Evidence map›Paper›PMID 28946892›Full record

Trial reportJournal of orthopaedic surgery and research2017

Comparison of supercapsular percutaneously assisted approach total hip versus conventional posterior approach for total hip arthroplasty: a prospective, randomized controlled trial.

Jun Xie, Hongxi Zhang, Lei Wang, Xiang Yao, Zhanpeng Pan, Qinyi Jiang

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03746925 (Randomized Control Trial Comparing Short-term Outcomes After Direct Anterior and SuperPATH Approaches), which is not on this map. Cited by 32 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 11 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03746925 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Randomized Control Trial Comparing Short-term Outcomes After Direct Anterior and SuperPATH Approaches

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2019 to 2023Enrolled100ConditionsArthroplasty, Replacement, HipArmsDirect Anterior Approach (DAA), SuperPATH
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 11 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Imageless navigation for primary total hip arthroplasty: a meta-analysis study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jun XieDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China.
Hongxi ZhangDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China.
Lei WangDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China. wanglei0505779@126.com.
Xiang YaoDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China.
Zhanpeng PanDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China.
Qinyi JiangDepartment of Orthopedics, The Affiliated People's Hospital, Jiangsu University, Dianli Road 8, Jiangsu Province, Zhenjiang, 212001, China.
Affiliated Hospital of Jiangsu University · CNJiangsu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) has been one of the most successful orthopedic procedures over the past 30 years. Nowadays, the techniques of exposure for THA have undergone great changes, allowing surgeons to perform THA through mini-incisions. Recently, a novel minimally invasive surgical technique of the supercapsular percutaneously assisted total hip arthroplasty was reported in 2011. The purpose of this study was to compare the SuperPath approach with the conventional posterior approach, in terms early outcomes and radiologic results.

methodsNinety-two consecutive unilateral primary hip osteoarthritis adult patients were randomly divided into two groups. Forty-six patients (SuperPath group) were operated on using the SuperPath approach, and 46 patients (conventional group) were operated on with the conventional posterior approach. Outcomes were evaluated using preoperative index, intraoperative data, and postoperative function data. The positioning of the implants was analyzed by radiography.

resultsNo significant difference was detected in skin-to-skin operation time, blood loss, transfusion rate, postoperative complications, abduction angle, anteversion angle, and stem alignments. The incision length and length of stay (LOS) in the SuperPath group were significantly lower. The VAS score in the SuperPath group at the 1-week, 1-month and 3-month postoperative intervals were lower than those VAS scores in the conventional group. The Harris Hip Score and Barthel Index (BI) for Activities of Daily Living in the SuperPath group were significantly higher at the 1- and 3-month follow-up intervals and were not significantly different 1 year after operation.

conclusionsThis prospective randomized study reveals that the SuperPath technique was associated with shorter LOS, earlier time to walk and climb, and lower postoperative pain levels. It also allowed early postoperative rehabilitation and faster recovery than conventional technique.

Indexed as

Activities of Daily LivingAgedArthroplasty, Replacement, HipFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresOsteoarthritis, HipPain MeasurementPostoperative PainProspective StudiesRadiographyRecovery of FunctionHarris Hip Score(HHS)Length of stay (LOS)Minimally invasive surgery (MIS)SuperPath posterior approachTotal hip arthroplasty (THA)Visual analog scale (VAS)

Identifiers

PMID28946892
PMCPMC5613398
OpenAlexW2758724963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.