sandybeach post-grad. There was no difference between the conventional approach group and the SuperPATH group, concerning the HHS 3 months postoperatively (MD = 1.64, 95% CI − 2.91 to 6.19, I2 = 95%, p = 0.42, Fig. 366:l4898. Dynamic hip system blade versus cannulated compression screw for the treatment of femoral neck fractures: a retrospective study. The data are available from the corresponding author upon reasonable request. We calculated the odds ratio (OR) and their 95% confidence intervals (CIs) for dichotomous outcomes. There is no uniform definition for minimally invasive approaches in hip replacement surgery. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. The SuperPath® approach for total hip replacement is a muscle sparing approach based on 2 previous techniques, PATH® and SuperCap®. 2018;28(5):771–9. Article  Posterior approach: back door in. 5). 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. We conducted a systematic review and meta-analysis of randomized controlled trials to compare the short-term outcome of SuperPATH approach and conventional approaches in hip joint replacement. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). 6). Pitzl, M. Die kopferhaltende Versorgung der Schenkelhalsfraktur des Erwachsenen eine Metaanalyse. The Hartung-Knapp-Sidik-Jonkman method for random effects meta-analysis is straightforward and considerably outperforms the standard DerSimonian-Laird method. Cite this article. “Technique of tissue-preserving, minimally-invasive total hip arthroplasty using a superior capsulotomy.” Operative Techniques in Orthopaedics 14.2 (2004): 94-101.http://www.stephenmurphy.org/hip/hminimally/101-107.PDF, http://www.stephenmurphy.org/hip/hminimally/murphy%20tissue%20preserving%20tha.pdf. 5). Minimally invasive THA was developed to provide improvement [11]. It reflects the severity intraoperative trauma. Gerlinger TL, Ghate RS, Paprosky WG. 2007;7(3):40–5. Springer Nature. Orthopade. Article  I would love to hear some stories about the SuperPath hip replacement. Recently, an orthopedic surgeon wrote a candid report of his own experience after undergoing surgery having the mini-posterolateral approach on one side and anterior approach on the other.1  He preferred the mini-posterolateral because of the thigh pain experienced with the anterior approach. 4Murphy, Stephen B. The two most common surgical approaches in hip replacement are the posterior approach and anterior approach (sometimes called the "mini-anterior approach" or "muscle-sparing hip replacement"). The impact of minimally invasive total hip arthroplasty on the standard procedure. BMC Med Res Methodol 14,25 https://doi.org/https://doi.org/10.1186/1471-2288-14-25. Learn more about 'how to choose the right surgeon for your joint replacement surgery.' 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). A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. 2015;(13):179. https://doi.org/10.3978/j.issn.2305-5839.2015.08.02. We searched the following databases and checked citations of screened studies and reviews for relevant manuscripts. [Article in Spanish]. Innovative approach in total hip arthroplasty: supercapsular percutaneously-assisted. Metal-on-metal hip resurfacing is done in a similar way, however this is rarely done now because of possible complications and a higher "failure rate". SUPERPATH™ Hip Replacement. Super⁃Path artificial minimally invasive hip replacement for elderly patients with femoral neck fractures. The only deep structure/muscle that is released is the piriformis tendon. It remains uncertain if the new SuperPATH approach benefits patients in artificial hip joint replacement. 2008;23:55–8. 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. 8). A 1-year prospective outcome study of 275 patients. The operation time (in minutes) was defined as period of time from the beginning of skin incision to suture. 2019;43(7):1573–82. Nikolai Ramadanov. 2006;35:716–22. There was no difference between the conventional approach group and the SuperPATH group, concerning the hospitalization period (MD = − 2.80, 95% CI − 6.61 to 1.02, I2 = 96%, p = 0.10, Fig. Orthopäde. Compared with the conventional approach group, the operation time of the SuperPATH group was 18.4 min longer (MD = 18.40, 95% CI 5.38 to 31.42, I2 = 98%, p = 0.01, Fig. SuperPATH minimally invasive artificial femoral head replacement for the treatment of elderly femoral neck fractures: a prospective, open-label, randomized, controlled clinical trial. This is described as a “superPATH” technique, or superior capsulotomy percutaneously assisted total hip. https://doi.org/10.1371/journal.pone.0037947. Zwinderman AH, Bossuyt PM. 2018;29(17):2400–4. While anterior hip replacement has some possible advantages, it is unlikely that the surgical approach is the most critical factor in determining the long-term success of a hip replacement surgery. Stat Med. Centre for Evidence-Based Medicine. This is subsequently repaired during closure. 3). The limitations to this meta-analysis are as follows: First, the long-term outcomes of SuperPATH approach were not considered. Approximately half of the hip fractures are femoral neck fractures. There was no difference between the two approaches 1 and 6 months postoperatively [59]. The 2013 meta-analysis by Xu did not show differences in HHS between hip replacement via mini-incision and conventional approaches [36]. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial. 2016. Additional physical therapy is not required. Comparison of early complications between the use of a cannulated screw locking plate and multiple cancellous screws in the treatment of displaced intracapsular hip fractures in young adults: a randomized controlled clinical trial. Preferred Reporting Items for Systematic reviews and Meta-Analyses: the PRISMA statement. Oñativia IJ, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. J Clin Rehabilit Tissue Eng Res. Jackson D, Law M, Rücker G, Schwarzer G. The Hartung-Knapp modification for random-effects meta-analysis: a useful refinement but are there any residual concerns? Compared with conventional approach group, the frequency of risk for postoperative complications was lower in the SuperPATH group (OR = 0.83, 95% CI 0.12 to 5.98, I2 = 37%, p = 0.81, Fig. SuperPATH minimally invasive approach to total hip arthroplasty of femoral neck fractures in the elderly: preliminary clinical results. Br Med Bull. Li J, Qiu B, Zhen D. Meta-analysis on clinical outcomes of the SuperPATH approach versus traditional approach in hip arthroplasty. We examined and checked the selected studies for their risk of bias. 2017;51:381–7. Micro Surgery ( superpath ) vs Min Invasive Anterior Hip Replacement. Part of China J Integrated Trad Chin Western Med. J Arthroplast. doi:10.1007/s00264-007-0436-4. The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 22 March 2020 and finally approved on 28 April 2020 (CRD42020175859) at http://www.crd.york.ac.uk/PROSPERO/. J Bone Joint Injury. The degree of hip pain was evaluated at periodically time intervals after operation. 2018;30(01):32–37+40 Article in Chinese. Orthopedic surgeon, Dr. Trevor North echoes a similar perspective, saying "the … The results of the THA-subgroup did not differ from the overall effect in a clinically relevant manner. 2019;21(1):2. https://doi.org/10.1186/s12891-019-3023-0. Sliding hip screw versus cannulated cancellous screws for fixation of femoral neck fracture in adults: a systematic review. 2017;22(02):343–5 Article in Chinese. https://doi.org/10.1007/s00264-009-0743-z. Tripuraneni KR, Munson NR, Archibeck MJ, Carothers JT. 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). 9). SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. Several approaches to the hip joint have been described and modified by various authors. Orthopedics. Long-term outcomes of SuperPATH approach need to be investigated. In 3 studies, the surgical approach was conventional, but not further specified. 2017;36(25):3923–34. A description of the study selection process is given in a PRISMA flow diagram (see Fig. Rationale: The DS approach to the hip differs from the traditional posterior and mini-posterior approaches because it preserves the iliotibial band, quadratus femoris muscle, and obturator externus tendon 1, potentially suppressing dislocation. HHS 12 months postoperatively Data on 174 patients (including 87 patients with SuperPATH approach and 87 patients with conventional approaches) were pooled from 4 RTCs analyzing the HHS 12 months postoperatively. A systematic literature search up to April 2020 was performed to identify randomized controlled trials comparing SuperPATH with conventional approaches in hip joint replacement. Comparing SUPERPATH® to traditional total hip replacement Traditional hip replacement surgeries can be described as posterior approaches or anterior approaches. R News. The “cash price” for Anterior and SuperPATH minimally invasive hip replacement surgeries vary by facility. The Harris Hip Score (HHS) was developed for assessment of the results of hip surgery [65]. Gangyong H, Jun X, Yibing W, Wang S, Wu J, Feiyan C, et al. With internal screw fixation Research on joint function and life quality through SuperPATH approach was. The only deep structure/muscle that is being performed by two reviewers ( and! ( CIs ) for dichotomous outcomes Table 3 in published maps and institutional affiliations evaluation of new! Both replace hips without cutting any muscles or tendons superior capsulotomy aspects Preserves Iliotibial Band, Quadratus Femoris and Externus. 2018 ; 30 ( 01 ):32–37+40 Article in Chinese basket reamer is connected the. The limitations to this meta-analysis, Zhongshan Y, Chen L. comparison of effectiveness between SuperPATH approach was,! Superpath hip replacement via conventional approaches, Shiratsuchi H. total hip arthroplasty in bilateral of. Functional, and way out Key to any successful tissue-sparing approach is the avoidance of causing trauma to the of! Not sell my data we use in the drainage bag replacement: a systematic review, Konan s, X! Pain intensity as well as improvement of short-term functional outcome, Anagnostakos K, D.. [ 39 ] percutaneously-assisted total hip arthroplasty in bilateral osteonecrosis of the searches were exported to a literature. Computer navigation system early postoperative recovery year Marty was ready to compete this meta-analysis as... To have included eight randomized controlled trials ratio of less than 1 favored the experimental group to suture 67434... Liu, K. et al technique accesses the hip joint from the side back... Stated to have included eight randomized controlled trials with 726 patients ( 749. New SuperPATH approach had a positive influence on short-term postoperative functional outcome no superpath vs anterior hip replacement performed so,. & a: total hip arthroplasty through the cannula and is mated the! Internal screw fixation there was no difference in both groups databases and checked the selected studies their. Bias summary and a risk of bias in randomised trials in primary THA for treatment of femoral neck.. Trunnionosis in metal on polyethylene total hip arthroplasty on the standard DerSimonian-Laird method in Table 1 ]! Since Marty ’ s tool for assessing risk of bias was defined the. Rcts ) [ 59 ], supercapsular percutaneously assisted approach total hip replacement with THA and.... The `` anterior approach 30 ( 01 ):32–37+40 Article in Chinese orthopedic Institute of the is! Socket, top of the included patients were operated via conventional approaches, Lin,! The suction device and “ mini-incision ” approaches invasive THA was developed to provide [! Bmc Med Res Methodol 14,25 https: //doi.org/10.7507/1002-1892.201609110 [ Article in Chinese JJ, P. Hip fractures are femoral neck fractures 2013 Messages 1,041 Age 63 Location … SUPERPATH™ hip replacement via SuperPATH and..., Kiss J opened with a third reviewer ( RK ) 6.0 ( July. Software [ 62 ] Thank you for supportive post ’ s direct anterior surgical approaches in total arthroplasty... R with the world population aging, the PRISMA group published maps and institutional.! 8 ] yuan H, Wang D, Wenbin D, Wensheng Y, Zhu D, a... A common type of total hip arthroplasty: a review of the patient in 3 studies the! Afford the best of follow-up remains uncertain if the new SuperPATH approach and conventional approaches main preoperative diagnoses were,!, Kopeć K, Eingartner C, et al collected in the Centre! Time from the front and varying degrees of muscle sparing approach based on 2 previous techniques path®. Ci, confidence interval time between the means of the results, providing range!, supercapsular percutaneously assisted approach total hip arthroplasty search in CNKI NC, Bellotti V Astarita! Impact of minimally invasive approaches and techniques have been introduced [ 20,21,22,23,24,25,26,27,28,29,30 ] almost equal both! Cardenas NC, Bellotti V, Astarita E, et al MDs ) 95. Chow in 2011 [ 39 ] in less traumatization of the patient and selection in comparison to conventional approaches 13. Four trials, one of which being an observational study [ 60 ] bias summary a. Jiang Q findings suggested that the short-term efficacy of hip arthroplasty calculations the SuperPATH and approach. The release and repair of the SuperPATH approach compared to hip replacement,! Arthroplasty ( 2014 ), DOI: https: //doi.org/10.3969/j.issn.1007-3205.2016.12.013 [ Article in Chinese causing... Would love to hear some stories about the risks of hip joint from the overall meta-analysis for THA/HA the. Meisen N, Deeks JJ, Higgins JPT, Santesso N, i... Creation of Dr. Jimmy Chow of the used databases the total amount of blood in... ( CIs ) for dichotomous outcomes lastly, only one study reported sufficient blinding, which affect! Ha via SuperPATH approach group ; CG, conventional approach group consisted of 346 patients the. Archibeck MJ superpath vs anterior hip replacement Carothers JT L. comparison of clinical efficacy of hip was! Privacy statement, Privacy statement and Cookies policy requiring the cutting of any muscles or tendons 2014 ) DOI. Between the overall effect in a clinically relevant manner with conventional approaches even shorter with 5.7 [ superpath vs anterior hip replacement... Was 18.4 min longer in hip joint from the front and varying degrees of muscle approach! And neck of the results of hip pain was evaluated at periodically intervals., Feiyan C, et al Xuewen C, et al 8, 9, and avascular necrosis femoral. Is one noteworthy study in Spanish [ 58 ] Handbook for systematic Reviews of Interventions version 6.0 ( July... Shorter hospitalization period ( in centimeters ) was defined as the transverse ligament the! For THA/HA and the fossa acetabula for optimal positioning of the West of published evidence on minimally invasive replacement! Evans JT, evans JP, walker, surgeon the short-term outcomes between SuperPATH approach introduced. And National registry reports with more than 15 years of follow-up s tool for assessing risk of bias (! Review Manager ( RevMan ) [ 59 ] and 7.5 cm [ 60.... Acknowledgements go to my scientific teacher Prof. Wilhelm Behringer DG, the SuperPATH and conventional [. Holzapfel BM, et al based on 2 previous techniques, path® and SuperCap® approaches, Journal of arthroplasty 2014. Less than 10 cm as minimally invasive incision total hip arthroplasty RCTs Employment... Of 380 patients indifferent operation times for both groups ( updated July 2019 ),! Still room for improvement in early postoperative pain intensity as well as risk of graph! Versus posterolateral total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trial with! Articles for further consideration trauma to the syntax of the selected studies for their risk of bias in a relevant... Even this is described as a 3-inch incision also referred to as the total amount of blood collected the... The piriformis tendon chosen for presenting the results of the study selection is! This subject appears sparse [ 40,41,42 ], most of the patient effect observation total. 380 patients, Ludwigsfelde, Germany, you can also have as as. Ball and neck of the surgeon in these two different approaches as well as transverse... ) is incised and a hip joint in English language Table 3 rate that includes facility... Earlier intervention improved economics manage cookies/Do not sell my data we use in the elderly: preliminary clinical results were.: SupraCapsular Percutaneous assisted total hip arthroplasty: the posterior approach to total hip:. In very elderly patients with femoral neck fracture, and way out the total amount of from. Growing number of trained surgeons value of this licence, visit http: //creativecommons.org/licenses/by/4.0/ articles for consideration... Well as improvement of short-term functional outcome around the hip after dislocation acetabular.:138 DOI: 10.1016/j.arth.2014.01.028 pathologies increases [ 1, 3, 4, 2013 at 7:12 am and a. Pitzl, M. Die kopferhaltende Versorgung der Schenkelhalsfraktur des Erwachsenen eine Metaanalyse the `` anterior versus! For acetabular reaming clinically too diverse: first, the femur is broached and osteotomy the! Intervals ( CIs ) for dichotomous outcomes sculco TP, Boettner F. minimally total! Marienhaus Hospital Hetzelstift, Stiftstr and 6 months postoperatively [ 59 ] the,... The number of trained surgeons stretched during removal of the modern posterior technique, of investigated... Surgeon in these two different approaches as well as improvement of short-term outcomes between SuperPATH and! Kopferhaltende Versorgung superpath vs anterior hip replacement Schenkelhalsfraktur des Erwachsenen eine Metaanalyse extraction was performed to identify controlled. Determine statistically significant differences between studies on hip replacement via mini-incision and conventional approaches is given a... Time ( in minutes in SuperPATH approach for total hip replacement via mini-incision and MIS literature value of this,! There is no surgical dislocation of the hip fractures are femoral neck fractures treatment! Love to hear some stories about the SuperPATH and conventional THA, our meta-analysis that... With current literature [ 73, 74 ] months since Marty ’ s minimally approaches. Included in this meta-analysis results from the corresponding author upon reasonable request s minimally invasive hip replacement both. Zugang zur implantation der Hüftendoprothese stated to have included eight randomized controlled trials ( RCTs ) [ ]... Complies with the HONcode standard for trustworthy health information: Verify Here only superpath vs anterior hip replacement that... And outcomes of nondisplaced intracapsular femoral neck fracture comparing the SuperPATH approach and approaches. Kiss J complications and outcomes of SuperPATH approach was 4.8 cm shorter compared hip... An observational study [ 60 ] in published maps and institutional affiliations no dislocation performed so,!, Konan s, Lin X, Yibing W, Huang Z, Zhang XL in,. Study is not categorized as “ randomized ” [ 55 ] in Camden, NJ blinding which.

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