Less blood loss in supercapsular percutaneously assisted versus posterolateral total hip arthroplasty

Hu, Yong; Wang, Mincong; Wang, Tao; Meng, Yue; Chao, Xiao-Min; Zhu, Hui-Feng; Li, Chengguo; Pan, Chenglong; He, He-Bei

doi:10.1186/s13018-021-02363-z

“…The initial search returned 55 records [ 5 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 ] for further consideration. After full-text screening, 4 records [ 14 , 15 , ...…”

Section: Resultsmentioning

confidence: 99%

“…After full-text screening, 4 records [ 14 , 15 , 16 , 17 ] that used the term “SuperPath” with a different meaning were excluded. The bibliometric search with a complete inter-reviewer agreement (κ = 1.0) yielded 51 articles on SuperPATH [ 5 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 ], all of which were included in the scoping review. Of those 51 articles, 9 were...…”

Section: Resultsmentioning

confidence: 99%

“…With the exception of the 2011 article [ 5 ] in which James Chow introduced SuperPATH, all other articles [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 ] were published between 2015 and 2023 ( Figure 2 ). In 2015, 4 out of 51 articles (8%) were published on SuperPATH [ 42 , 54 , 55 , 67 ], while in 2...…”

Section: Resultsmentioning

confidence: 99%

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SuperPATH—Current Status of Evidence and Further Investigations: A Scoping Review and Quality Assessment

Ramadanov

2023

JCM

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Background: SuperPATH is a novel minimally invasive technique for hip replacement that is gaining increasing attention. The aim of this review was to determine the nature, extent, and quality of current research evidence on SuperPATH and to identify areas for further investigations. Methods: A bibliometric search was conducted in PubMed up to 1 August 2023 using the search term “SuperPATH”. Data extraction and quality assessment were performed for relevant articles. Results: The bibliometric search yielded 51 articles on SuperPATH, 9 of which were meta-analyses, 11 were randomized controlled trials (RCTs), 4 were prospective non-RCTs, 12 were retrospective comparative studies, 11 were case series, and 4 were other article types. Most articles were published between 2015 and 2023, with a steady increase in publications per year. The articles originated from 13 countries, of which China was the most productive (35%). The quality assessment of the meta-analyses showed that 22.2% were of moderate quality, 66.7% were of low quality, and 11.1% were of critically low quality. The quality assessment of the RCTs showed that 36.4% had a low risk of bias (RoB), 27.2% revealed some concerns, and 36.4% had a high RoB. All studies were evaluated for content and taken into account in the formulation of recommendations and conclusions. Conclusions: The SuperPATH evidence varies from low to high quality. There is a steady increase in SuperPATH publications in the English-language literature and an uneven distribution of the article origins, with most articles coming from China. Consistent terminology should be used in the future, referring to the surgical approach as the direct superior approach (DSA) and to the surgical technique as SuperPATH. This review provides further concrete suggestions for future investigations and recommendations to improve study quality.

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“…Previous studies have shown that the HBL can account for 26%-60% of the total blood loss (TBL) in various orthopedic surgeries, and minimally invasive surgery can significantly reduce HBL [ 6 – 8 ]. Other studies have found that the average TBL of patients undergoing posterior spinal fusion surgery can reach 1450 mL, and HBL can also reach 600 mL, with HBL accounting for 42% of TBL [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Total Blood Loss and Hidden Blood Loss in Patients with Adolescent Idiopathic Scoliosis: A Retrospective Study

Li

¹

,

Ding

²

,

Zhao

³

et al. 2022

BioMed Research International

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Objectives. To investigate the risk factors of total blood loss (TBL) and hidden blood loss (HBL) in adolescent idiopathic scoliosis (AIS) patients undergoing posterior orthopedic surgery. Methods. The AIS patients who visited department of spine surgery between January 2015 and December 2020 were retrospectively reviewed. Those with a history of posterior orthopedic surgery for AIS were identified, and their clinical data were collected. Gross formula was used to calculate the TBL and HBL. SPSS 20.0 was used for statistical analysis. The potential risk factors of TBL and HBL were assessed by independent t -test or univariate analysis. The risk factors of TBL and HBL were determined by multiple linear regression. Results. A total of 114 patients were included in this study. Operative time ( P < 0.001 ), postoperative platelets (PLT) ( P = 0.001 ), the number of surgical fixation segments ( P < 0.001 ), implanted screws ( P < 0.001 ), hospital stay ( P = 0.006 ), type of scoliosis ( P < 0.001 ), and correction angle of scoliosis ( P = 0.063 ) were the potential risk factors of TBL. Operative time ( P < 0.000 ), postoperative PLT ( P = 0.095 ), the number of surgical fixation segments ( P < 0.001 ), implanted screws ( P < 0.001 ), type of scoliosis ( P < 0.001 ), correction angle of scoliosis ( P = 0.073 ), and total blood volume ( P = 0.098 ) were the potential risk factors of HBL. Multiple linear regression analysis showed that operative time ( P = 0.003 ) and the number of surgical fixation segments ( P = 0.014 ) were risk factors of TBL, while the number of surgical fixation segments ( P = 0.004 ) was a risk factor of HBL. Conclusions. In AIS patients undergoing posterior internal fixation surgery, the operative time and the number of surgical fixation segments are risk factors of TBL, and the number of surgical fixation segments is a risk factor of HBL. Surgeons need to consider these factors when making surgical strategies for AIS patients.

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“…Among the several MIS, the Supercapsular percutaneously assisted total hip (SuperPath) (MicroPort Orthopedics Inc., Arlington, TN, USA) is a minimally invasive technique that utilizes a muscle-sparing surgical approach between the piriformis and gluteus minimus muscles, preserving the insertion of the extrarotator muscles, the posterior capsule, and avoiding surgical dislocation of the femoral head [21]. It is particularly successful and several bene ts were attributed to its use such as tissues preservation, early postoperative recovery from the pain, short incision length, short hospitalization, early recovery of daily activities, less perioperative blood loss and a lower transfusion [22][23][24][25][26]. There is not yet a large radiographic case series in the literature regarding acetabular cup placement in THAs via the SuperPath technique.…”

Section: Introductionmentioning

confidence: 99%

Radiographic Results on Acetabular Cup Placement with the SuperPath Technique: A Retrospective Study of 756 Cases

Maro

¹

,

Creaco

²

,

Albini

³

et al. 2021

Preprint

1

0

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BackgroundThe Supercapsular percutaneously assisted total hip (SuperPath) technique is a relatively new minimally invasive approach for total hip arthroplasty (THA). Good clinical outcomes related to its use are reported in the literature. Nonetheless, there are still uncertainties about its validity in terms of radiographic outcomes.Purposes of the study are to evaluate the effectiveness of the SuperPath in acetabular cup positioning through radiographic evaluation of acetabular inclination angle (IA) and acetabular anteversion (AA) angle within the safe zone described by Lewinnek; to investigate cases of hip dislocation; to evaluate whether our results differ from those reported in recent literature; to evaluate whether there was a statistically significant radiographic difference in acetabular cup placement between two consecutive years.MethodsBetween January 2016 and December 2019, all SuperPath cases eligible for the study were included. They were operated by three Orthopaedic surgeons with long-standing experience in THA via traditional posterolateral approach and who have performed SuperPath training fellowship. The results were analyzed by statistical analysis.ResultsA retrospective analysis of 756 THAs was performed. Means ± standard deviation (SD) of the radiographic IA and AA were calculated for each year. The average percentage of IA within the Lewinnek's safe zone was from 80% to 85%, while the average percentage of AA was from 76% to 79%. Both IA and AA showed no statistically significant difference between two consecutive years. So, there was no statistically significant improvement regarding the radiographic values between two consecutive years for both IA and AA. There were only two cases of hip dislocations. The radiographic values were similar to recent data in the literature from authors using SuperPath and comparing their results with classical surgical approaches.ConclusionIt is possible to achieve good radiographic values of acetabular cup orientation through the SuperPath within the Lewinnek's safe zone. These results are similar to those reported in the literature by authors using SuperPath. Low rate (0,3 %) of hip dislocations were reported. Therefore, the SuperPath technique represents a good alternative for THA. Nevertheless, there is not a statistically significant improvement in these radiographic parameters over a four-year time.Level of Evidence: Level IV, retrospective study.

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Less blood loss in supercapsular percutaneously assisted versus posterolateral total hip arthroplasty

Cited by 7 publications

References 33 publications

SuperPATH—Current Status of Evidence and Further Investigations: A Scoping Review and Quality Assessment

SuperPATH—Current Status of Evidence and Further Investigations: A Scoping Review and Quality Assessment

Risk Factors of Total Blood Loss and Hidden Blood Loss in Patients with Adolescent Idiopathic Scoliosis: A Retrospective Study

Radiographic Results on Acetabular Cup Placement with the SuperPath Technique: A Retrospective Study of 756 Cases

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