Systematic review and meta-analysis on SuperPATH approach versus conventional approaches for hip arthroplasty

Abstract

Aim: The SuperPATH approach has been in practice for almost a decade. There is no systematic review to date comparing the novel SuperPATH approach with conventional approaches. Therefore, it is important to conduct an up-to-date review to evaluate the benefits and drawbacks of the SuperPATH approach in comparison to widely accepted traditional approaches. Our primary aim was to compare the newer SuperPATH approach with the traditional approaches to the hip in terms of functional outcome and radiological parameters. We also aimed to identify any potential complications of the SuperPATH approach as it is a new surgical technique lacking any published sytematic reviews. Materials and methods: The review was conducted in accordance with the steps detailed in the Cochrane Handbook for Systematic reviews of intervention and will be reported bearing in mind the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PICO terms were independently searched in multiple databases. Studies that compared SuperPATH with traditional approaches were included in the analysis. Results: 7 studies including a total of 730 patients were available for final analysis. 3 studies were randomised control trials, 2 were prospective cohort studies and 2 were non-randomised case control studies. Patients in the SuperPATH group were discharged earlier (2 days difference in weighted mean). The operative time was 5 minutes longer (84.46 vs. 78.99) and there was a marginal decrease in blood loss (38 ml lesser) in the SuperPATH approach. VAS Score and HHS at the end of 1 year was comparable in both study groups. Cup abduction angle and anteversion angles were acceptable and comparable in both groups. Conclusions: The SuperPATH approach shows minimal improvement in length of hospital stay and blood loss with no significant improvement in pain or functional outcome score. There are no major complications reported and the radiological parameters are comparable.

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

“…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 , ...…”

“…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...…”

“…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...…”

Comparison of clinical outcomes of supercapsular percutaneously-assisted approach total hip arthroplasty versus conventional posterior approach for total hip arthroplasty in adults: a systematic review and meta-analysis

“…In a meta-analysis [ 13 ] published by Y.Ge et al in 2021, the analysis showed no difference in acetabular abduction angle between the two groups. In a meta-analysis [ 12 ] published by V.M. Joseph et al in 2022, it was concluded that no significant improvement in VAS or HHS.…”

Comparison of Clinical Outcomes of Supercapsular Percutaneously-assisted Approach Total Hip Arthroplasty Versus Conventional Posterior Approach for Total Hip Arthroplasty in Adults: A Systematic Review and Meta-Analysis

“…considerable limitations. The meta-analysis [12] published by V. M. Joseph in 2022 included 7 studies, including 2 non-randomized controlled trials. Ramadanov published an updated meta-analysis in 2022 [13], which screened the literature published by February 20, 2021, and included 14 RCTs.…”