SuperPATH Minimally Invasive Approach to Total Hip Arthroplasty of Femoral Neck Fractures in the Elderly: Preliminary Clinical Results

Wang, Xiaodong; Lan, Hai; Hu, Zhengxia; Li, Kainan; Wang, Zhenghao; Luo, Jipeng; Long, Xu‐dong

doi:10.1111/os.12584

Cited by 21 publications

(44 citation statements)

References 27 publications

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“…To further read the full text, we found a lack of required data in 9 pieces of literature and 3 pieces of literature included other irrelevant interventions. Finally, 6 articles [10][11][12][13][14][15]were selected. The PRISMA literature inclusion and exclusion process were shown in Fig.…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…Based on the available datum from 4 studies [10,11,14,15], we found signi cant heterogeneity (Chi² = 111.20, df = 3, I² = 97%, p < 0.00001). As was shown in Fig.…”

Section: Incision Lengthmentioning

confidence: 89%

“…The basic characteristics of the 526 patients were shown in Table 1. Concerning the body mass index, one of the study [15] was not mentioned. Regarding RCTs, there were a total of 3 studies [10,11,15] that were enrolled in this article.…”

Section: The Basic Characteristics and Quality Evaluation Of Includedmentioning

confidence: 99%

“…Concerning the body mass index, one of the study [15] was not mentioned. Regarding RCTs, there were a total of 3 studies [10,11,15] that were enrolled in this article. Due to the particularity of surgery, all of these three studies did not report the methods of binding to participants and/or operators.…”

Section: The Basic Characteristics and Quality Evaluation Of Includedmentioning

confidence: 99%

“…6 studies [10][11][12][13][14][15] recorded intraoperative blood loss. Because of statistical heterogeneity (Chi² = 402.99, df = 5, I² = 99%, p < 0.00001), random effects models were applied.…”

Section: Intraoperative Blood Lossmentioning

confidence: 99%

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A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

Zhou

Chen

et al. 2020

Preprint

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Background: To compare the clinical and radiographic results of supercapsular percutaneously assisted total hip (SuperPATH) approach and conventional approach by systematic review and meta-analysis. Methods: Based on a pre-published protocol (PROSPERO CRD42020177717), we systematically retrieved databases from Pubmed, Embase, Cochrane and Web of Knowledge for relevant literatures from the earliest available date to May 30, 2020. No language restriction was applied. RevMan 5.3 software was used to perform the meta-analysis. The methodological qualities were assessed using the guidelines provided by the Cochrane Collaboration for Systematic Reviews. Two reviewers were independently extracted data from all eligible studies, including types of studies, participants, interventions, and outcomes. Randomized or fixed-effect models were used to calculate the weighted mean difference (WMD), odds ratio (OR) for continuous and dichotomous variables, respectively.Results: 6 articles were included in the study and 526 patients were selected, which was including 233 cases in the SuperPATH groups, 279 cases in the conventional groups and 4 cases performed two surgeries in succession. The SuperPATH group demonstrated shorter incision length (WMD = - 7.87, 95 % CI - 10.05 to - 5.69, P < 0.00001), decreased blood transfusion rate (OR = 0.48, 95 % CI 0.25 to 0.89, P = 0.02), decreased visual analogue scale (VAS) (WMD = -0.40, 95 % CI - 0.72 to - 0.08, P = 0.03) and higher Harris hip score (HHS) (WMD = 1.98, 95 % CI 0.18 to 3.77, P = 0.0002) than those in the conventional group. However, there was no difference in VAS and HHS between the two groups half a year later. There was no significant difference in the acetabular abduction angle (WMD = - 1.32, P = 0.32) in either group. Conclusions: SuperPATH minimally invasive approach with its reduced tissue damage, quick postoperative recovery and early rehabilitation demonstrates the short-term advantages of hip arthroplasty. However, the evidence for SuperPATH technique was limited in the number of studies and short duration of follow-up, so long-term results still need further analysis.

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Section: Literature Search Resultsmentioning

confidence: 99%

“…Based on the available datum from 4 studies [10,11,14,15], we found signi cant heterogeneity (Chi² = 111.20, df = 3, I² = 97%, p < 0.00001). As was shown in Fig.…”

Section: Incision Lengthmentioning

confidence: 89%

Section: The Basic Characteristics and Quality Evaluation Of Includedmentioning

confidence: 99%

Section: The Basic Characteristics and Quality Evaluation Of Includedmentioning

confidence: 99%

Section: Intraoperative Blood Lossmentioning

confidence: 99%

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A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

Zhou

Chen

et al. 2020

Preprint

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Applied Anatomy for Treatment of Geriatric Hip Fractures

Hellwinkel

Kaidi

Cooper

2021

Geriatric Hip Fractures

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SuperPath approach is a recommendable option in frail patients with femoral neck fractures: a case–control study

Cecere

Cicco

Bruno

et al. 2021

Arch Orthop Trauma Surg

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Introduction The treatment of intracapsular femoral neck fractures (FNFs) in the elderly is usually based on hip replacement, both total hip arthroplasty (THA) and hemiarthroplasty (HA). Recently, several tissue-sparing approaches for hip arthroplasty had been described with promising results in terms of hospitalization length, blood loss and dislocation rate. The aim of the present study was to compare the blood loss and the transfusion rate in a cohort of patients with FNF treated using an HA through both the SuperPath (SP) and the traditional posterolateral (PL) approaches. Materials and methods We retrospectively collected data from patients affected by FNFs between January 2018 and February 2020. All patients with intracapsular FNF treated with a single HA implant (Profemur L, MicroPort Orthopedics Inc., USA) via PL or SP approaches were included. Exclusion criteria were pathological fractures, polytrauma and preoperatively transfused patients. Results Thirty-five patients were included and analysed in the present study. 17 patients were classified in the SP group, and 18 in the PL one. The rate of antithrombotic therapy was higher in the SP group compared with the PL group [10 (58, 82%) vs 4 (22, 2%)]. While the two groups did not differ in terms of preoperative haemoglobin (Hb), 48 h postoperative Hb and Hb reduction, a significative difference was observed in terms of blood transfusion rate (1 SP vs 9 PL, p = 0.0072). Conclusions The SuperPath approach in patients with FNF under antithrombotic therapy assures lower transfusion rate, potentially reducing complication rates and improving patients' outcomes.

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SuperPATH Minimally Invasive Approach to Total Hip Arthroplasty of Femoral Neck Fractures in the Elderly: Preliminary Clinical Results

Cited by 21 publications

References 27 publications

A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

Applied Anatomy for Treatment of Geriatric Hip Fractures

SuperPath approach is a recommendable option in frail patients with femoral neck fractures: a case–control study

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