Evidence map›Paper›PMID 33525290›Full record

ReviewActa bio-medica : Atenei Parmensis2020

The role of superior capsular approach (SuperPATH) in the treatment of femoral neck fractures with hemiarthroplasty implantation: our experience and review of literature.

Michelangelo Scaglione, Francesco Casella, Michele Giuntoli, Fabio Celli, Luca Fabbri, Stefano Marchetti

Open access · greenAbstract readReview
In one paragraph

Review in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 41% 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.

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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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 1 institution in 1 country.

Michelangelo ScaglioneOrthopaedic Department, University of Pisa, Via Paradisa 2, 56100 Pisa, PI, Italy. michelangelo.scaglione@gmail.com.
Francesco CasellaOrthopaedic Department, University of Pisa, Via Paradisa 2, 56100 Pisa, PI, Italy. franz86.cs@hotmail.it.
Michele GiuntoliUniversità degli studi di Pisa. michelegiuntoli87@gmail.com.
Fabio CelliOrthopaedic Department, University of Pisa, Via Paradisa 2, 56100 Pisa, PI, Italy.. fabcel@tiscali.it.
Luca FabbriOrthopaedic Department, University of Pisa, Via Paradisa 2, 56100 Pisa, PI, Italy.. lucafabbri8@gmail.com.
Stefano Marchetti1st Orthopaedic Division, University of Pisa, Via Paradisa 2, 56100 Pisa, PI, Italy.. stefano.marchetti1@unipi.it.
University of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and aim of the worksince 2003, a series of so called 'micro-posterior' approaches have been developed in the orthopaedic surgery to perform total hip replacement. These techniques present several theoretical advantages compared to the classic postero-lateral approach: reduction in blood loss, post-operative pain, and length of stay but also improving functional outcomes. In our hypothesis these goals could also be obtained in patients with femoral neck fractures, especially in the elderly with several comorbidities.

methodsIn our series we performed 50 consecutive cemented hemiarthroplasties through SuperPATH approach. At the latest follow-up (FU) 41 patients were included in the study. Clinical and radiological evaluation was performed before the surgery and at the latest FU using VAS score, Harris Hip Score (HHS) and conventional AP and LL X-rays.

resultsWe didn't report any intra-operative complication (i.e. periprosthetic fractures, vasculo-nervous injuries or dislocations) or any case with a dysmetria greater than 1 cm. Mean blood transfusion units were 0.8 during surgery (0 - 4) and 1,6 after surgery (0-4). We reported a mean length of stay of 9.7 days (range 7-15) mainly due to our patients' high comorbidity rate. At the last one-year FU no cases of dislocation, infection and clinical or radiographical signs of prosthetic loosening were recorded. All our patients returned to the same activity level before femoral fracture occurred, according to HHS.

conclusionThe SuperPATH is a real minimally invasive approach with a low rate of intra- and post-operative complications. It is related to a reduced dislocation rate and potentially to a reduced infection rate compared to the conventional surgical approaches, allowing, furthermore, a faster functional recovery. According to our experience the advantages of this type of approach can be obtained in the trauma field too.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyPeriprosthetic FracturesAgedHumansPostoperative PainTreatment Outcome

Identifiers

PMID33525290
PMCPMC7927471
OpenAlexW3124173209

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

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.