SuperPATH avoids hip dislocation entirely; the goal is to not only reduce the risk of hip dislocation after hip replacement surgery but to also make the surgery itself less painful. Anterior Total Hip Arthroplasty Collaborative Investigators, Bhandari M, Matta JM, Dodgin D, Clark C, Kregor P, Bradley G, Little L. Outcomes following the single-incision anterior approach to total hip arthroplasty: a multicenter observational study. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. 2016 Mar;40(3):481-5. doi: 10.1007/s00264-015-2878-4. Possible causes include failure of fixation, instability a … The subscore is normalized such that the lower the number the more extreme the problem is. Long-term outcomes of SuperPATH approach need to be investigated. J Arthroplasty. Epub 2013 Mar 19. Supercapsular percutaneously-assisted total hip arthroplasty: radiographic outcomes and surgical technique. Radiological evaluation was also performed. 2006;30:160–71. 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. [Comparison of early effectiveness between SuperPATH approach and Hardinge approach in total hip arthroplasty]. 1947 Jan;29(1):41-8. In general, our meta-analysis indicated that hip replacement via SuperPATH approach was superior to hip replacement via conventional approaches regarding the investigated outcomes. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error, [Article in 2018 Jan 15;32(1):14-19. doi: 10.7507/1002-1892.201707121. Lachin JM, Matts JP, Wei LJ. Conclusions SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement. NIH All rights reserved. 2017 Jun;99-B(6):732-740. doi: 10.1302/0301-620X.99B6.38053. ], Change in X-rays (AP pelvis & lateral) [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. SuperPATH is a newer technique which has been shown in studies to be adopted with less complications even during the learning phase. Kerrigan DC, Todd MK, Della Croce U. Epub 2015 Jul 9. Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Change from baseline in Hip disability and Osteoarthritis Outcome Score (HOOS) activities of daily living (ADL) [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. Ma JX, et al. ClinicalTrials.gov Identifier: NCT03746925, Interventional Goebel S, Steinert AF, Schillinger J, Eulert J, Broscheit J, Rudert M, Nöth U. Epub 2016 Nov 12. NLM J Bone Joint Surg Am. Please remove one or more studies before adding more. 2015 Aug;3(13):180. doi: 10.3978/j.issn.2305-5839.2015.08.04. I have no restrictions. Am J Phys Med Rehabil. The exercises you will learn will make a big difference in avoiding the pain in the groin and outside of the hip that some patients experience. 2017 Jun;41(6):1119-1123. doi: 10.1007/s00264-016-3327-8. It is a new technique of performing a standard total hip arthroplasty where your surgeon uses a smaller initial incision and, more importantly, a very limited dissection in … Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. Bal BS, Vallurupalli S. Minimally invasive total hip arthroplasty with the anterior approach. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. Epub 2011 Jul 12. Chow J, Penenberg B, Murphy S. Modified micro-superior percutaneously-assisted total hip: early experiences & case reports. The entire SuperPATH operation can be done with minimal manipulation of the lower extremity, reducing tissue trauma and surgical stress. Yan T, Tian S, Wang Y, Yang X, Li T, Liu J, Pan P, Wang R, Wang D, Sun K. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Sep;12(3):123-9. doi: 10.1007/s10195-011-0144-0. Ramadanov N, Bueschges S, Liu K, Klein R, Schultka R. J Orthop Surg Res. These are two approaches to hip replacement that both replace hips without cutting any muscles. 2019;63(5):346–54. 2018. This leaves more intact tissue, specifically the short external rotator … Copyright © 2019 SECOT. Meermans G, Konan S, Das R, Volpin A, Haddad FS. ], Change in Timed-Stair-Climb (TSC) [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. Comparison of short-term outcomes between SuperPATH approach and conventional approaches in hip replacement: a systematic review and meta-analysis of randomized controlled trials. Ann Transl Med. This is done by a biomechanics lab for a subsection of 30 patients to test their hip movements. There are 5 questions, mobility, self-care, usual activities, pain and anxiety. Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. SuperPath hip replacement procedure is performed by joint replacement specialist Dr Roderick Brooks in Wahroonga, Sydney, NSW. Orthop Clin North Am.  |  J Rheumatol. ], Change in Pre-post Hgb [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 2 weeks post-operatively. This site needs JavaScript to work properly. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. Listing a study does not mean it has been evaluated by the U.S. Federal Government. USA.gov. Keywords: Research recently presented at a meeting of orthopaedic specialists shows that patients often fare no better with minimally invasive hip replacement than those having a standard hip replacement -- and may do worse. 2017 Sep 25;12(1):138. doi: 10.1186/s13018-017-0636-6. The time it takes for a participant to go up and down a flight of 10 stairs. Clin Geriatr Med. Publicado por Elsevier España, S.L.U. For general information, Learn About Clinical Studies. Length of stay was similar between cohorts. Clinical evaluation improved significantly from the preoperative values to the 1-year follow-up. Total hip arthroplasty (THA) is generally considered to be one of the most successful orthopedic surgical procedures. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. ], Change in Gait analysis [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. J Bone Joint Surg Am. Della Torre PK, Fitch DA, Chow JC. 1988 Dec;9(4):365-74. SuperPATH is a ‘technique’ or way of doing a Hip Replacement. Clipboard, Search History, and several other advanced features are temporarily unavailable.  |  Randomized Control Trial Comparing Short-term Outcomes After Direct Anterior and SuperPATH Approaches, Active Comparator: Direct Anterior Approach (DAA), 18 Years to 80 Years   (Adult, Older Adult). Int Orthop. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. Barrett WP, Turner SE, Leopold JP. SUPERPATH hip replacement, minimally invasive knee replacement, arthroscopic rotator cuff repair, arthroscopic acl reconstruction, general orthopedics. SuperPath Hip Replacement Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH ® surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). He is one of a handful of surgeons nationwide who do the "superPath" hip replacement method. 69 y/o lady who was severely debilitated by hip arthritis. Xie J, Zhang H, Wang L, Yao X, Pan Z, Jiang Q. SuperPath Hip Replacement. Alecci V, Valente M, Crucil M, Minerva M, Pellegrino CM, Sabbadini DD. Information provided by (Responsible Party): This study involves comparing the outcomes after using the Direct Anterior Approach (DAA) and the Supercapsular Percutaneously Assisted Total Hip (SuperPATH) approach. The SuperPath approach accesses the capsule maintaining integrity of the external rotators. Also, communication before and after surgery with his staff was terrific. The surgical technique for a SUPERPATH ® Hip Replacement was developed as an advancement to traditional total hip replacement. 2011 Sep;4(3):146-50. doi: 10.1007/s12178-011-9090-y. The last page is asking the participant to self score their health that day out of 100. The participant puts a line where they feel that day and it is measured with a ruler to determine score out of 100. J Arthroplasty. At 3 months the SuperPath cohort showed better results for IHOT-12, and at 12 months for SF. 2013 Oct;28(9):1634-8. doi: 10.1016/j.arth.2013.01.034. I was told that my surgeon had used a modern technique called Superpath and I was likely to recover more quickly than expected. Learn the SuperPath® total hip replacement surgical technique with step by step instructions on OrthOracle. Spanish]. Conclusion: 2012 Mar;36(3):491-8. doi: 10.1007/s00264-011-1280-0. The SuperPATH can meet this benchmark but uptake has been slow, the investigators believe that it is due to the learning curve shown by this approach. ], Change in EQ-5D-5L [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. Conclusions: SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. There is pressure on surgeons, from both patients and administration to use techniques that spare tissue, offer early functionality without compromising long-term outcomes. 2013 Sep;28(8):1401-7. doi: 10.1016/j.arth.2012.11.018. I had a hip replacement at Coventry Hospital in August 2017 and came round from the operation in severe pain. COVID-19 is an emerging, rapidly evolving situation. The senior surgeon at The Ottawa Hospital is experienced in both techniques, using a trial the investigators can compare the two techniques and help encourage surgeons to change to a procedure that has demonstrated a low complication profile. To check how their bones are faring in their hip area. Review. Keywords provided by Ottawa Hospital Research Institute: Procedure: Direct Anterior Approach (DAA). These scores are not aggregated. Epub 2013 Mar 16. Bone Joint J. 1985 May 4;14(18):1031-3. Risks due to the surgery may include (but are not limited to): Pain; Bleeding; Infection; Permanent or temporary nerve damage; Extra bone or tissue damage; Drop in blood pressure during the procedure; Leg deformity; Blood clot or clots (that could travel to heart or lungs) Delayed wound healing Curr Rev Musculoskelet Med. These includes the common ‘hip … The achilles tendon is often injured during sports resulting in an inflammatory conditi.. Cartilage Restoration. Please enable it to take advantage of the complete set of features! Skin-to-skin operation time and blood loss was higher in the SuperPath cohort. This asks the patient how their hip functions during their daily life. 2017. 2017 Jan 15;31(1):17-24. doi: 10.7507/1002-1892.201609110. 1998 Jan-Feb;77(1):2-7. It is a 2 group, parallel study where they will be randomized into one of the two groups. THA patients continue to experience symptoms, most commonly pain, which prevent their return to full function and activity. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. A SuperPath ® Hip Replacement is designed to precisely reconstruct the hip without cutting critical tendons and stretching or traumatizing muscles that are important to hip function. This is a line with left most end representing no pain with the rightmost representing extreme pain. However, there is a trend to reduce damage to soft tissue, which may have an influence on early outcomes. SuperPATH = Supercapsular Percutaneous-Assisted Total Hip A SHORT HISTORY OF TOTAL HIP REPLACEMENT. Background and objectives: This prospective randomized study reveals that the learning curve for the SuperPath approach provides similar outcomes to the conventional posterior approach within the first year after surgery. Risks of SUPERPATH® hip replacement surgery. Talk with your doctor and family members or friends about deciding to join a study. Int Orthop. Xie J, Zhang H, Wang L, Yao X, Pan Z, Jiang Q. J Orthop Surg Res. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03746925. 2016 Sep 8;30(9):1170-1173. doi: 10.7507/1002-1892.20160238. Surgeons who perform minimally invasive hip replacement surgery believe a less painful surgery leads to a quicker and better recovery. Our e-learning platform contains high resolution images and a certified CME of the SuperPath® total hip replacement surgical procedure. Patients undergoing the SuperPATH hip replacement technique are sent to physical therapy after discharge for 6 visits. Int Orthop. 2017 Sep 25;12(1):138. doi: 10.1186/s13018-017-0636-6. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial. Preservation of the muscles and capsule around the hip joint provide more normal range of motion, greater stability and great joint position sense. Gender differences in joint biomechanics during walking: normative study in young adults. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. My surgery could not have gone better. Access to the hip, or restricted view/approach to the hip joint is much less a concern in the Super Path surgery than in the Anterior. It has 5 subscales measuring Pain, Symptoms, ADL, Sports/Recreation and Quality of Life (which is calculated using all the subscores). Gofton W, Fitch DA. The Super Path incision is much more in line with the Direct Superior approach which closely follows the traditional posterior approach but tends to be smaller and separates muscle to access the hip capsule rather than cutting through them. Judge JO, Ounpuu S, Davis RB 3rd. SuperPATH approach for hip replacement showed better results on decreasing incision length and early postoperative pain intensity. Choosing to participate in a study is an important personal decision. The purpose of this study was to compare the SuperPath approach with the conventional posterior approach, in terms of early outcomes and radiological results. Clinical evaluation was performed by the Harris score, Merle d'Aubigné score, reduced Western Ontario and McMasters Universities (WOMAC), Short-Form 12 (SF12), IHOT-ADV and IHOT-12 questionnaires. Epub 2008 Jun 13. With the SuperPath® Hip Replacement, no muscles are cut during the procedure. I’d love to hear from anybody who has been left in pain following hip surgery using the Superpath technique. Total Hip Replacement (aka Total Hip Arthroplasty) has been described as "The Operation of the Century," (The Lancet, 2007) in large part because it was so difficult to actually bring to life the difficult solution of replacing the complex moving parts of this major joint in the human body in … Prevention and treatment information (HHS). In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique. You have reached the maximum number of saved studies (100). SuperPATH approach surgery to replace the hip. The technique allows recovery that is as rapid as a mini-posterior approach while conferring stability of the hip joint that is equal to other exposures that preserve the posterior hip joint capsule and short external rotators. Comparative cohort study of the SuperPath approach and the conventional posterior approach in primary cementless hip replacement surgery. ], Change in Range of Motion (ROM) [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. Skin-to-skin operation time and blood loss was higher in the SuperPath cohort. Thirty-day readmission rate and discharge status following total hip arthroplasty using the supercapsular percutaneously-assisted total hip surgical technique. Randomization in clinical trials: conclusions and recommendations. IR and ER ROM at flexion and extension, this is measured using a goniometer (which is an instrument that measures an angle). 2016. Radiologically, there were no differences between cohorts. 8, 9 With SuperPath, patients will receive smaller incision in the surgery and thus may have smaller injury and better recovery. Each question is scored from 1-5, with 1 being no problems and 5 being severe problems. 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. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi.  (Clinical Trial). [RESEARCH PROGRESS OF SUPERCAPSULAR PERCUTANEOUSLY ASSISTED TOTAL HIP IN MINIMALLY INVASIVE TOTAL HIP ARTHROPLASTY]. Gofton W, Chow J, Olsen KD, Fitch DA. A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). Generic health status. The SUPERPATH ® technique is a tissue-sparing procedure which aims to get patients back on their feet within days (possibly hours) instead of weeks or months. The SUPERPATH™ hip replacement is a new technique using superior capsulotomy that allows for implantation of the total hip components under direct vision through a single incision. Control Clin Trials. Clinical evaluation improved significantly from the preoperative values to the 1-year follow-up. Each subscale is calculated using the mean score, with each score range being from 0 to 4. Complications of old fractures of the neck of the femur; results of treatment of vitallium-mold arthroplasty. Effects of age on the biomechanics and physiology of gait. [Article in English, Spanish] Más Martínez J(1), Sanz-Reig J(2), Morales-Santías M(1), Bustamante Suarez de Puga D(1), Verdu Roman C(1), Martinez Gimenez E(1). Judet J, Judet H. [Anterior approach in total hip arthroplasty]. Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial. Ehrich EW, Davies GM, Watson DJ, Bolognese JA, Seidenberg BC, Bellamy N. Minimal perceptible clinical improvement with the Western Ontario and McMaster Universities osteoarthritis index questionnaire and global assessments in patients with osteoarthritis. Material and methods A cohort of 30 patients operated using the SuperPath approach was prospectively matched for age, gender, body mass index and hip function with 60 patients operated using a conventional posterior approach. Material and methods: One will receive SuperPATH approach and the other will receive DAA. 2020 Sep 17;15(1):420. doi: 10.1186/s13018-020-01884-3. Home » Orthopaedics » Hip » SuperPath Hip Replacement. A cohort of 30 patients operated using the SuperPath approach was prospectively matched for age, gender, body mass index and hip function with 60 patients operated using a conventional posterior approach. French. SuperPATH is a very innovative development in hip replacement surgery that allows us to perform hip replacements in a manner which encourages quicker functional recovery and eliminates many of the limitations often placed on patients after hip replacement surgery. Schwarzer G. Meta: an R package for meta-analysis. Int Orthop. Study record managers: refer to the Data Element Definitions if submitting registration or results information. DAA approach has been used for many years, but it has a high learning curve and can be difficult for doctors to use, it is however linked with fewer complications when performed by an experienced doctor. Results: The direct anterior approach is the most direct approach to the hip joint going through a thinner amount of soft tissue (2 … Preoperatively, no significant differences were detected between cohorts. Abordaje Superpath; Abordaje posterior; Curva de aprendizaje; Learning curve; Outcomes; Posterior approach; Prótesis total cadera; Resultados; SuperPath approach; Total hip arthroplasty. To calculate Quality of Life, the mean of the other 4 subscores are taken to calculate the score. 2008 Jul;42(3):301-8. doi: 10.4103/0019-5413.41853. Reduced postoperative pain in total hip arthroplasty after minimal-invasive anterior approach. Nakata K, Nishikawa M, Yamamoto K, Hirota S, Yoshikawa H. A clinical comparative study of the direct anterior with mini-posterior approach: two consecutive series. Within days after surgery I did not need a walker or cane to walk around my bedroom. Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings. This study involves comparing the outcomes after using the Direct Anterior Approach (DAA) and the Supercapsular Percutaneously Assisted Total Hip (SuperPATH) approach. U.S. Department of Health and Human Services. The trauma, pain, and bleeding caused to these tissues is minimized by avoiding cutting the tendons around the hip. SuperPATH approach for hip replacement had a positive influence on … BETTER OUTCOMES. HHS Varin D, Lamontagne M, Beaulé PE. 2000 Nov;27(11):2635-41. Pre-operatively she was dependent on supplemental oxygen . It is the least invasive method of performing this operation and as such has benefits including early … 1996 Nov;12(4):659-78. Review. Chow J, Fitch DA. Achilles Tendon Tear Repair. The line is 100mm long. Why Should I Register and Submit Results? English, Introduction: SuperPATH is a new minimally invasive technique for hip replacement surgery that was introduced in Australia in 2013. The purpose of this study was to compare the SuperPath approach with the conventional posterior approach, in terms of early outcomes and radiological results. SMITH-PETERSEN MN, LARSON CB, et al. Dean Carlson You can not go to a better surgeon for hip replacement than Dr. Atkenson. J Arthroplasty. Direct Anterior Approach surgery to replace the hip. ], Readmission rates [ Time Frame: 3 months post-operatively ], Change in Timed-up-and-go (TUG) [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. ], Change in Complication rates [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 12 months post-operatively. The aim of this study was to assess short-term patient outcomes and At 3 months the SuperPath cohort showed better results for IHOT-12, and at 12 months for SF. Length of stay was similar between cohorts. [Comparison of effectiveness between SuperPATH approach and posterolateral approach in total hip arthroplasty]. The direct anterior approach in total hip arthroplasty: a systematic review of the literature. Epub 2014 Nov 16. 2009 Aug;24(5):698-704. doi: 10.1016/j.arth.2008.04.012. Total hip arthroplasty through a minimally invasive anterior surgical approach. Cartilage restoration is a surgical procedure where orthopedic surgeons stimulate the g.. J Orthop Traumatol. These are two approaches to hip replacement that both replace hips without cutting any muscles. The Superpath approach was associated with longer skin-to-skin operation time, and greater blood loss. 2009 Jul;40(3):329-42. doi: 10.1016/j.ocl.2009.03.001. Presse Med. There is no current consensus on the most suitable hip approach. To measure pain. Does the anterior approach for THA provide closer-to-normal lower-limb motion? Indian J Orthop. ], Change in Visual Analog Scale (VAS) Pain Score [ Time Frame: This is from baseline (can be measured anytime to a maximum of one month before surgery) to 2 weeks post-operatively. Would you like email updates of new search results?  |  What … A SuperPath® Hip Replacement is designed to precisely reconstruct the hip without cutting critical tendons and stretching or traumatizing muscles that are important to hip function. Complications such as fractures that the participant experiences will be assessed, Any readmission rates for the participant, The time it takes for the participant to get up from a chair walk 3 metres forward and back and sit back down. SuperPATH® Minimally Invasive Total Hip Arthroplasty - An Australian Experience Qurashi S 1, Chinnappa J 1, Rositano P 1, Asha S 2 Abstract Introduction: SuperPATH® is a new minimally invasive technique for hip replacement surgery that was introduced in Australia in 2013. 2015 May;39(5):847-51. doi: 10.1007/s00264-014-2587-4. Unlike minimally invasive surgical approaches, SuperPath ® does not restrict implant choice or compromise surgical exposure. J Orthop Surg Res. Epub 2011 May 25. “SuperPath ® hip replacement, by virtue of its tissue sparing nature, results in minimal post operative pain, rapid rehabilitation and no postoperative bending restrictions. ], Subject is willing and able to complete required study visits and assessments, Subject is willing to sign the approved informed consent form, Subject has both a body mass index (BMI) and waist circumference measurements greater than 35.0kg/m2 and 102.0cm, respectively for men, and 35.0kg/m2 and 88.0cm, respectively for women at screening, Subject is currently enrolled in another clinical investigation related to lower limbs, which could affect the endpoints of this protocol, Subject has an emotional or neurological condition that would pre-empt their ability or willingness to participate in the study, Subject is currently incarcerated or has impending incarceration, Previous hip surgery or infection on ipsilateral hip. Kennon RE, Keggi JM, Wetmore RS, Zatorski LE, Huo MH, Keggi KJ. 2003;85-A Suppl 4:39-48. Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. I personally think that the rate of recovery between my anterior approach hip replacements and my superpath approach hip replacements are very similar. In recent years, the supercapsular percutaneously-assisted total hip (SuperPath) approach has been gradually adopted in THA surgery. It also shows cost-saving results, showing a reduced length of stay for patients and better 30-day readmission rates.

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