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SuperPath: The Direct Superior Portal-Assisted Total Hip Approach
1Hedley Orthopaedic Institute, Phoenix, Arizona.
JBJS Essential Surgical Techniques
|September 21, 2018
Summary
The SuperPath approach for total hip arthroplasty (THA) offers muscle-sparing benefits and promotes faster recovery. This minimally invasive technique resulted in low readmission and transfusion rates, with most patients discharged home quickly.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Arthroplasty
Background:
- Total hip arthroplasty (THA) is a common procedure for hip joint issues.
- Traditional THA approaches can involve significant muscle dissection.
- Minimally invasive techniques aim to reduce morbidity and improve patient outcomes.
Purpose of the Study:
- To describe the Supercapsular Percutaneously Assisted Total Hip (SuperPath) surgical technique.
- To evaluate the early outcomes and feasibility of the SuperPath approach for THA.
Main Methods:
- The SuperPath approach is a direct superior portal-assisted technique.
- It accesses the hip capsule between the gluteus minimus and piriformis muscles.
- Key steps include specific patient positioning, muscle-splitting exposure, capsular incision, femoral and acetabular preparation, and implant placement through portals.
Main Results:
- A multicenter study of nearly 500 SuperPath THAs reported a 30-day all-cause readmission rate of 2.3%.
- The transfusion rate was 3.3%.
- Average length of stay was 1.6 days, with 91% of patients discharged directly home.
Conclusions:
- The SuperPath approach is a viable muscle-sparing alternative for THA.
- It is associated with favorable early outcomes, including low complication rates and short hospital stays.
- The technique facilitates early mobilization and potentially improved patient recovery.
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