Evidence map›Paper›PMID 35101011›Full record

ArticleBMC musculoskeletal disorders2022

Radiographic results on acetabular cup placement with the SuperPath technique: a retrospective study of 756 cases.

Agostino Di Maro, Santo Creaco, Mattia Albini, Mahfuz Latiff, Marco Merlo

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

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

  1. Superior outcomes of total hip arthroplasty without prior lumbar arthrodesis: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Pooled it
  2. The Influence of Cup Orientation on the Primary Fixation of a Hemispherical Cementless Acetabular Cup: A Cohort Based Finite Element Study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  3. [Automatic measurement of acetabular cup anteversion angle using an accurate recognition technology based on improved Otsu algorithm and feature point].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
  4. 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

5 authors.

Agostino Di MaroDepartment of Orthopaedics and Trauma Surgery of Ospedale di Circolo Busto Arsizio, ASST Valle Olona, Via Arnaldo da Brescia,1, Varese, Italy. agostino.dimaro88@gmail.com.
Santo CreacoDepartment of Orthopaedics and Trauma Surgery of Ospedale di Circolo Busto Arsizio, ASST Valle Olona, Via Arnaldo da Brescia,1, Varese, Italy.
Mattia AlbiniDepartment of Orthopaedics and Trauma Surgery of Ospedale di Circolo Fondazione Macchi Varese, ASST Sette Laghi, Viale Borri 57, Varese, Italy.
Mahfuz LatiffDepartment of Orthopaedics and Trauma Surgery of Ospedale di Circolo Fondazione Macchi Varese, ASST Sette Laghi, Viale Borri 57, Varese, Italy.
Marco MerloDepartment of Orthopaedics and Trauma Surgery of Ospedale di Circolo Busto Arsizio, ASST Valle Olona, Via Arnaldo da Brescia,1, Varese, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Supercapsular percutaneously assisted total hip (SuperPath) technique is a relatively new minimally invasive approach for total hip arthroplasty (THA). Good clinical outcomes related to its use are reported in the literature. Nonetheless, there are still uncertainties about its validity in terms of radiographic outcomes. Main purpose of the study is to evaluate the effectiveness of the SuperPath in acetabular cup positioning through radiographic evaluation of acetabular inclination angle (IA) and acetabular anteversion (AA) angle within the safe zone described by Lewinnek. The leg length discrepancy (LLD), femoral offset (FO), and acetabular offset (AO) were also measured to ascertain the radiographic effectiveness of SuperPath in the acetabular cup placement.

methodsBetween January 2016 and December 2019, all SuperPath cases eligible for the study were included. They were operated by three orthopaedic surgeons with long-standing experience in THA via conventional posterolateral approach and who have performed SuperPath training fellowship. The Mann-Whitney U test was used for statistical assessments (p-value < 0.05). Means ± standard deviation (SD) of the radiographic IA and AA were calculated for each year.

resultsA retrospective analysis of 756 THAs was performed. The average percentage of IA within the Lewinnek's safe zone was from 80 to 85%, while the average percentage of AA was from 76 to 79%. Both IA and AA showed no statistically significant difference between two consecutive years. Good results, in the ranges of normal values, were also obtained for LLD, FO and AO, with homogeneous outcomes between 1 year and the following one.

conclusionIt is possible to achieve good radiographic values of acetabular cup orientation through the SuperPath within the Lewinnek's safe zone. These results are similar to those reported in the literature by authors using SuperPath. Low rate (0,3%) of hip dislocations were reported. Therefore, the SuperPath technique represents a good alternative THA approach. Nevertheless, there is not a statistically significant improvement in these radiographic parameters over a four-year time. LEVEL OF EVIDENCE: Level IV, retrospective study.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumHumansLeg Length InequalityRetrospective Studies

Identifiers

PMID35101011
PMCPMC8802501

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.