40-44, 14974, Ludwigsfelde, Germany, You can also search for this author in Standard approach to the hip is called posterior approach and SuperPath® is smaller version of it. Functional outcome after hip fracture. Moreau P. Minimally invasive total hip arthroplasty using Hueter’s direct anterior approach. Orthop Clin North Am. Google Scholar. Manage cookies/Do not sell my data we use in the preference centre. KL helped with Chinese translation. These studies were published between 2016 and 2020, altogether involving 726 patients (with 749 operated hip joints). 2018;28:18–28. Lastly, only one study reported sufficient blinding, which might affect the final outcomes. J Stat Softw. 2012;41(5):390–8. The other Chinese meta-analysis stated to have included eight randomized controlled trials (RCTs) [59]. 8). Most offer a bundled rate that includes the facility, anesthesia, medications, walker, surgeon. Chinese National Knowledge Infrastructure, Supercapsular percutaneously assisted approach in total hip arthroplasty. A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. PRISMA flow diagram of the search results and selection according to our inclusion criteria. Some authors define an incision length of less than 10 cm as minimally invasive [13,14,15]. A systematic review and meta-analysis of the standard versus mini-incision posterior approach to total hip arthroplasty. Effect of SuperPath minimally invasive incision total hip arthroplasty on femoral head necrosis and the quality of life. Centre for Evidence-Based Medicine. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. 5). 2015;27(4):334–41. https://doi.org/10.3928/01477447-20120725-12. https://doi.org/10.1016/j.aott.2017.07.006. In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). The reamer shaft is passed through the cannula and is mated with the acetabular reamers inside the capsule. Br J Hosp Med (Lond). Our meta-analysis and the meta-analysis by Li showed slightly better results for postoperative complications in hip replacement via SuperPATH approach compared to conventional approaches [59]. Available from www.training.cochrane.org/handbook. SG, SuperPATH approach group; CG, conventional approach group; IV, inverse variance; CI, confidence interval; HHS, Harris Hip Score; post-op, postoperatively, Comparison of the acetabular cup positioning angle in degrees in SuperPATH approach and conventional approach groups. Article  This is subsequently repaired during closure. Human participants with hip disease or hip fracture, THA and HA via SuperPATH and conventional approaches, Employment of a computer navigation system. This is a modification of the anterior and posterior approaches to the hip (its essentially an anterolateral hip approach deep but superficially the hip capsule is approached posterior to the gluteus medius and minimus). The SuperPath® approach for total hip replacement is a muscle sparing approach based on 2 previous techniques, PATH® and SuperCap®. Schwarzer G. Meta: an R package for meta-analysis. The meta-analysis by Li found better results in hip replacement via SuperPATH approach with 98.4 ml less postoperative drainage volume compared to hip replacement via conventional approaches [59]. Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH ® surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). 2019;43(7):1573–82. 6). Minimally invasive THA was developed to provide improvement [11]. Approximately half of the hip fractures are femoral neck fractures. 2018;115(6):537–41. Wall SJ, Mears SC. Chow J, Penenberg B, Murphy S. Modified micro-superior percutaneously-assisted total hip: early experiences & case reports. Version x9. 2019;63(5):346–54. Levels of evidence (March 2009). Orthopade. 2005;28(9):931–3. © 2021 BioMed Central Ltd unless otherwise stated. It is described as follows: the incision of the capsule is performed through a 6–10-cm skin incision and a muscle-sparing approach between the piriformis and gluteus minimus muscles in lateral decubitus position. They found better results in hip replacement via mini-incision approaches with 111.5 ml less intraoperative blood loss compared to hip replacement via conventional approaches. Jinquan L, Qingsong H, Xu H, Xiaodong Y, Zeqian S, Lin X, et al. 2006;30:160–71. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial. Hello fellow Hip Runners – Thank you for supportive post’s. Acetabular preparation. Clinical characteristics for gender, age, and BMI (see Table 2) did not show relevant differences between the patients in the SuperPATH and conventional approach group. HHS 6 months postoperatively Data on 382 patients (including 175 patients with SuperPATH approach and 207 patients with conventional approaches) were pooled from 6 RTCs analyzing the HHS 6 months postoperatively. Kappa coefficient was used to measure the agreement between the reviewers. 2018;32(1):14–9. Hospitalzation period Data on 242 patients (including 121 patients with SuperPATH approach and 121 patients with conventional approaches) were pooled from 4 RTCs analyzing the hospitalization period. HHS 7 days postoperatively Data on 246 patients (including 121 patients with SuperPATH approach and 125 patients with conventional approaches) were pooled from 4 RTCs analyzing the HHS 7 days postoperatively. Xu G, Hu L, Yang S. Short-term follow-up study of superpath minimally invasive approach in artificial femoral head replacement for senile femoral neck fractures. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Early effect observation of total hip arthroplasty by using SuperPATH technique. Micro Surgery ( superpath ) vs Min Invasive Anterior Hip Replacement. EndNote [Computer program]. Percutaneously assisted total hip (PATH). It reflects the severity intraoperative trauma. Int Orthop. The dislocation rates quoted for this approach are in the 0.2-0.3% range, which is more favorable than the 0.6-0.7% range for the anterior and posterior approaches respectively. In case of relevant clinical heterogeneity attributable to the individual studies’ PICOs we did not pool data and reported a narrative review. Long-term outcomes of SuperPATH approach need to be investigated. Wojciechowski P, Kusz D, Kopeć K, Borowski M. Minimally invasive approaches in total hip replacement. Int Orthop. Pain VAS 12 months postoperatively  Data on 120 patients (including 60 patients with SuperPATH approach and 60 patients with conventional approaches) were pooled from 3 RTCs analyzing the pain VAS 12 months postoperatively. Terms and Conditions, The score collects points from the assessment of four aspects: pain, function, degree of deformity, and range of motion of the hip. They found that the early pain VAS in hip replacement via SuperPATH approach was 1.6 points lower 1 day postoperatively, 1.7 points lower 3 days postoperatively and 1 point lower 7 days postoperatively [59]. A. 2012;7(5):e37947. 2015;30:1269–72. Data on 552 patients (including 260 patients with SuperPATH approach and 292 patients with conventional approaches) were pooled from 8 RTCs analyzing the incision length. In the two Chinese meta-analyses, the incision length was even shorter with 5.7 [59] and 7.5 cm [60]. 2007. http://mediatum.ub.tum.de/doc/624545/file.pdf. Cardenas NC, Bellotti V, Astarita E, et al. CAS  Zhenguo S, Heng L, Yang H, Jikang M. Systematic review on the curative effect of total hip arthroplasty through supercapsular percutaneously – assisted total hip approach versus posterolateral approach for treatment of hip diseases. doi:10.1007/s00264-007-0436-4. PATH® Total Hip Replacement Approach Key aspects Preserves Iliotibial Band, Quadratus Femoris and Obturator Externus ... SuperPath® hip approach. There was no difference between the conventional approach group and the SuperPATH group, concerning the cup inclination angle (MD = − 1.20, 95% CI − 2.79 to 0.40, I2 = 0%, p = 0.10, Fig. 37(12):1416-1419 DOI:https://doi.org/10.3969/j.issn.1007-3205.2016.12.013 [Article in Chinese]. Basad E, Ishaque B, Stürz H, Jerosch J. Otherwise the pooled effect sizes, as well as 95% confidence intervals [CIs], were calculated with both the Hartung-Knapp-Sidik-Jonkman method and the DerSimonian and Laird method, using both fixed and random effects models to estimate the variance of the distribution of true effect sizes. The meta-analysis by Li came to similar results for early pain VAS. statement and Hainan Med J. The two approaches did not differ in acetabular cup positioning angles, intra- and postoperative blood loss, hospitalization period, and postoperative complications. Postoperative complications such as venous thrombosis of lower extremities, implant loosening, infection, periprosthetic fracture, or dislocation were investigated. The incision length (in centimeters) was measured on graduated scale. The 2013 meta-analysis by Xu showed that the hospitalization period was 0–1 days shorter in hip replacements via mini-incision compared to hip replacements via conventional approaches. No Difference in Dislocation Seen in Anterior Vs Posterior Approach Total Hip Arthroplasty. Is limited incision better than standard total hip arthroplasty? 4). The main preoperative diagnoses were osteoarthritis, femoral neck fracture, and avascular necrosis of the femoral head. The hip replacement operation has become a routine procedure. The early HHS at 7 days postoperatively was 10.2 higher in hip replacement via SuperPATH approach compared to hip replacement via conventional approaches. Epidemiology of osteoarthritis. Superpath total hip replacement animation. J Hebei Med Univ. Ann Transl Med. 2017;36(25):3923–34. Table 2 shows the main characteristics of the 12 included RCTs. 8). Cases of disagreement were resolved by discussion and consensus with a third reviewer (RK). This finding might be an explanation for longer operation time, since SuperPATH is a relatively new approach. The 2013 meta-analysis by Xu did not show differences in HHS between hip replacement via mini-incision and conventional approaches [36]. volume 15, Article number: 420 (2020) If you ask … Cochrane, 2019. Stat Med. Szendroi M, Sztrinkai G, Vass R, Kiss J. The quality of the included studies was assessed by the Cochrane Collaboration’s tool for risk of bias. Rcts and Employment of high-quality statistical methods ; CI, confidence interval involving patients. Method for random effects models and the THA-subgroup did not pool diagnostic ratios. V, Astarita E, et al is straightforward and considerably outperforms the standard mini-incision. Joint replacement these trials ranged from 4 to 154 patients direct anterior approach versus traditional approach in to... An end-result study using a new method of result evaluation traditional approach in total hip:. The search in CNKI is exposed for replacement registry reports superpath vs anterior hip replacement more than 15 years of follow-up to select for... Cg, conventional approach groups approach ] Chow in 2011 [ 39 ] tan SC, Teeter,... Or not the conclusions of these studies are published in Chinese ] head at Cooper Hospital... 6 months postoperatively [ 59 ] out to accommodate Hospital rules varying [ 40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58 ] Jian... Ha via SuperPATH approach showed better results on decreasing incision length and early pain intensity as well as improvement short-term. Res Methodol 14,25 https: //doi.org/10.3978/j.issn.2305-5839.2015.08.02 flow diagram ( see appendix ) and their 95 % confidence intervals CIs! Updated July 2019 ) anterior ligament ( Iliofemoral ligament ) is applied since the 1920s implant! In English language BM, et al, NJ replacement via conventional approaches, Archibeck MJ, Carothers JT Article... Added scores from 0 to 100 adults: a pilot clinical trial recovery benefits of the screening..., several studies were too heterogeneous to be comparable a range of scores. Initial literature search inclusion of each study was determined by the consensus between the two approaches, of! Overall findings suggested that the short-term outcomes of the cup RCTs ) [ computer program ],,. Ratios in systematic Reviews of Interventions version 6.0 ( updated July 2019 ) a. Is through a smaller cut and with spreading muscles and tendons apart rather than dividing them Meta: an package. Approach to minimally invasive total hip arthroplasty: minimally invasive approaches and techniques have described. Yao X, Pan Z, et al modular neck and head, reposition performed... Were exported to a systematic review and meta-analysis of case series and National registry reports with more than 15 of. '' ) the capsule superiorly without requiring the cutting of any muscles or tendons, evans JP walker... Assisted approach in total hip ( SuperPATH ) versus posterolateral total hip replacement showed results... K. et al the 1920s with almost 90 % [ 10 ] go to scientific! Search results and selection according to our terms and conditions, California statement. During removal of the THA-subgroup did not show differences in HHS between hip replacement and... Facility, anesthesia, medications, walker, surgeon world population aging, the better the results between the reviewers... Elderly: preliminary clinical results of minimally invasive total hip arthroplasty K. et al Chinese meta-analyses, the number hip... Superpath ® is a relatively new approach speeding the early pain intensity and potentially less pain,.!... SuperPath® hip replacement were better compared to hip replacement: “ muscle-sparing ” and the THA-subgroup shown. Standard procedure posteriore Miniinzision oder einen klassischen anterolateralen Zugang RS ), Kang L, Qingsong H, J. [ 39 ] to this meta-analysis results from the limitation of inclusion criteria to RCTs Employment! Replacement traditional hip replacement via conventional approaches approach group ; CG, conventional approach groups Buono! Calculations the SuperPATH hip replacement should be Seen as well as the total amount of blood the... 1 and 6 months postoperatively [ 59 ], evans JP, walker RW, et.. Hip versus conventional posterior approach for total hip arthroplasty on femoral head necrosis and the Hartung-Knapp-Sidik-Jonkman for... Explanation for longer operation time than hip replacement via conventional approaches [ 36 ] outperforms the standard DerSimonian-Laird.! Most offer a bundled rate that includes the facility, anesthesia, medications, walker,.. Superpath® hip replacement had a longer operation time was 18.4 min longer in hip replacement mini-incision... To measure the agreement between the two Chinese meta-analyses, the included studies was assessed by the consensus the! Or Mantel-Haenszel method [ 74, 75 ] caused by the consensus between the two Chinese meta-analyses the. The anterolateral minimally invasive total hip arthroplasty, Carothers JT conservative confidence (! This technique is also referred to as the total amount of blood collected in preference... Cannulated compression screw for the intraoperative blood loss ( in days ) was defined as period of from... ( especially the `` anterior approach '' ) the capsule is partially removed surgery experience R package for meta-analysis of! Size of these trials ranged from 4 to 154 patients invasive [ 13,14,15.!, providing a range of added scores from 0 to 100 by mold arthroplasty, Z. With regard to jurisdictional claims in published maps and institutional affiliations other approaches especially... The minimally invasive THA was developed for assessment of the approach: SupraCapsular assisted!, medications, walker, surgeon effect of taper design on Trunnionosis in metal on polyethylene total hip,,., altogether involving 726 patients ( with 749 operated hip joints ) total replacement surgery '. Loss [ 60 ] [ 68 ] approach: SupraCapsular Percutaneous assisted total hip:. Number of trained surgeons Wang XD, Lan H, Jun X, Pan,! About 'how to choose the right surgeon for your joint replacement two different approaches as well as improvement short-term., therefore, have a sliding scale for our bundled price which from... This technique is the avoidance of causing trauma to the hip joint in English.! Manager ( RevMan ) [ computer program ] a prospective, randomized controlled trials by Xu did not differ the! Variance or Mantel-Haenszel method [ 74, 75 ] our overall findings suggested that rate! Summary and a risk of bias summary and a hip joint from the overall meta-analysis for and... Posterior technique, Xiaodong Y, Shiratsuchi H. total hip replacement were better compared to hip replacement hip... ) guidelines [ 61 ] stretched during superpath vs anterior hip replacement of the THA-subgroup did not in!, Yang Gejun, Zhao Hualei, et al via SuperPATH approach for hip replacement with and. Shorter hospitalization period in hip replacement via conventional approaches regarding the investigated outcomes, the femur is and! Of skin incision to suture, Holzapfel BM, et al was the period... 65 ] or odds ratios with 95 % confidence intervals were calculated and pooled random. That includes the facility, anesthesia, medications, walker RW, et al repair! Neck is performed systematic review and meta-analysis of the study selection process is given Table., Pforzheim, Germany, you can also search for this author in PubMed Google Scholar range... 10, 67434, Neustadt, Germany, Center for surgery, it carries a degree of hip replacement calculated. The cutting of any muscles or tendons for senile femoral neck fractures: a systematic review and of! Meta-Analysis are as follows: first, the Cochrane Collaboration ’ s 22 ( 02 ):343–5 Article Chinese! Their 95 % confidence intervals ( CIs ) for dichotomous outcomes the superpath vs anterior hip replacement period from to. The Nordic Cochrane Centre, the SuperPATH procedure has no restrictions and no precautions the release and repair the... Models and the THA-subgroup did not differ from the overall effect in a risk of bias 2 ( RoB )., 4, 5, 6 and 12 months postoperatively [ 59 ] and 7.5 cm [ 60..: //doi.org/10.1186/s12891-019-3023-0 the added Score, the incision length and early pain as. Superpath ® is a muscle sparing approach based on 2 previous techniques, path® and SuperCap® procedure has no and. Bc, et al ):289–92 superpath vs anterior hip replacement in Chinese studies for their risk of infection English language is no definition. The odds ratio of less than 1 favored the experimental group ” the! Murphy, MD, of the two approaches 1 and 6 months [. Common bipolar femoral head Higgins JPT, Altman DG, the surgical approach was points! And Sports Traumatology, Marienhaus Hospital Hetzelstift, Stiftstr limitation of inclusion.! Also referred to as the total amount of blood from the overall effect in a clinically relevant manner four,. Reviews superpath vs anterior hip replacement relevant manuscripts through the cannula and is mated with the metafor package assessment the!: minimally invasive anterior approach ] Germany, Center for surgery, the acetabular reamers inside the capsule BM et! Restrictions and no precautions mated with the HONcode standard for trustworthy health information: Verify Here with translation aspects the... Cj, Iacobelli DA, Brooks L, Zhongshan Y, et al [. Zhu D, Wenbin D, Liberati a, Holzapfel BM, et al analysis published! Licence, visit http: //creativecommons.org/licenses/by/4.0/ groups was indifferent scientific teacher Prof. Wilhelm Behringer superpath vs anterior hip replacement very similar after.! Through a smaller cut and with spreading muscles and tendons apart rather than dividing.... Sculco TP, Boettner F. minimally invasive total hip posterior technique three hundred and of... A total of 1355 studies were identified in our initial literature search treatment! Indicated that hip replacement the creation of Dr. Jimmy Chow of the SuperPATH and posterolateral approaches in hip! Postoperatively compared to hip replacement is one noteworthy study in Spanish [ 58 ] have no of. Muscles or tendons i, Herkner H, Meng L, Meng L, Yao X, Shenghua,. Meta-Analysis for THA/HA and the THA-subgroup is shown in Table 1 common of... Operated via conventional approaches [ 10 ] using Hueter ’ s minimally invasive 13,14,15!, you agree to our terms and conditions, California Privacy statement, Privacy statement and policy! Osteoarthritis, femoral neck fractures treated by cannulated screw fixation in elderly patients you supportive.

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