Evidence map›Paper›PMID 33155561›Full record

ArticleActa orthopaedica et traumatologica turcica2020

Supercapsular percutaneously assisted total hip arthroplasty versus conventional posterior approach: Comparison of early functional results.

Heng Jiang, Li-Hong Wang, Yong-Xin Jin, Zhi-Ming Liu, Liang-Feng Xu, Xian-Yun Chen

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta orthopaedica et traumatologica turcica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Heng JiangClinic of Orthopedics, Tianxiang East Hospital, Yiwu, China.
Li-Hong WangDepartment of Orthopedics, Dongyang People's Hospital, Wenzhou Medical University, Wenzhou, China.
Yong-Xin JinClinic of Orthopedics, Tianxiang East Hospital, Yiwu, China.
Zhi-Ming LiuClinic of Orthopedics, Tianxiang East Hospital, Yiwu, China.
Liang-Feng XuClinic of Orthopedics, Tianxiang East Hospital, Yiwu, China.
Xian-Yun ChenClinic of Orthopedics, Tianxiang East Hospital, Yiwu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to explore the early functional results of total hip arthroplasty (THA) using the supercapsular percutaneously assisted total hip (SuperPATH) microposterior approach.

methodsIn this retrospective study, 58 patients treated with THA from October 2015 to April 2016 in our hospital were enrolled. A total of 28 patients (11 men and 17 women; mean age: 74.95±7.06 years) were operated on using the SuperPATH approach (group 1), and the remaining 30 patients (12 men and 18 women; mean age: 75.63±7.89 years) were operated on using the conventional posterior approach (group 2). To summarize the early functional results of the SuperPATH approach, we retrospectively analyzed the following demographics, perioperative factors, and measures of joint function: age, sex, preoperative diagnosis, preoperative visual analog scale (VAS) for pain, body mass index, the American Society of Anesthesiologists physical status, operation time (skin-to-skin), intraoperative bleeding, incision length, postoperative VAS, Harris Hip Score (HHS), Barthel Index (BI), length of hospital stay, positioning of the implants, and postoperative complications.

resultsAll 58 operations were successfully completed, and the average follow-up time was 45 (45.03±2.44) months. The patients in group 1 had shorter incision length (8.84±0.59 versus 13.26±2.41 cm) and length of stay (7.86±0.51 versus 10.80±1.93 days), lower postoperative VAS score (2.43±0.69 versus 3.13±0.94), and better postoperative HHS (88.37±4.31 versus 83.81±6.00) and BI (91.47±5.27 versus 83.59±6.83) at 3 months than the patients in group 2; however, group 1 patients had longer operation time (113.95±25.36 versus 87.22±25.43 min) than group 2 patients (all P<0.05). No significant intergroup differences were found with respect to intraoperative bleeding, cup abduction angle, anteversion angle, and stem positioning. During the follow-up, no deep venous thrombosis, postoperative infection, and hip dislocation were observed in any patient.

conclusionCompared with the conventional posterior approach, the SuperPATH approach provided better early functional results with less postoperative pain and shorter hospitalization time. However, the operation time was longer in the SuperPATH approach group. LEVEL OF EVIDENCE: Level III, Therapeutic study.

Indexed as

Enhanced Recovery After SurgeryOperative TimePostoperative PainAgedArthroplasty, Replacement, HipComparative Effectiveness ResearchFemaleHumansLength of StayMaleOutcome and Process Assessment, Health CareRecovery of FunctionRetrospective Studies

Identifiers

PMID33155561
PMCPMC7646623

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