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Efficacy of Supercapsular Percutaneously-Assisted Total Hip Arthroplasty in the Elderly With Femoral Neck Fractures: A Meta-analysis
INTRODUCTION: Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach is a novel minimally invasive surgical technique for total hip arthroplasty (THA). This meta-analysis was conducted to evaluate the outcomes following THA via the SuperPATH approach in elderly patients with femoral ne...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855386/ https://www.ncbi.nlm.nih.gov/pubmed/35186423 http://dx.doi.org/10.1177/21514593221074176 |
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author | Zhao, Fulong Xue, Yang Wang, Xuefei Zhan, Yunjia |
author_facet | Zhao, Fulong Xue, Yang Wang, Xuefei Zhan, Yunjia |
author_sort | Zhao, Fulong |
collection | PubMed |
description | INTRODUCTION: Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach is a novel minimally invasive surgical technique for total hip arthroplasty (THA). This meta-analysis was conducted to evaluate the outcomes following THA via the SuperPATH approach in elderly patients with femoral neck fractures (FNFs), compared with those via traditional surgical approaches. METHODS: Eligible studies were retrieved through searching 7 electronic databases and manually screening related references. Objectives were surgical-related parameters, functional outcomes, and incidence of postoperative complications. RESULTS: 9 comparative studies were included. Pooled results suggested that at the cost of longer operative time (WMD: 14.25, 95% CI: 3.25 to 25.25), the SuperPATH technique was superior to traditional approaches regarding incision length (WMD: −4.51, 95% CI: −6.46 to −2.56), intraoperative blood loss (WMD: −80.47, 95% CI: −122.36 to −38.57), and hospital stays (WMD: −3.35, 95% CI: −5.05 to −1.65). SuperPATH groups exhibited significantly increased Harris Hip Scores within 1 month after surgery (7d, WMD: 9.85, 95% CI: 6.40 to 13.30; 14d, WMD: 10.68, 95% CI: 8.29 to 13.08; 1 month, WMD: 6.17, 95% CI: 3.56 to 8.78) and had a reduced incidence of overall complications (OR: .19, 95% CI: .09 to .41). No significant differences were found between the 2 groups regarding postoperative pain relief. CONCLUSION: Elderly patients with FNFs are potential candidates for THA treatment via the SuperPATH technique, which is associated with improved surgical outcomes, better short-term functional recovery, and lower risk of total complications as compared to traditional approaches. Additional studies are needed to further confirm our conclusions and validate the long-term efficacy of SuperPATH. |
format | Online Article Text |
id | pubmed-8855386 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-88553862022-02-19 Efficacy of Supercapsular Percutaneously-Assisted Total Hip Arthroplasty in the Elderly With Femoral Neck Fractures: A Meta-analysis Zhao, Fulong Xue, Yang Wang, Xuefei Zhan, Yunjia Geriatr Orthop Surg Rehabil Systematic Review INTRODUCTION: Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach is a novel minimally invasive surgical technique for total hip arthroplasty (THA). This meta-analysis was conducted to evaluate the outcomes following THA via the SuperPATH approach in elderly patients with femoral neck fractures (FNFs), compared with those via traditional surgical approaches. METHODS: Eligible studies were retrieved through searching 7 electronic databases and manually screening related references. Objectives were surgical-related parameters, functional outcomes, and incidence of postoperative complications. RESULTS: 9 comparative studies were included. Pooled results suggested that at the cost of longer operative time (WMD: 14.25, 95% CI: 3.25 to 25.25), the SuperPATH technique was superior to traditional approaches regarding incision length (WMD: −4.51, 95% CI: −6.46 to −2.56), intraoperative blood loss (WMD: −80.47, 95% CI: −122.36 to −38.57), and hospital stays (WMD: −3.35, 95% CI: −5.05 to −1.65). SuperPATH groups exhibited significantly increased Harris Hip Scores within 1 month after surgery (7d, WMD: 9.85, 95% CI: 6.40 to 13.30; 14d, WMD: 10.68, 95% CI: 8.29 to 13.08; 1 month, WMD: 6.17, 95% CI: 3.56 to 8.78) and had a reduced incidence of overall complications (OR: .19, 95% CI: .09 to .41). No significant differences were found between the 2 groups regarding postoperative pain relief. CONCLUSION: Elderly patients with FNFs are potential candidates for THA treatment via the SuperPATH technique, which is associated with improved surgical outcomes, better short-term functional recovery, and lower risk of total complications as compared to traditional approaches. Additional studies are needed to further confirm our conclusions and validate the long-term efficacy of SuperPATH. SAGE Publications 2022-02-16 /pmc/articles/PMC8855386/ /pubmed/35186423 http://dx.doi.org/10.1177/21514593221074176 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Systematic Review Zhao, Fulong Xue, Yang Wang, Xuefei Zhan, Yunjia Efficacy of Supercapsular Percutaneously-Assisted Total Hip Arthroplasty in the Elderly With Femoral Neck Fractures: A Meta-analysis |
title | Efficacy of Supercapsular Percutaneously-Assisted Total Hip
Arthroplasty in the Elderly With Femoral Neck Fractures: A
Meta-analysis |
title_full | Efficacy of Supercapsular Percutaneously-Assisted Total Hip
Arthroplasty in the Elderly With Femoral Neck Fractures: A
Meta-analysis |
title_fullStr | Efficacy of Supercapsular Percutaneously-Assisted Total Hip
Arthroplasty in the Elderly With Femoral Neck Fractures: A
Meta-analysis |
title_full_unstemmed | Efficacy of Supercapsular Percutaneously-Assisted Total Hip
Arthroplasty in the Elderly With Femoral Neck Fractures: A
Meta-analysis |
title_short | Efficacy of Supercapsular Percutaneously-Assisted Total Hip
Arthroplasty in the Elderly With Femoral Neck Fractures: A
Meta-analysis |
title_sort | efficacy of supercapsular percutaneously-assisted total hip
arthroplasty in the elderly with femoral neck fractures: a
meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8855386/ https://www.ncbi.nlm.nih.gov/pubmed/35186423 http://dx.doi.org/10.1177/21514593221074176 |
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