy
Transtrochanteric rotational osteotomy (TRO)
title Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
title_full Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
title_fullStr Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
title_full_unstemmed Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
title_short Reimagining Sugioka Osteotomy: A Paradigm Shift in the Treatment of Avascular Necrosis of the Femoral Head
title_sort reimagining sugioka osteotomy a paradigm shift in the treatment of avascular necrosis of the femoral head
topic Osteonecrosis of the femoral head
Avascular necrosis
Proximal femur osteotomy
Sugioka's osteotomy
Modified Sugioka osteotomy
Transtrochanteric rotational osteotomy (TRO)
url http://www.sciencedirect.com/science/article/pii/S2352644025001062
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