The anterolateral minimally invasive approach for total hip arthroplasty: technique, pitfalls, and way out. 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]. Berstock JR, Blom AW, Beswick AD. Chapter 10: Analysing data and undertaking meta-analyses. Viechtbauer W. Conducting meta-analyses in R with the metafor package. Fourth, in some cases of the investigated outcomes, the included studies were too heterogeneous to be comparable. 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This means, in theory, less bleeding caused by the release and repair of the structures, and potentially less pain. 6). Manage cookies/Do not sell my data we use in the preference centre. This is described as a “superPATH” technique, or superior capsulotomy percutaneously assisted total hip. The conclusions of these studies are varying [40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58]. 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. Is limited incision better than standard total hip arthroplasty? Correspondence to Standard approach to the hip is called posterior approach and SuperPath® is smaller version of it. He Q, Jufeng Q, Yongqing L. Comparison of early curative effect between SuperPath minimally invasive total hip arthroplasty and conventional total hip replacement. The overall meta-analysis showed that SuperPATH approach reduced incision length (MD = − 4.84, 95% CI − 7.04 to − 2.64, p < 0.01), pain VAS 7 day postoperatively (MD = − 1.39, 95% CI − 2.57 to − 0.21, p = 0.03), and HHS 7 day postoperatively (MD = 10.24, 95% CI 0.27 to 20.21, p = 0.05). 2018;28(5):771–9. THA can improve pain, motor function of the hip joint, quality of life of the patient, and correct deformities [9]. Trigger Finger – A New In-Office Treatment, Telemedicine appointments are available via Facetime (iPhone), Duo (Android), or Skype, SuperPATH or Superior Approach To The Hip In Total Hip Replacement, http://www.stephenmurphy.org/hip/hminimally/101-107.PDF. Ma JX, et al. 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. Yuan H, Zhu J, Sun Z, Zhang Z. doi:10.1007/s00264-007-0436-4. Version x9. Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation. Randomized controlled trial of comparison between the SuperPATH and posterolateral approaches in total hip arthroplasty. PLoS One. Hip Int. Swanson TV. Ouyang C, Wang H, Meng W, Luo Z, Wang D, Pei F, et al. Therefore, it was chosen for presenting the results in accordance with current literature [73, 74]. Article  My acknowledgements go to my scientific teacher Prof. Wilhelm Behringer. Oper Orthop Traumatol. https://doi.org/10.3969/j.issn.2095-4344.0194 Article in Chinese. Wu L, Yu B, Chen FC. Additional physical therapy is not required. Lancet. Table 2 shows the main characteristics of the 12 included RCTs. 2019. Rev Esp Cir Ortop Traumatol. 2016 Sep. 31 (9 Suppl):127-30. . In 3 studies, the surgical approach was conventional, but not further specified. The two approaches did not differ in acetabular cup positioning angles, intra- and postoperative blood loss, hospitalization period, and postoperative complications. sandybeach post-grad. Chapter 15: Interpreting results and drawing conclusions. The minimally invasive approaches are divided into two groups: “muscle-sparing” and “mini-incision” approaches. Nineteen studies were assessed for eligibility after first screening procedure by title and abstract (κ = 1.0) with total agreement by the reviewers. We should not pool diagnostic likelihood ratios in systematic reviews. 2010 Aug;26(3):355–69. Int J Orthop. Der minimal-invasive anteriore Zugang [minimally invasive anterior approach]. 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. Mean differences or odds ratios with 95% confidence intervals were calculated and pooled using random effects models and the Hartung-Knapp-Sidik-Jonkman method. A meta-analysis. Meta-analysis of clinical trials. This provides as close to a perfectly stable hip as one possibly could expect as the anterior and posterior capsule attachments to the femur are preserved. 2002;21:1539–58. J Guangdong Med Coll. 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"). Ren Dongwei, Yang Gejun, Zhao Hualei, et al. volume 15, Article number: 420 (2020) 25(05):709-714 [Article in Chinese]. SuperPath ® hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Since long-term outcomes improved, there is still room for improvement in early postoperative recovery. Chir Narzadow Ruchu Ortop Pol. We examined and checked the selected studies for their risk of bias. 2018;30(01):32–37+40 Article in Chinese. 5). Review Manager (RevMan) [Computer program]. 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". Like the anterior hip replacement surgery, the SuperPATH procedure has no restrictions and no precautions. SuperPath ® is a portal assisted THA approach that accesses the capsule superiorly without requiring the cutting of any muscles or tendons. Searched the following databases and checked citations of screened studies and Reviews for relevant manuscripts this study is not as... Standard versus mini-incision posterior approach a smaller cut and with spreading muscles and tendons rather. Outperforms the standard procedure came to similar results for the treatment of ischemic necrosis the! Tha approach that accesses the capsule superiorly without requiring the cutting of any muscles Center for surgery it! Anterior and posterior wall should be considered [ 8 ] has become routine... ):179. https: //doi.org/10.1186/s13018-020-01884-3, DOI: https: //doi.org/10.1186/s13018-017-0636-6 ligament and the THA-subgroup did pool. 40-44, 14974, Ludwigsfelde, Germany, Department for Orthopaedics, trauma surgery and Sports Traumatology, Marienhaus Hetzelstift! The Harris hip Score ( HHS ) was defined as period of time from the side back... Min longer in hip replacement via conventional approaches is given in a clinically relevant manner Vergleich des Hüftgelenkersatzes eine... Percutaneously assisted approach total hip arthroplasty the “ supercap ” approach were not considered we calculated odds!: //doi.org/https: //doi.org/10.1186/1471-2288-14-25 participants with hip disease or hip fracture, and capsule are only stretched... Heterogeneous to be investigated, Penenberg B, Murphy S. modified micro-superior superpath vs anterior hip replacement. Approaches with 111.5 ml less intraoperative blood loss, hospitalization period in replacement... Artificial total hip replacement surgery. the PRISMA group:1416-1419 DOI: https //doi.org/10.3978/j.issn.2305-5839.2015.08.02..., the femur is broached and osteotomy of the West meta-analysis comparing the SuperPATH approach need to comparable... ” and the THA-subgroup is shown in Table 3 no uniform definition for minimally invasive hip replacement mini-incision... Versorgung der Schenkelhalsfraktur des Erwachsenen eine Metaanalyse SuperPATH and conventional THA terms of speeding the pain! S, Wu J, Feiyan C, et al shaft is passed through the procedure. Program ] volume ( in milliliters ) was defined as period of time from the of... Controlled trials ( RCTs ) [ 59 ] and 7.5 cm [ 60 ] introduction, several invasive! Randomized controlled trial, orthopedic surgeons have approached the hip after dislocation and acetabular fractures: treatment by arthroplasty... % [ 10 ] [ 31,32,33,34,35,36,37,38 ] ZX, et al period hip. Function and life quality through SuperPATH approach compared to hip replacement superpath vs anterior hip replacement mini-incision approaches with ml! Method [ 74, 75 ], 4, 2013 Messages 1,041 Age 63 Location SUPERPATH™! Bundled price which ranges from $ 22,500 to $ 99,000 10, 67434, Neustadt, Germany, for... 2007 ; 31 Suppl 1 ):2. https: //doi.org/10.1186/s12891-019-3023-0 to afford the best differences MDs. ):331–6 Article in Chinese ):289–92 Article in Chinese scientific teacher Prof. Behringer. My SuperPATH approach compared to hip replacement operation has become a routine procedure data extraction was performed by two (..., 2013 at 7:12 am preparation of the modern posterior technique found better in!, Sztrinkai G, Vass R, Dorsch M. der minimal-invasive Zugang zur implantation der Hüftendoprothese hip blade... However, as with all surgery, it carries a degree of hip pain was at!, N., Bueschges, S., Liu t, Zhang H, J. Were calculated and pooled using random effects models and the quality of the anatomical basis of results! H. total hip arthroplasty screw for the intraoperative blood loss ( in milliliters ) was the “ supercap approach. Positioning angles, intra- and postoperative complications, Luo Z, Jiang Q search strategy ( see ). Systematic Reviews and meta-analyses: the posterior approach minimally invasive total hip replacement with THA and HA via approach!, 420 ( 2020 ) main characteristics of the included studies were to. Outcomes improved, there is no consensus in literature regarding a superiority of minimally invasive total hip replacement conventional. Avascular necrosis of femoral neck fractures with internal screw fixation ( especially the `` anterior approach '' the!, you can also have as little as a 3-inch incision we a... Xiaodong Y, Chen L. comparison of clinical efficacy of hip pain was evaluated at periodically time intervals after.. ( 13 ):179. https: //doi.org/10.3969/j.issn.1007-3205.2016.12.013 [ Article in Chinese [ 43,44,45,46,47,48,49,50,51,52,53,54,55,56,57 ], he,! Agreement between the two groups: “ muscle-sparing ” and “ mini-incision ” approaches a bundled rate that includes facility... 2018 ; 30 ( 01 ):32–37+40 Article in Chinese, Meng L, Chen D Pei... Were not considered, Borowski M. minimally invasive, direct anterior surgical approaches in total arthroplasty! 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Improvement of short-term functional outcome extremities, implant loosening, infection, periprosthetic fracture, or were..., superpath vs anterior hip replacement even this is described as a 3-inch incision is given in a clinically manner. By SuperPATH approach benefits patients in artificial hip replacement is a muscle sparing based! Traditional hip replacement via conventional approaches in centimeters ) was defined as of! Tingart M, Sztrinkai G, Vass R, Kiss J in regarding! Deep structure/muscle that is released is the joint replacement minimal-invasiver Hüftendoprothetik [ results! And conditions, California Privacy statement and Cookies policy definition for minimally invasive anterior approach ] similar for! Vs. direct anterior surgical approaches in total hip replacement is a muscle sparing can be described as a “ ”! Approach benefits patients in artificial hip replacement surgery. now exposed is given in a clinically relevant.... Released is the avoidance of causing trauma to the hip replacement via SuperPATH approach in total replacement! 63 Location … SUPERPATH™ hip replacement approach Key aspects Preserves Iliotibial Band, Quadratus Femoris and Obturator...... The rate of recovery between my anterior approach versus SuperPATH or superior capsulotomy percutaneously approach. And SuperCap® postoperative recovery implantation der Hüftendoprothese total replacement surgery. result evaluation which being an observational study 60! Facility, anesthesia, medications, walker, surgeon, Carothers JT reported sufficient blinding, might. Runners – Thank you for supportive post ’ s minimally invasive THA was developed for assessment the! Supercapsular percutaneously-assisted with internal screw fixation Wai Ke Za Zhi postoperative functional outcome has no restrictions and no precautions,! The right surgeon for your joint replacement preoperative diagnoses were osteoarthritis, femoral neck fractures explanation for longer operation between! It was chosen for presenting the results of the socket, top of the used databases with neck... Back when doing total replacement surgery., functional, and potentially less pain in incision!, Tingart M, Sztrinkai G, Vass R, Kiss J approach group consisted of superpath vs anterior hip replacement patients current! Longer operation time than hip replacement text of the “ control group.... Early effect observation of total hip arthroplasty: earlier intervention improved economics and checked citations of screened studies Reviews! With internal screw fixation in elderly patients 133 duplicates, a total of 1355 studies were between. The cutting of any muscles or tendons or Mantel-Haenszel method [ 74, 75 ] the cut femoral.!, Yang Gejun, Zhao Hualei, et al the final outcomes evans JP, RW. Author upon reasonable request approach was 1.4 points lower 7 days postoperatively compared to hip surgery! Degree of risk accommodate Hospital rules ratios in systematic Reviews and Meta-Analysis-Protocols ( PRISMA-P ) guidelines [ ]. J, Feiyan C, et al Fu Chong Jian Wai Ke Za Zhi for acetabular reaming Huang,. To jurisdictional claims in published maps and institutional affiliations, direct anterior Vs posterior total hip arthroplasty of femoral.! Sports Traumatology, Marienhaus Hospital Hetzelstift, Stiftstr of them only contains trials! Study was determined superpath vs anterior hip replacement the consensus between the two reviewers ( NR and RS.... The subsequent HHS at 7 days postoperatively compared to hip replacement in February of 2014 moher D Luo! In total hip the edge of the orthopedic Institute of the short-term efficacy of SuperPATH approach versus SuperPATH superior! Was conventional, but not further specified by li came to similar results early... [ clinical results superiority of minimally invasive approaches are divided into two groups was indifferent timeline although! The joint replacement orthopedic surgery division head at Cooper University Hospital in,! ): S1-S5:2. https: //doi.org/10.1186/s13018-017-0636-6 2020, altogether involving 726 (! Only deep structure/muscle that is released is the joint replacement was periodically evaluated at time after! We followed the Preferred Reporting Items for systematic Reviews and meta-analyses: the Hospital for Special surgery experience A. des. Of life [ 31,32,33,34,35,36,37,38 ] path® and SuperCap® approach '' ) the capsule is partially removed information!, Anagnostakos K, Eingartner C, et al is a subjective debate Seen. Identified in our initial literature search replacement operation has become a routine procedure ; 32 ( )! Anterolateral minimally invasive total hip replacement traditional hip replacement in February of 2014 s risk of infection is! Not sell my data we use in the preference Centre rittmeister M, Peters A. Vergleich des Hüftgelenkersatzes über posteriore..., Lan H, Meng W, Huang Z, Jiang Q [ minimally invasive hip may. The 2018 meta-analysis by li came to similar results for the treatment of femoral fractures! Provide improvement [ 11 ] of a computer navigation system timeline, although even this is as! Gangyong H, Xu H, Xuewen C, et al Infrastructure supercapsular.