Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial
Abstract Background Total hip arthroplasty (THA) has been one of the most successful orthopedic procedures over the past 30 years. Nowadays, the techniques of exposure for THA have undergone great changes, allowing surgeons to perform THA through mini-incisions. Recently, a novel minimally invasive...
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| Format: | Article |
| Language: | English |
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BMC
2017-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-017-0636-6 |
| _version_ | 1818013562399883264 |
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| author | Jun Xie Hongxi Zhang Lei Wang Xiang Yao Zhanpeng Pan Qinyi Jiang |
| author_facet | Jun Xie Hongxi Zhang Lei Wang Xiang Yao Zhanpeng Pan Qinyi Jiang |
| author_sort | Jun Xie |
| collection | DOAJ |
| description | Abstract Background Total hip arthroplasty (THA) has been one of the most successful orthopedic procedures over the past 30 years. Nowadays, the techniques of exposure for THA have undergone great changes, allowing surgeons to perform THA through mini-incisions. Recently, a novel minimally invasive surgical technique of the supercapsular percutaneously assisted total hip arthroplasty was reported in 2011. The purpose of this study was to compare the SuperPath approach with the conventional posterior approach, in terms early outcomes and radiologic results. Methods Ninety-two consecutive unilateral primary hip osteoarthritis adult patients were randomly divided into two groups. Forty-six patients (SuperPath group) were operated on using the SuperPath approach, and 46 patients (conventional group) were operated on with the conventional posterior approach. Outcomes were evaluated using preoperative index, intraoperative data, and postoperative function data. The positioning of the implants was analyzed by radiography. Results No significant difference was detected in skin-to-skin operation time, blood loss, transfusion rate, postoperative complications, abduction angle, anteversion angle, and stem alignments. The incision length and length of stay (LOS) in the SuperPath group were significantly lower. The VAS score in the SuperPath group at the 1-week, 1-month and 3-month postoperative intervals were lower than those VAS scores in the conventional group. The Harris Hip Score and Barthel Index (BI) for Activities of Daily Living in the SuperPath group were significantly higher at the 1- and 3-month follow-up intervals and were not significantly different 1 year after operation. Conclusions This prospective randomized study reveals that the SuperPath technique was associated with shorter LOS, earlier time to walk and climb, and lower postoperative pain levels. It also allowed early postoperative rehabilitation and faster recovery than conventional technique. |
| first_indexed | 2024-04-14T06:34:45Z |
| format | Article |
| id | doaj.art-b4c8bbe89fb64dd8a6befbf8d4c8a82a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T06:34:45Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b4c8bbe89fb64dd8a6befbf8d4c8a82a2022-12-22T02:07:31ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-09-011211810.1186/s13018-017-0636-6Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trialJun Xie0Hongxi Zhang1Lei Wang2Xiang Yao3Zhanpeng Pan4Qinyi Jiang5Department of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityDepartment of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityDepartment of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityDepartment of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityDepartment of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityDepartment of Orthopedics, The Affiliated People’s Hospital, Jiangsu UniversityAbstract Background Total hip arthroplasty (THA) has been one of the most successful orthopedic procedures over the past 30 years. Nowadays, the techniques of exposure for THA have undergone great changes, allowing surgeons to perform THA through mini-incisions. Recently, a novel minimally invasive surgical technique of the supercapsular percutaneously assisted total hip arthroplasty was reported in 2011. The purpose of this study was to compare the SuperPath approach with the conventional posterior approach, in terms early outcomes and radiologic results. Methods Ninety-two consecutive unilateral primary hip osteoarthritis adult patients were randomly divided into two groups. Forty-six patients (SuperPath group) were operated on using the SuperPath approach, and 46 patients (conventional group) were operated on with the conventional posterior approach. Outcomes were evaluated using preoperative index, intraoperative data, and postoperative function data. The positioning of the implants was analyzed by radiography. Results No significant difference was detected in skin-to-skin operation time, blood loss, transfusion rate, postoperative complications, abduction angle, anteversion angle, and stem alignments. The incision length and length of stay (LOS) in the SuperPath group were significantly lower. The VAS score in the SuperPath group at the 1-week, 1-month and 3-month postoperative intervals were lower than those VAS scores in the conventional group. The Harris Hip Score and Barthel Index (BI) for Activities of Daily Living in the SuperPath group were significantly higher at the 1- and 3-month follow-up intervals and were not significantly different 1 year after operation. Conclusions This prospective randomized study reveals that the SuperPath technique was associated with shorter LOS, earlier time to walk and climb, and lower postoperative pain levels. It also allowed early postoperative rehabilitation and faster recovery than conventional technique.http://link.springer.com/article/10.1186/s13018-017-0636-6Total hip arthroplasty (THA)Minimally invasive surgery (MIS)SuperPath posterior approachLength of stay (LOS)Harris Hip Score(HHS)Visual analog scale (VAS) |
| spellingShingle | Jun Xie Hongxi Zhang Lei Wang Xiang Yao Zhanpeng Pan Qinyi Jiang Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial Journal of Orthopaedic Surgery and Research Total hip arthroplasty (THA) Minimally invasive surgery (MIS) SuperPath posterior approach Length of stay (LOS) Harris Hip Score(HHS) Visual analog scale (VAS) |
| title | Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial |
| title_full | Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial |
| title_fullStr | Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial |
| title_full_unstemmed | Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial |
| title_short | Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial |
| title_sort | comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty a prospective randomized controlled trial |
| topic | Total hip arthroplasty (THA) Minimally invasive surgery (MIS) SuperPath posterior approach Length of stay (LOS) Harris Hip Score(HHS) Visual analog scale (VAS) |
| url | http://link.springer.com/article/10.1186/s13018-017-0636-6 |
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