SuperPATH and Micro-superior Total Hip Arthroplasty

Chow, James C.Y.; Torre, Paul K. Della; Fitch, David A.

doi:10.1007/978-3-319-15206-6_135-1

Cited by 1 publication

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“…This is less than ideal, as it is much easier to determine leg length and fit and fill with a non-fractured contralateral hip. The patient is positioned in the lateral position with the hip in 45° flexion and 10°–15° of internal rotation in high flexion (70°) to bring the longitudinal axis of the femur in-line with the direction of the gluteus maximus and tension the piriformis, similar to images provided in previous descriptions of the technique used for primary THR [ 12 , 13 ]. Minimizing padding between the legs and placing the patient anteriorly on the table allows for more adduction to accommodate placement of the bipolar head.…”

Section: Methodsmentioning

confidence: 99%

Use of the supercapsular percutaneously assisted total hip approach for femoral neck fractures: surgical technique and case series

Bodrogi¹,

Sciortino²,

Fitch³

et al. 2016

J Orthop Surg Res

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BackgroundFemoral neck fractures are common injuries in the geriatric population associated with high morbidity and mortality rates. Studies have shown outcomes can be positively influenced by early postoperative mobilization. The supercapsular percutaneously assisted total hip (SuperPath) surgical technique has been shown to lead to early mobilization for osteoarthritic total hip replacement patients and as such has the potential to provide similar benefits in fracture patients. This manuscript provides a detailed description of this technique using hemiarthroplasty to treat femoral neck fractures and presents the first case series of this application.MethodsSeventeen patients with femoral neck fractures managed with this technique at two separate institutions were reviewed. In an attempt to minimize blood loss and enhance early mobilization, hemiarthroplasty utilizing the SuperPath technique was performed. The authors noticed decreased blood loss, operative time, and postoperative narcotic usage when compared to their previous experiences using traditional techniques.ConclusionsEarly mobilization following femoral neck fractures has been shown to decrease mortality and morbidity. There is little existing literature on the use of tissue-sparing surgical techniques for this application, and none details the use of the SuperPath technique for it. The described case reports suggest the technique is a viable option for bipolar hemiarthroplasty to treat femoral neck fractures. Appropriately designed future studies are needed to confirm findings and definitively compare outcomes to traditional approaches.

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Section: Methodsmentioning

confidence: 99%