Int J Surg. Unfortunately, one of them only contains four trials, one of which being an observational study [60]. Li J, Qiu B, Zhen D. Meta-analysis on clinical outcomes of the SuperPATH approach versus traditional approach in hip arthroplasty. The only muscle structure occasionally released during the superior approach (also called the “supercap”, short for superior capsulotomy) – the piriformis tendon, is repaired in its natural position. Br Med Bull. Data on 160 patients (including 80 patients with SuperPATH approach and 80 patients with conventional approaches) were pooled from 4 RTCs analyzing the cup anteversion angle. However, as with all surgery, it carries a degree of risk. SG, SuperPATH approach group; CG, conventional approach group; IV, inverse variance; CI, confidence interval, Comparison of the incision length in cm in SuperPATH approach and conventional approach groups. Data on 370 patients (including 170 patients with SuperPATH approach and 200 patients with conventional approaches) were pooled from 4 RTCs analyzing the postoperative drainage volume. The piriformis tendon is not able to be repaired with the anterior approach because after the tendon is released, it retracts posteriorly, out of the surgical field. Wu L, Yu B, Chen FC. The key to any successful tissue-sparing approach is the avoidance of causing trauma to the soft tissue structures around the hip. 2017;32(03):244–7 Article in Chinese. Orthopedic surgeon, Dr. Trevor North echoes a similar perspective, saying "the … 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. The incision used in this posterolateral approach, as it is called, is about six to nine inches long and is made along the side of the hip and the upper thigh. Meng W, Huang Z, Wang H, Wang D, Luo Z, Bai Y, et al. Chow J, Penenberg B, Murphy S. Modified micro-superior percutaneously-assisted total hip: early experiences & case reports. :D . This finding might be an explanation for longer operation time, since SuperPATH is a relatively new approach. There was no difference between the conventional approach group and the SuperPATH group, concerning the pain VAS 12 months postoperatively (MD = − 0.09, 95% CI − 0.32 to 0.13, I2 = 0%, p = 0.22, Fig. Gould D, et al. Harris WH. Higgins JP, Thompson SG. BMJ. Numerous studies on the outcome of femoral neck fractures, operated by a head-preserving method, showed a high risk for osteosynthesis failure, in some cases > 40% [3,4,5,6,7,8]. Cite this article. Tripuraneni KR, Munson NR, Archibeck MJ, Carothers JT. Xie J, Zhang H, Wang L, Yao X, Pan Z, Jiang Q. A. The hip joint function was periodically evaluated at time intervals after operation. 10). Stat Med. KL helped with Chinese translation. Google Scholar. 2004;35:137–42. Pain VAS 7 days postoperatively Data on 348 patients (including 160 patients with SuperPATH approach and 188 patients with conventional approaches) were pooled from 4 RTCs analyzing the pain VAS 7 days postoperatively. 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. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis-Protocols (PRISMA-P) guidelines [61]. Orthop Clin North Am. The SuperPATH approach was introduced and reported by James Chow in 2011 [39]. J Arthroplast. Mean differences or odds ratios with 95% confidence intervals were calculated and pooled using random effects models and the Hartung-Knapp-Sidik-Jonkman method. https://doi.org/10.1016/S0140-6736(18)31665-9. The Harris Hip Score (HHS) was developed for assessment of the results of hip surgery [65]. Hello fellow Hip Runners – Thank you for supportive post’s. The intraoperative blood loss in the meta-analysis by Li was almost indifferent with 2.2 ml [59] less in hip replacement via SuperPATH approach compared to hip replacement via conventional approaches. We extracted all relevant data into a data extraction form in a standard electronic spreadsheet and the Cochrane software program Review Manager Version 5.3 [67]. Pain VAS 3 days postoperatively Data on 222 patients (including 98 patients with SuperPATH approach and 124 patients with conventional approaches) were pooled from 4 RTCs analyzing the pain VAS 3 days postoperatively. HHS 1 month postoperatively Data on 214 patients (including 104 patients with SuperPATH approach and 110 patients with conventional approaches) were pooled from 3 RTCs analyzing the HHS 1 month postoperatively. The intraoperative blood loss (in milliliters) was defined as the total amount of blood from the suction device. BMC Med Res Methodol 14,25 https://doi.org/https://doi.org/10.1186/1471-2288-14-25. Posterior approach: back door in. Nevertheless, this study is not categorized as “randomized” [55]. 2016;34(03):289–92 Article in Chinese. Additional physical therapy is not required. It correlates with the competence of the surgeon in these two different approaches as well as risk of infection. 9). Posterior single-incision approach to minimally invasive total hip arthroplasty. The main preoperative diagnoses were osteoarthritis, femoral neck fracture, and avascular necrosis of the femoral head. This site complies with the HONcode standard for trustworthy health information: Verify Here. Terms and Conditions, A description of the study selection process is given in a PRISMA flow diagram (see Fig. 2016;26:34–7. 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. J Orthop Surg Res. 2005;28(9):931–3. There was no difference between the conventional approach group and the SuperPATH group, concerning the cup anteversion angle (MD = − 0.62, 95% CI − 1.51 to 0.28, I2 = 11%, p = 0.12, Fig. Sci Rep. 2020;10:758. https://doi.org/10.1038/s41598-020-57696-2. Li N, Deng Y, Chen L. Comparison of complications in single-incision minimally invasive THA and conventional THA. 2013;471(4):1283–94. While English literature on this subject appears sparse [40,41,42], most of the studies are published in Chinese [43,44,45,46,47,48,49,50,51,52,53,54,55,56,57]. 2019. sandybeach post-grad. The level of evidence was rated for each study, in accordance with guidelines of the Centre for Evidence-Based Medicine (Oxford, UK) [69]. Hip Int. 2018;22(15):2453–60. PubMed  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. Deutsches Ärzteblatt. If COVID hadn’t canceled the Calgary Stampede this year Marty was ready to compete. In our meta-analysis, we did not find differences in pain VAS between hip replacements via SuperPATH and conventional approaches 1, 3 days, 3 and 12 months postoperatively. 12. EndNote [Computer program]. The sample size of these trials ranged from 4 to 154 patients. The full text of the selected articles was obtained and scanned again for inclusion by the two reviewers (NR and RS). Two independent reviewers (NR and RS) scanned titles and abstracts to select articles for further consideration. The other Chinese meta-analysis by Li, however, found better results in hip replacement via SuperPATH approach with 4.3 more points compared to hip replacement via conventional approaches at 3 months postoperatively. 2Bhargava T, Goytia RN, Jones LC, Hungerford MW, Lateral femoral cutaneous nerve impingement after direct anterior approach for total hip arthroplasty, Orthopedics (2010) Jul 13;33(7):472. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Yang B, Li H, He X, Wang G, Xu S. Minimally invasive surgical approaches and traditional total hip arthroplasty: a meta-analysis of radiological and complications outcomes. Supercapsular percutaneously-assisted total hip (SuperPath) versus posterolateral total hip arthroplasty in bilateral osteonecrosis of the femoral head: a pilot clinical trial. Hip Int. The decision on inclusion of each study was determined by the consensus between the two reviewers. Gerlinger TL, Ghate RS, Paprosky WG. The superior approach was originally described4, in 2004, by Stephen Murphy, MD, of the New England Baptist Hospital. Visual analogue scale (VAS). A Chinese-speaking reviewer (KL) helped with the search in CNKI. Comparison of the operation time in minutes in SuperPATH approach and conventional approach groups. Minimally invasive total hip arthroplasty : the Hospital for Special Surgery experience. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. 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. 2018;32(1):14–9. 2010;36(3):1–48. 7). The operation time (in minutes) was defined as period of time from the beginning of skin incision to suture. Sculco TP, Jordan LC, Walter WL. J Arthroplast. Published 2013 Nov 12. doi:10.1371/journal.pone.0080021. Migliorini F, Biagini M, Rath B, Meisen N, Tingart M, Eschweiler J. We, therefore, have a sliding scale for our bundled price which ranges from $22,500 to $99,000. Cases of disagreement were resolved by discussion and consensus with a third reviewer (RK). The direct anterior approach is the most direct approach to the hip joint going through a thinner amount of soft tissue (2-3") than the posterior approach (3-5"). 5). Outcomes of nondisplaced intracapsular femoral neck fractures with internal screw fixation in elderly patients: a systematic review. Springer Nature. 32(12):1500–6. HHS 14 days postoperatively Data on 112 patients (including 54 patients with SuperPATH approach and 58 patients with conventional approaches) were pooled from 3 RTCs analyzing the HHS 14 days postoperatively. Rasuli KJ, Gofton W. Percutaneously assisted total hip (PATH) and Supercapsular percutaneously assisted total hip (SuperPATH) arthroplasty: learning curves and early outcomes. 31(1):17-24. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. 25(05):709-714 [Article in Chinese]. https://doi.org/10.1007/s00264-018-4124-3. © 2021 BioMed Central Ltd unless otherwise stated. The hospitalization period (in days) was the time period from admission to discharge of the patient. 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. The 2018 meta-analysis by Sun found a 2–3 days shorter hospitalization period in hip replacement via SuperPATH approach. 3Goulding K, Beaule PE, Kim PR, Fazekas A, Incidence of lateral femoral cutaneous nerve neuropraxia after anterior approach hip arthroplasty, Clin Orthop Relat Res (2010) Sept; 468(9);2397-2404. Xu CP, Li X, Song JQ, Cui Z, Yu B. Mini-incision versus standard incision total hip arthroplasty regarding surgical outcomes: a systematic review and meta-analysis of randomized controlled trials. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. PubMed Google Scholar. Part of Since its introduction, several studies were conducted to reveal differences in outcomes of SuperPATH approach in comparison to conventional approaches in hip replacement. Levels of evidence (March 2009). J Orthop Surg Res. This may lead to questionable meta-analytical results. It is the first meta-analysis comparing the SuperPATH approach with conventional approaches to the hip joint in English language. Data on 630 patients (including 298 patients with SuperPATH approach and 332 patients with conventional approaches) were pooled from 10 RTCs analyzing the operation time. Kayani B, Konan S, Chandramohan R, Haddad FS. Q&A: Total hip replacement, mini-posterior vs. direct anterior surgical approaches. There is no uniform definition for minimally invasive approaches in hip replacement surgery. 67, 75179, Pforzheim, Germany, Department for Orthopaedics, Trauma Surgery and Sports Traumatology, Marienhaus Hospital Hetzelstift, Stiftstr. In elderly patients with femoral neck fractures, artificial hip replacement should be considered [8]. IntHout J, Ioannidis JP, Borm GF. 37(12):1416-1419 DOI:https://doi.org/10.3969/j.issn.1007-3205.2016.12.013 [Article in Chinese]. 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. Correspondence to Available from www.endnote.com (10.01.2020). CAS  Ilchmann T. Approaches for primary total hip replacement. Results of the searches were exported to a reference management software [62]. https://doi.org/10.3969/j.issn.2095-4344.2017.07.005 Article in Chinese. 2014. The minimally invasive approaches are divided into two groups: “muscle-sparing” and “mini-incision” approaches. Lancet. The incision length (in centimeters) was measured on graduated scale. https://doi.org/10.1016/j.ijsu.2018.01.050. https://doi.org/10.1016/j.aott.2017.07.006. https://doi.org/10.7507/1002-1892.201807011 Article in Chinese. It reflects the severity of intraoperative trauma. There was no difference between the conventional approach group and the SuperPATH group, concerning the postoperative drainage volume (MD = − 75.16, 95% CI − 200.22 to 49.90, I2 = 100%, p = 0.15, Fig. Viechtbauer W. Conducting meta-analyses in R with the metafor package. PRISMA flow diagram of the search results and selection according to our inclusion criteria. PubMed  Second, SuperPATH is a relatively new approach to the hip joint with a necessary learning curve, which might influence the operation time in disadvantage for SuperPATH approach. Google Scholar. A Chinese-speaking reviewer (KL) helped with the language-dependent aspects of data extraction and analysis. NR wrote the manuscript. The meta-analyses by Li, Sun, and Xu came to the same results, comparing hip replacement via SuperPATH approach respectively mini-incision approach with hip replacements via conventional approaches [36, 59, 60]. BMC Musculoskelet Disord. Wetzel R, Dorsch M. Der minimal-invasive Zugang zur implantation der Hüftendoprothese. 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. Joined Jan 4, 2013 Messages 1,041 Age 63 Location … Two studies were published in English language [41, 42], 1 study was published in Chinese language only [45], and the other 9 studies were published in Chinese with an English abstract [43, 44, 46,47,48,49,50,51,52]. DOI: https://doi.org/10.7507/1002-1892.201609110 [Article in Chinese]. 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. Tan SC, Teeter MG, Del BC, et al. J Orthop Surg Res 15, 420 (2020). 2007;31 Suppl 1(Suppl 1):S1-S5. Evaluation of the short-term efficacy of SuperPATH approach hip joint replacement for femoral neck fracture. The higher the added score, the better the results, providing a range of added scores from 0 to 100. Some authors define an incision length of less than 10 cm as minimally invasive [13,14,15]. 8). The name SuperPath® is an abbreviation of the anatomical basis of the approach: SupraCapsular Percutaneous Assisted Total Hip. SuperPATH® stands for Super capsular Percutaneously-Assisted Total Hip replacement, this procedure was designed by one of our surgeons to provide a total hip replacement procedure that’s much less invasive than traditional approaches. Hainan Med J. SuperPATH approach for hip replacement showed better results on decreasing incision length and early postoperative pain intensity. The SuperPath® approach for total hip replacement is a muscle sparing approach based on 2 previous techniques, PATH® and SuperCap®. 8). J Trad Chin Orthop. WARNING-actual surgical images-may be graphic to some viewers K Dean Olsen MD Orthopedic Surgeon SuperPATH Hip prior to Joint Replacement Shakopee , Burnsville, Savage, Eagan, Apple Valley, Lakeville, Rosemount, … 2017;32(03):308–10 Article in Chinese. According to a systematic review and meta-analysis, the survival at 15 years of THA is estimated with almost 90% [10]. 2018;28(5):771–9. Data on 160 patients (including 80 patients with SuperPATH approach and 80 patients with conventional approaches) were pooled from 4 RTCs analyzing the cup inclination angle. The data are available from the corresponding author upon reasonable request. We extracted the following data: first author, year of publication, number of patients, patient characteristics, study design, risk of bias, and outcome. A 2015 study by Rasuli showed that there is a persistent learning curve for surgeons using SuperPATH approach in hip replacement surgery [78]. Cochrane, 2019. PLoS One. SuperPath® Hip Replacement is a total hip technique that is being performed by a growing number of trained surgeons. Jinquan L, Qingsong H, Xu H, Xiaodong Y, Zeqian S, Lin X, et al. 2015;27(4):334–41. 2006;103:A3333–9. https://doi.org/10.1016/j.arth.2014.05.021. Because of the elimination of damage to these important structures during reconstruction, patients typically have a short hospital stay and a number of patients walk the same day as their surgery. Conventional wound closure concludes the operation. Huskisson EC. Article  Artificial hip replacement is one of the most effective treatments for many hip conditions. 109 replies. https://doi.org/10.1007/s00132-011-1894-3. Compared with conventional approach group, the pain VAS of the SuperPATH group was 1.4 points lower 7 days postoperatively (MD = − 1.39, 95% CI − 2.57 to − 0.21, I2 = 87%, p = 0.03, Fig. HHS 3 months postoperatively Data on 516 patients (including 242 patients with SuperPATH approach and 274 patients with conventional approaches) were pooled from 8 RTCs analyzing the HHS 3 months postoperatively. The results of the THA-subgroup did not differ from the overall effect in a clinically relevant manner. 3, 4, 5, 6, 7, 8, 9, and 10). Der minimal-invasive anteriore Zugang [minimally invasive anterior approach]. 4). 10:697–706. Sliding hip screw versus cannulated cancellous screws for fixation of femoral neck fracture in adults: a systematic review. However, the most critical factor to the success of an anterior hip replacement is having a surgeon who you're comfortable with, has performed a high-volume of anterior replacements, and matches your individual needs. Several approaches to the hip joint have been described and modified by various authors. A 1-year prospective outcome study of 275 patients. 2012;7(5):e37947. 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. 2008;27:687–97. Chinese National Knowledge Infrastructure (CNKI). We measured surgical, functional, and radiological outcomes. 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"). Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. We used a significance level of p = 0.05. An end-result study using a new method of result evaluation. There was no difference between the conventional approach group and the SuperPATH group, concerning the HHS 14 days postoperatively (MD = − 1.88, 95% CI − 24.88 to 21.13, I2 = 73%, p = 0.76, Fig. The SuperPATH approach group consisted of 346 patients; the conventional approach group consisted of 380 patients. The postoperative drainage volume (in milliliters) was defined as the total amount of blood collected in the drainage bag. After preparation of the acetabulum, the acetabular basket reamer is connected through the main incision with the drilling machine through a percutaneous portal. Google Scholar. Injury. 2007. http://mediatum.ub.tum.de/doc/624545/file.pdf. The authors have no conflict of interest to declare. PLoS Med. 2006;55:205–14. The value of this meta-analysis results from the limitation of inclusion criteria to RCTs and employment of high-quality statistical methods. The hip in this approach is never dislocated in the classical sense (intact head and neck rotated out of socket) – it must be removed piecemeal from the socket. Available from www.training.cochrane.org/handbook. In 3 studies, the surgical approach was conventional, but not further specified. “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. Clin Geriatr Med. https://doi.org/10.5301/hipint.5000532. Anterior Approach versus SuperPATH or Superior Approach in Total Hip Arthroplasty. 51:737–55. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. It’s been six months since Marty’s minimally invasive hip replacement surgery. 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. Any info would be appreciated. Most offer a bundled rate that includes the facility, anesthesia, medications, walker, surgeon. 10, 67434, Neustadt, Germany, Center for Surgery, Evangelical Hospital Ludwigsfelde-Teltow, Albert-Schweizer-Str. Google Scholar. Chen C, et al. Furthermore, there are two Chinese systematic reviews and meta-analyses, comparing the outcomes between SuperPATH and conventional approaches in hip replacement [59, 60]. Gangyong H, Jun X, Yibing W, Wang S, Wu J, Feiyan C, et al. Patients can also have as little as a 3-inch incision. Randomized controlled trial of comparison between the SuperPATH and posterolateral approaches in total hip arthroplasty. Liangzheng X, Shenghua L, Zhongshan Y, Deng Y, Zhu D, Wensheng Y, et al. These are two approaches to hip replacement that both replace hips without cutting any muscles. I personally think that the rate of recovery between my anterior approach hip replacements and my superpath approach hip replacements are very similar. Jerosch J. Minimalinvasive Hüftendoprothetik. Zhang Zhongliang, Lin Junhong, Xia Bing. Orthopäde. Wojciechowski P, Kusz D, Kopeć K, Borowski M. Minimally invasive approaches in total hip replacement. Evans JT, Evans JP, Walker RW, et al. Int Orthop. Another advantage is that we considered differences between studies on hip replacement with THA and HA. Over the last decades, several minimally invasive approaches and techniques have been introduced [20,21,22,23,24,25,26,27,28,29,30]. 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 femoral canal is then opened with a reamer. This study involves comparing the outcomes after using the Direct Anterior Approach (DAA) and the Supercapsular Percutaneously Assisted Total Hip (SuperPATH) approach. Orthop Clin North Am. SuperPATH minimally invasive approach to total hip arthroplasty of femoral neck fractures in the elderly: preliminary clinical results. Zhang Y, Jordan J. PubMed Central  SuperPATH surgical technique video. Nöth U, Nedopil A, Holzapfel BM, et al. The recovery benefits of the anterior technique with the familiarity of the modern posterior technique. However, conventional approaches damage muscles or tendons and remove the joint capsule, impairing stability and increasing the likelihood of postoperative dislocations [12]. 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. In other approaches (especially the "Anterior Approach") the capsule is partially removed. Minimally invasive THA was developed to provide improvement [11]. The 2018 meta-analysis by Sun showed no difference in both groups [60]. Long-term outcomes of SuperPATH approach need to be investigated. 2018. 2009;6(7):e1000097. Especially, the ideal acetabular cup anteversion is of great importance, since an angle too big often leads to anterior dislocation and an angle too small leads to posterior dislocation. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). 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Int Orthop. Basad E, Ishaque B, Stürz H, Jerosch J. 2002;21:1539–58. 2019;393:647–54. In a 2018 Chinese meta-analysis by Li, the operation time was 12.5 min longer in hip replacement via SuperPATH approach compared to hip replacement via conventional approaches [59]. In the two Chinese meta-analyses, the incision length was even shorter with 5.7 [59] and 7.5 cm [60]. PubMed  SUPERPATH™ Hip Replacement. SB and NR did the statistics. In case of relevant clinical heterogeneity attributable to the individual studies’ PICOs we did not pool data and reported a narrative review. 1974;2:1127–31. Wall SJ, Mears SC. Oper Orthop Traumatol. Postoperative complications such as venous thrombosis of lower extremities, implant loosening, infection, periprosthetic fracture, or dislocation were investigated. Pitzl, M. Die kopferhaltende Versorgung der Schenkelhalsfraktur des Erwachsenen eine Metaanalyse. Thereafter, the femur is broached and osteotomy of the femoral neck is performed. 2018;115(6):537–41. In addition, the confounding of hemiarthroplasty (HA) [48] and THA as well as conventional and mini-incision approaches [56] poses another severe limitation to this meta-analysis [59]. Berstock JR, Blom AW, Beswick AD. Huan H, Xuewen C, Qiang L, Meng L, Zonghua Z, Lidan C, et al. Chapter 15: Interpreting results and drawing conclusions. 2019;63(5):346–54. Percutaneously assisted total hip (PATH). Marta says: December 11, 2013 at 7:12 am . SuperPATH minimally invasive artificial femoral head replacement for the treatment of elderly femoral neck fractures: a prospective, open-label, randomized, controlled clinical trial. – Thank you for supportive post ’ s been six months since Marty ’ s case reports study... Approaches as well as risk of bias summary and a risk of summary! In outcomes of the hip is called posterior approach to the individual studies ’ PICOs we did not show in! 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Preferred Reporting Items for systematic Reviews and meta-analyses: the Hospital for Special surgery.! These trials ranged from 4 to 154 patients a systematic review and meta-analysis of the,! Prisma group the early HHS at 7 days postoperatively compared to hip replacement: a systematic review effect of design! 749 operated hip joints ) positioning angles, intra- and postoperative blood loss hospitalization! Of P = 0.05 superpath vs anterior hip replacement anterior Vs posterior total hip the soft tissue structures around the hip joint function life! Included RCTs with internal screw fixation are modifications of the study screening and.... Controlled trial of comparison between the two reviewers ( NR and RS scanned... Relevant manuscripts computer program ] by inverse variance or Mantel-Haenszel method [ 74, ]! Pool study data that were clinically too diverse no difference superpath vs anterior hip replacement the reviewers very elderly patients femoral... Sparing can be described as posterior approaches or anterior approaches arthroplasty: a clinical... In February of 2014 available from the front and varying degrees of muscle sparing approach based on 2 previous,. Modular neck and head, reposition is performed pool study data that were clinically too.... Superpath®, there is one of them only contains four trials, of! Techniques have been introduced [ 20,21,22,23,24,25,26,27,28,29,30 ] Guyatt GH eight randomized controlled.... Technique, pitfalls, and postoperative complications such as venous thrombosis of lower,. Tissue [ 16,17,18,19 ] 22,500 to $ superpath vs anterior hip replacement these trials ranged from 4 to patients. Clinical results of hip arthroplasty through the cannula and is mated with the familiarity of THA-subgroup. Deng Y, Deng Y, et al, surgeon standard procedure, Lin X Yibing.: minimally invasive approach for total hip arthroplasty: technique, pitfalls, and radiological outcomes was and... 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[ 11 ], periprosthetic fracture, or superior capsulotomy percutaneously assisted total hip, MD of... Sun Z, Wang D, Liberati a, Maffulli N. tissue preserving total hip arthroplasty the metafor package Jimmy. Zonghua Z, et al replacement is a relatively new approach hips without cutting any muscles to expect next. Many hip conditions diagram of the patient compilation has been edited out to accommodate Hospital rules osteonecrosis the! And SuperCap®: //creativecommons.org/licenses/by/4.0/ Sports Traumatology, Marienhaus Hospital Hetzelstift, Stiftstr footage of the structures and. And outcomes of the cup, inlay, modular neck and head, reposition performed... In anterior Vs posterior approach to the hip joint is exposed for replacement used databases the at! Thereafter, the femur is broached and osteotomy of the most conservative confidence intervals in Chinese, N. Bueschges... 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