SuperPATH® Minimally Invasive Total Hip Arthroplasty - An Australian Experience

Authors

  • Suleman Qurashi Department of Orthopaedic Surgery, The Canterbury Hospital, Canterbury, NSW, Australia Harbour City Orthopaedics, Sydney, NSW, Australia
  • Jason Chinnappa The Canterbury Hospital, Canterbury, NSW, Australia
  • Pasquale Rositano The Canterbury Hospital, Canterbury, NSW, Australia
  • Stephen Asha St. George Hospital, Kogarah, NSW, Australia

DOI:

https://doi.org/10.15438/rr.6.2.139

Keywords:

Arthroplasty, Replacement, Hip, Minimally Invasive Surgical Procedures, Patient Outcome Assessment, Learning Curve, Complications

Abstract

Introduction: SuperPATH is a new minimally invasive technique for hip replacement surgery that was introduced in Australia in 2013. The aim of this study was to assess short-term patient outcomes and surgical results of SuperPATH hip replacements in Australia.

Methods: A retrospective cohort analysis of the first 100 SuperPATH hip replacements by a single surgeon was performed. Surgical outcomes were reviewed with a minimum follow-up of 1 year post operation. A functional and patient satisfaction questionnaire was administered at a minimum of 6 weeks post operation.

Results: There were 3 major complications with 1 revision operation in this series. There were no dislocations. By 2 weeks post operation, 86% of patients were ambulant without walking aids, 84% of patients were able to dress themselves independently and 91% of patients did not need opioid analgesia. 81% of patients were driving within 4 weeks of surgery. Of patients who were working full-time prior to surgery, 33% of them were back at work or functional baseline within 1 week post surgery, and 52% by 2 weeks. 100% of patients were extremely satisfied with the operation.

Conclusion: We conclude that SuperPATH is a safe technique of hip arthroplasty with excellent functional recovery and patient satisfaction.

Author Biographies

Jason Chinnappa, The Canterbury Hospital, Canterbury, NSW, Australia

MBBS, MS (Ortho)

Department of Orthopaedic Surgery

Pasquale Rositano, The Canterbury Hospital, Canterbury, NSW, Australia

MBBS

Department of Orthopaedic Surgery

Stephen Asha, St. George Hospital, Kogarah, NSW, Australia

MBBS, FACEM

Department of Emergency Medicine

References

Learmonth ID, Young C, Rorabeck C. The operation of the century: total hip replacement. Lancet. 2007 Oct 27;370(9597):1508–19.

Marecek GS, Schafer MF. Driving after orthopaedic surgery. J Am Acad Orthop Surg. 2013 Nov;21(11):696–706.

Cowie JG, Turnbull GS, Turnball GS, Ker AM, Breusch SJ. Return to work and sports after total hip replacement. Arch Orthop Trauma Surg. 2013 May;133(5):695–700.

Sankar A, Davis AM, Palaganas MP, Beaton DE, Badley EM, Gignac MA. Return to work and workplace activity limitations following total hip or knee replacement. Osteoarthr Cartil. 2013 Oct;21(10):1485–93.

Chow J, Penenberg B, Murphy S. Modified micro-superior percutaneously-assisted total hip: early experiences & case reports. Curr Rev Musculoskelet Med. 2011 Sep;4(3):146–50.

About SuperPath® Hip Replacement | SuperPath® Hip Replacement [Internet]. [cited 2015 May 17]. Available from: http://www.superpathhiptechnique.com/physicians/about-superpath.asp

Harris WH. Traumatic Arthritis of the Hip after Dislocation and Acetabular Fractures: Treatment by Mold Arthroplasty. J Bone Joint Surg Am. 1969 Jun 1;51(4):737–55.

Berger RA, Jacobs JJ, Meneghini RM, Della Valle C, Paprosky W, Rosenberg AG. Rapid Rehabilitation and Recovery with Minimally Invasive Total Hip Arthroplasty: Clinical Orthopaedics and Related Research. 2004 Dec;429:239–47.

Hallert O, Li Y, Brismar H, Lindgren U. The direct anterior approach: initial experience of a minimally invasive technique for total hip arthroplasty. J Orthop Surg Res. 2012;7:17.

Gofton W, Fitch DA. In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement. Int Orthop. 2015 Jul 9;

Della Torre PK, Fitch DA, Chow JC. Supercapsular percutaneously-assisted total hip arthroplasty: radiographic outcomes and surgical technique. Ann Transl Med. 2015 Aug;3(13):180.

Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res. 2002 Dec;(405):46–53.

Sariali E, Leonard P, Mamoudy P. Dislocation after total hip arthroplasty using Hueter anterior approach. J Arthroplasty. 2008 Feb;23(2):266–72.

Soong M, Rubash HE, Macaulay W. Dislocation after total hip arthroplasty. J Am Acad Orthop Surg. 2004 Oct;12(5):314–21.

Australian Orthopaedic Association National Joint Replacement Registry. Adelaide: AOA; 2014.

García-Juárez JD, Bravo-Bernabé PA, García-Hernández A, Jiménez-Cabuto CI, García-Rosas MS. [Incidence and effect of leg length discrepancy after total hip arthroplasty]. Acta Ortop Mex. 2013 Feb;27(1):43–6.

Wylde V, Whitehouse SL, Taylor AH, Pattison GT, Bannister GC, Blom AW. Prevalence and functional impact of patient-perceived leg length discrepancy after hip replacement. Int Orthop. 2009 Aug;33(4):905–9.

MacLeod K, Lingham A, Chatha H, Lewis J, Parkes A, Grange S, et al. “When can I return to driving?”: a review of the current literature on returning to driving after lower limb injury or arthroplasty. Bone Joint J. 2013 Mar;95-B(3):290–4.

Assessing Fitness to Drive - Austroads [Internet]. [cited 2015 Sep 10]. Available from: http://www.austroads.com.au/drivers-vehicles/assessing-fitness-to-drive

Nuñez VA, Giddins GEB. “Doctor, when can I drive?”: an update on the medico-legal aspects of driving following an injury or operation. Injury. 2004 Sep;35(9):888–90.

Arthroplasty Society of Australia- Position Statement on Driving after Total Hip and Knee Replacement Surgery [Internet]. [cited 2015 Jun 16]. Available from: https://www.aoa.org.au/docs/default-source/subspecialties/arthposdrive.pdf?sfvrsn=2

Published

2016-07-15

How to Cite

Qurashi, S., Chinnappa, J., Rositano, P., & Asha, S. (2016). SuperPATH® Minimally Invasive Total Hip Arthroplasty - An Australian Experience. Reconstructive Review, 6(2). https://doi.org/10.15438/rr.6.2.139

Issue

Vol. 6 No. 2 (2016)

Section

Original Article

Copyright (c) 2016 Suleman Qurashi, Jason Chinnappa, Pasquale Rositano, Stephen Asha

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright and License Agreement: 

Authors who publish with the Reconstructive Review agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work. Reconstructive Review follows the Creative Commons Attribution-NonCommercial CC BY-NC. This license allows anyone to download works, build upon the material, and share them with others for non-commercial purposes as long as they credit the senior author, Reconstructive Review, and the Joint Implant Surgery & Research Foundation (JISRF). An example credit would be: "Courtesy of (senior author's name), Reconstructive Review, JISRF, Chagrin Falls, Ohio". While works can be downloaded and shared they cannot be used commercially.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.