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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Summary: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).
ISSN:2352-6440