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Comparison of SuperPATH Approach and Moore Approach for Total Hip Arthroplasty in Patients With Femoral Neck
Yiming Wang1, Ke Qi1
1Department of Joint Bone Disease Surgery, Changhai Hospital, Naval Medical University, 200433 Shanghai, China.
Aims:
Femoral neck fractures require total hip arthroplasty for treatment; however, the efficacy comparison between the Moore approach and the SuperPATH approach remains unclear. This study aims to explore the clinical efficacy of the SuperPATH approach and the Moore approach in total hip arthroplasty for patients with femoral neck fractures.
Methods:
A retrospective analysis of the clinical data of 110 patients with femoral neck fractures treated at Changhai Hospital from September 2021 to September 2024. According to the different approaches used for total hip arthroplasty, patients were divided into a SuperPATH group (SuperPATH approach, n = 50) and a Moore group (Moore approach, n = 60). Baseline information, operative parameters, inflammatory response, visual analogue scale (VAS) scores, Harris scores, 10‑meter walking time, and complication rates were compared between the two groups.
Results:
Compared with the Moore group, the SuperPATH group had shorter operative time and incision length (p < 0.05), less intraoperative blood loss (p < 0.001), earlier time to first ambulation (p < 0.05), and shorter hospital stay (p < 0.001). On postoperative day 7, the inflammatory level in the Moore group was significantly higher than that in the SuperPATH group (p < 0.05). Compared with the Moore group, the VAS score of the SuperPATH group was lower on the first day, 7 days, and 1 month after the operation (p < 0.001). In the first week, one month, and three months after the operation, the Harris score of the SuperPATH group was significantly higher than that of the Moore group (p < 0.001). Two and three months after the operation, the 10-meter walking time of the SuperPATH group was shorter than that of the Moore group (p < 0.05). The total incidence of complications in the SuperPATH group was lower than that in the Moore group (χ2 = 4.685, p = 0.030).
Conclusions:
Compared with the Moore approach, the SuperPATH approach for total hip arthroplasty in the treatment of femoral neck fractures has more advantages. It can shorten the operation time, reduce surgical trauma and inflammatory reactions, alleviate postoperative pain, improve joint function and walking ability, and reduce the incidence of complications.
