A Systematic Review and Meta-Analysis of Supercapsular Percutaneously Assisted Total Hip Arthroplasty Versus Standard Posterior Approach for Femoral Neck Fracture in Elderly Patients.

Zhicheng Pan, Shibo Zhou, Wangxin Liu, Enpeng Gu
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Abstract

Introduction: This meta-analysis aimed to evaluate the efficacy and safety of the supercapsular percutaneously assisted total hip arthroplasty (SuperPATH) and the standard posterior approach in hip arthroplasty in treating femoral neck fractures in elderly patients.

Method: A systematic search was conducted for studies from 2012 to December 2022. Meta-analysis was conducted using Review Manager 5.3 on surgical time, intraoperative blood loss, Harris hip scores, and visual analog scale scores.

Result: A total of 26 studies involving 2,236 patients with femoral neck fractures were included. The SuperPATH group performed better than traditional posterior approach group in reducing intraoperative blood loss (in ml), shortening incision length (in cm), length of hospitalization period (in days) and improving Harris Hip score (HHS). The operation time took longer than the traditional posterior approach, with statistically significant differences. The VAS scores at 1 week and 3 months after surgery in the SuperPATH group were lower than those of the traditional posterior approach, with statistically significant differences. There was no statistical significance between the two groups in VAS scores 2 weeks and 1 month after surgery.

Conclusion: The SuperPATH group resulted in better effects in reducing intraoperative blood loss (in ml), shortening incision length (in cm), length of hospitalization period (in days), and improving Harris hip score (HHS), which is conducive to the rapid postoperative recovery of patients.

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上囊经皮辅助全髋关节置换术与标准后路治疗老年股骨颈骨折的系统性回顾和荟萃分析。
简介:这项荟萃分析旨在评估经皮辅助上囊全髋关节置换术(SuperPATH)和标准后路髋关节置换术治疗老年患者股骨颈骨折的有效性和安全性:对2012年至2022年12月期间的研究进行了系统检索。使用Review Manager 5.3对手术时间、术中失血量、Harris髋关节评分和视觉模拟评分进行了元分析:共纳入26项研究,涉及2236名股骨颈骨折患者。SuperPATH 组在减少术中失血量(毫升)、缩短切口长度(厘米)、缩短住院时间(天)和改善 Harris 髋关节评分(HHS)方面均优于传统后路组。手术时间比传统后路法长,差异有统计学意义。SuperPATH 组术后 1 周和 3 个月的 VAS 评分低于传统后路手术组,差异有统计学意义。两组术后 2 周和 1 个月的 VAS 评分差异无统计学意义:结论:SuperPATH 组在减少术中失血量(毫升)、缩短切口长度(厘米)、缩短住院时间(天)和改善 Harris 髋关节评分(HHS)方面效果更好,有利于患者术后快速康复。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
期刊最新文献
Congenital Pseudoarthrosis of the Clavicle in a Softball Player. Comments on "Readability Analysis of Patient Education Material on Rotator Cuff Injuries From the Top 25 Ranking Orthopedic Institutions". Is Magnetic Resonance Imaging Overused Among Patients Undergoing Total Knee Arthroplasty? Sacral U-type Fractures in Patients Older Than 65 years. A Systematic Review and Meta-Analysis of Supercapsular Percutaneously Assisted Total Hip Arthroplasty Versus Standard Posterior Approach for Femoral Neck Fracture in Elderly Patients.
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