• Department of Orthopedics, the Fourth Affiliated Hospital of China Medical University, Shenyang Liaoning, 110032, P.R.China;
ZHANG Zhiyu, Email: 2734891336@qq.com
Export PDF Favorites Scan Get Citation

Objective  To compare the effectiveness between SuperPATH approach and posterolateral approach in total hip arthroplasty (THA). Methods  Between January 2016 and December 2016, 84 patients with hip disease were included in the study and randomly divided into 2 groups. Forty patients were treated with THA via SuperPATH approach (SuperPATH group), and 44 patients were treated with THA via posterolateral approach (PSA group). There was no significant difference in gender, age, body mass index, the type of disease, the complicating diseases, and preoperative thrombosis of lower extremity and Harris score between 2 groups (P>0.05). The operation time, intraoperative blood loss, length of incision, postoperative drainage volume, unloaded activity time, Harris score, and short-form 36 health survey scale (SF-36) score were compared. The postoperative X-ray films were used to observe the position of joint prosthesis. Results  All patients were followed up 6-18 months (mean, 10.3 months). The operation time, intraoperative blood loss, length of incision, postoperative drainage volume, and unloaded activity time in SuperPATH group were significantly superior to those in PSA group (P<0.05). The Harris score at 2 weeks and 1 month after operation were significantly higher in SuperPATH group than that in PSA group (P<0.05). But there was no significant difference in the Harris scores at 3 and 6 months after operation between 2 groups (P>0.05). At last follow-up, the SF-36 scores were higher in SuperPATH group than those in PSA group (P<0.05). Postoperative X-ray films showed the joint prosthesis was in good position. Conclusion  THA via SuperPATH approach has the advantages of minimal invasion, safe, and rapid recovery, which is better than THA via posterolateral approach.

Citation: YUAN Hongmou, ZHU Jiajun, SUN Zhenguo, ZHANG Zhiyu. Comparison of effectiveness between SuperPATH approach and posterolateral approach in total hip arthroplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(1): 14-19. doi: 10.7507/1002-1892.201707121 Copy

  • Previous Article

    腰椎间隙鹑鸡肠球菌感染一例
  • Next Article

    Effectiveness of autologous femoral head bone graft in total hip arthroplasty for Crowe type developmental dysplasia of hip with acetabular bone defect