Assessment of the Learning Curve of Supercapsular Percutaneously Assisted Total Hip Arthroplasty in an Asian Population.

The supercapsular percutaneously assisted total hip (SuperPATH) approach is a microinvasive approach that was developed to minimize surgical disruption of soft tissue during routine total hip arthroplasty (THA). This study was aimed at assessing early outcomes and learning curves of the SuperPATH ap...

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Publicado en:BioMed Research International pp. 1 - 8
Autores principales: Lei, Pengfei, Liao, Zhan, Peng, Jiang, Li, Guang, Zhou, Qian, Xiao, Xiao, Yang, Chunhua
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 9/7/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/7/2020
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2020/5180458
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        atl: Assessment of the Learning Curve of Supercapsular Percutaneously Assisted Total Hip Arthroplasty in an Asian Population.
      aug:
        au:
          Lei, Pengfei
          Liao, Zhan
          Peng, Jiang
          Li, Guang
          Zhou, Qian
          Xiao, Xiao
          Yang, Chunhua
        affil: Department of Orthopedic Surgery, Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, Xiangya Hospital Central South University, Changsha, 410013 Hunan, China
      sug:
        subj:
          Arthroplasty, Replacement, Hip Methods
          Minimally Invasive Procedures Methods
          Treatment Outcomes Evaluation
          Human
          China
          Surgical Wound
          Blood Loss, Surgical
          Length of Stay
          Postoperative Complications
          Time Factors
          Descriptive Statistics
          Periprosthetic Fractures
          Clinical Assessment Tools
      ab: The supercapsular percutaneously assisted total hip (SuperPATH) approach is a microinvasive approach that was developed to minimize surgical disruption of soft tissue during routine total hip arthroplasty (THA). This study was aimed at assessing early outcomes and learning curves of the SuperPATH approach in one Chinese hospital's experience. Early outcomes of the first consecutive 78 SuperPATH cases (80 hips) performed by the same surgeon were evaluated. The patients were divided into 4 groups according to the surgical order. The incision, intraoperative blood loss, hospital stay, Harris hip score, and complication occurrence in each group were evaluated. Learning curves were assessed using operative time and intraoperative blood loss as surrogates. The operation time and intraoperative blood loss of groups A and B were more than those of groups C and D, and the difference was statistically significant (P < 0.05); however, there was no statistically significant difference between the two groups (group A vs. group B, P = 0.426 ; group A vs. group B, P = 0.426). There was no statistically significant difference in terms of incision length and hospital stay, and Harris hip score at the last follow-up was increased with statistically significant difference when compared with that preoperatively among the 4 groups. One case of periprosthetic fracture occurred in group A. No other complication, such as joint dislocation, sciatic nerve injury, prosthesis loosening, periprosthetic infection, and deep vein thromboembolism, occurred in the 4 groups. In summary, for surgeons who are familiar with the standard posterolateral approach, they could achieve more familiarity with SuperPATH after 40 cases of surgery.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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