In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement

Gofton, Wade; Fitch, David A.

doi:10.1007/s00264-015-2878-4

Cited by 30 publications

(31 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The cost difference increased to 36.1 % when implant costs were excluded. This agreed well with a recent study from Canada showing a 28.4 % reduction in in-hospital costs, excluding implants, when using SuperPath compared to the traditional lateral approach [7]. The current study is the first to examine the economic impact of using this technique in the United States.…”

Section: Discussionsupporting

confidence: 90%

“…A recent multicenter study found use of this technique reduced several key factors associated with the economic burden of THR including reductions in length of stay (LOS) of over 50 % (1.6 vs. 3.3 days) and 30-day readmission rates of nearly 2 % (2.3 vs. 4.2 %) when compared to previously reported averages in the United States [6]. Another study showed reductions of in-hospital costs of over 28 % at a centre in Canada when using SuperPath compared to the Hardinge approach [7]. While these reports suggest in-hospital costs could be reduced in the United States using this technique, there have yet to be any studies to confirm.…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique

Chow

Fitch²

2016

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 97%

In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique

Chow

Fitch²

2016

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

show abstract

“…Cardenas-Nylander C et al [29] showed that the average length of stay undergoing SuperPATH technology was 1.4 days, less than that of the conventional THA. Gofton W et al [30] conducted a study of 30-day readmission rates for 479 patients who performed THA. The results showed that the 30-day readmission rate for the SuperPATH minimally invasive total hip arthroplasty fell from 4.3-2.3% compared with conventional procedures.…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

Zhou

Chen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: To compare the clinical and radiographic results of supercapsular percutaneously assisted total hip (SuperPATH) approach and conventional approach by systematic review and meta-analysis. Methods: Based on a pre-published protocol (PROSPERO CRD42020177717), we systematically retrieved databases from Pubmed, Embase, Cochrane and Web of Knowledge for relevant literatures from the earliest available date to May 30, 2020. No language restriction was applied. RevMan 5.3 software was used to perform the meta-analysis. The methodological qualities were assessed using the guidelines provided by the Cochrane Collaboration for Systematic Reviews. Two reviewers were independently extracted data from all eligible studies, including types of studies, participants, interventions, and outcomes. Randomized or fixed-effect models were used to calculate the weighted mean difference (WMD), odds ratio (OR) for continuous and dichotomous variables, respectively.Results: 6 articles were included in the study and 526 patients were selected, which was including 233 cases in the SuperPATH groups, 279 cases in the conventional groups and 4 cases performed two surgeries in succession. The SuperPATH group demonstrated shorter incision length (WMD = - 7.87, 95 % CI - 10.05 to - 5.69, P < 0.00001), decreased blood transfusion rate (OR = 0.48, 95 % CI 0.25 to 0.89, P = 0.02), decreased visual analogue scale (VAS) (WMD = -0.40, 95 % CI - 0.72 to - 0.08, P = 0.03) and higher Harris hip score (HHS) (WMD = 1.98, 95 % CI 0.18 to 3.77, P = 0.0002) than those in the conventional group. However, there was no difference in VAS and HHS between the two groups half a year later. There was no significant difference in the acetabular abduction angle (WMD = - 1.32, P = 0.32) in either group. Conclusions: SuperPATH minimally invasive approach with its reduced tissue damage, quick postoperative recovery and early rehabilitation demonstrates the short-term advantages of hip arthroplasty. However, the evidence for SuperPATH technique was limited in the number of studies and short duration of follow-up, so long-term results still need further analysis.

show abstract

“…Rachbauer and colleagues defined "a minimal invasive surgery" with the following characteristics: a short skin incision, preventing muscle splitting and/or detachment, and preserving the joint capsule [34]. Previous studies claimed that the SuperPath, approach as a true tissue-sparing minimally invasive approach, has less muscle damage mainly due to the preservation of external rotators [12,15,16,[35][36][37]. Our data discovered indeed a considerably shorter incision length in the SuperPath approach, however, and identified a noticeably longer operation time, more intraoperative blood loss, and comparable extents of soft tissue damage in the SuperPath approach compared with the PLA approach within the first 2 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Supercapsular percutaneously-assisted total hip (SuperPath) versus posterolateral total hip arthroplasty in bilateral osteonecrosis of the femoral head: a pilot clinical trial

Meng

Huang

Wang

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: The supercapsular percutaneously-assisted total hip arthroplasty (SuperPath) was proposed to be minimally invasive and tissue sparing with possible superior postoperative outcomes to traditional approaches of total hip arthroplasty (THA). Here, we compared the short-term outcomes of staged THA with the SuperPath or through posterolateral approach (PLA) for bilateral osteonecrosis of the femoral head (ONFH). Methods: Patients with bilateral late-stage ONFH were prospectively recruited from our department from March 2017 to March 2018. Staged bilateral THAs with one side SuperPath and the other side PLA were performed consecutively in the same patients with right and left hips alternating within approaches. The average time interval between the staged THAs was 3 months. Perioperative status (operation time, incision length, intraoperative blood loss, soft tissue damage, and length of hospital stay) and postoperative function (range of motion, pain, and hip function) were recorded and compared between the SuperPath and PLA approaches within 12-month postoperatively. Results: Four male patients (age, 51.00 ± 4.54; BMI, 21.49 ± 1.73) with bilateral alcohol-induced ONFH (Ficat III/IV) were followed up over 12 months postoperatively. Compared with the PLA, the SuperPath yielded shorter incision length (7.62 vs. 11.12 cm), longer operation time (103.25 vs. 66.50 min), more blood loss (1108.50 vs. 843.50 ml), deficient abduction angle of the acetabular cup (38.75° vs. 44.50°), and inferior early-term hip function (Harris hip score, 72.50 vs. 83.25) at 12-month postoperatively. Soft tissue damage, length of hospital stay, postoperative pain, postoperative range of motion, and 12-month patient satisfaction were comparable between both approaches. Conclusion: The SuperPath may be a minimally invasive technique but the present study shows less favorable short-term outcomes than PLA for total hip arthroplasty in osteonecrosis of the femoral head. More investigations are required to provide convincing favorable evidences of the SuperPath over other traditional THA approaches.

show abstract

In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement

Cited by 30 publications

References 12 publications

In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique

In-hospital costs for total hip replacement performed using the supercapsular percutaneously-assisted total hip replacement surgical technique

A systematic review and meta-analysis of SuperPATH approach in hip arthroplasty

Supercapsular percutaneously-assisted total hip (SuperPath) versus posterolateral total hip arthroplasty in bilateral osteonecrosis of the femoral head: a pilot clinical trial

Contact Info

Product

Resources

About