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Posterior Approaches

Posterior Approaches

SuperPath®

What is SuperPath?

Faster Return to Function.
Fewer Complications.

Lower Cost of Care.

A growing number of experienced surgeons across the world have embraced SuperPath as their preferred total hip technique to deliver faster recovery to patients.  When compared to national averages, patients treated with the SuperPath® Hip Technique have stayed in the hospital for a shorter amount of time, been discharged directly to their home more often, and are less likely to return within 30 days for any reason—all without the typical postoperative hip restrictions associated with traditional THA techniques.


  Download SuperPath® Brochure           

  Download SuperPath® Surgical Technique
 
    Access Health on SuperPath®

     
    Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery.

    Key Aspects

    • Superior capsulotomy that utilizes the interval between the gluteus medius and piriformis
    • Preserves entire capsule, external rotators and iliotibial band
    • In-situ femoral preparation without surgical dislocation to reduce the risk of femoral fracture
    • Portal-assisted acetabular preparation
    • Incorporates shoulder surgery techniques to allow for “mobile window”
    • Familiar patient positioning, anatomic landmarks and extensile approach to maintain OR consistency
    • No special table required
    • Hybrid approach combining SuperCap’scapsulotomy and femoral preparation with Path’s acetabular preparation
    • Published first use in 2008
    SuperPath® Surgical Animation

    Comparative Results


    30-day all-cause readmission rate defined as the percentage of patients who had a subsequent hospital admission in the same or a different hospital within 30 days of their THA procedure for any reason.1,3
     
    Transfusion rate was defined as the percentage of patients requiring a transfusion of any kind. Transfusion rates varied from 0.7 to 8.0% for the three centers. This was expected as each center had its own anticoagulation and transfusion protocols.1,4



      Discharge status indicated the disposition of the patient at discharge from the hospital (home, skilled nursing facility, home health care, inpatient rehabilitation facility).1,2
       

      Length of stay was defined as the number of nights the patient remained in the hospital. Length of stay was zero days if the patient was admitted and discharged on the same day.1,2

      SuperPath results as compared to traditional THA techniques.  Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. 

      References

      1. Gofton, W; Chow, J; Olsen, KD; Fitch, DA.  Thirty-day readmission rate and discharge status following hip arthroplasty using supercapsular percutaneously-assisted total hip surgical technique.  Int Orthop.  2015; 39:847-851.
      2. AHRQ HCUPnet (2012) Agency for Healthcare Research and Quality H-CUPnet Database, ICD-9-CM Code 81.51 for United States in 2011. http://hcupnet.ahrq.gov/HCUPnet.jsp. Accessed 4 Sept 2014.
         
      3. Pugely AJ, Callagham JJ, Martin CT, Cram P, Gao Y (2013) Incidence of and risk factors for 30-day readmission following elective primary total joint arthroplasty: analysis from the ACS-NSQIP. J Arthroplast 28(9):1499-1504. Doi:10.1016/j.arth.2013.06.032.
         
      4. Yoshihara H, Yoneoka D (2014) National trends in the utilization of blood transfusions in total hip and knee arthroplasty. J Arthroplast 29(10):1932-1937. doi:10.1016/j.arth.2014.04.029.


      SuperCap®

      What is SuperCap?

      Superior Capsulotomy.
      In-Situ Femoral Preparation.
      Direct Visualization.

      The SuperCap® Total Hip Replacement technique was the original design to access the capsule superiorly while preserving soft tissue in the approach.  The approach allows for implantation of total hip components under direct vision through a single incision.  SuperCap does not dislocate or resect the femur prior to preparation, reducing the risk of femoral fracture and preserving the posterior capsule, and maintains the external rotators for fast patient recovery. 



        Download SuperCap® Surgical Technique
       

        There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery.

        Key Aspects

        • Superior capsulotomy with trans-piriformis interval between gluteus minimus and conjoined tendon
        • Preserves capsule and external rotators
        • In-situ femoral preparation without surgical dislocation to reduce the possibility of femoral fractures
        • Acetabular preparation/implant placement through same single incision
        • Offset tooling and reamer
        • Published first use in 2003
         

        Clinical Data

         
         


        Path®

        What is Path®?

        Direct Posterior Access.
        Accelerated Recovery.
        Reproducible Technique.

        Path® (Percutaneously Assisted Total Hip) is called the “Direct Posterior Approach” because it spares key muscles, tendons and soft tissue to optimize THA outcomes and allow for faster patient recovery than traditional approaches.  However, by utilizing familiar patient positioning and anatomic landmarks, potential complications often found in other less invasive approaches are reduced.  Portal assisted acetabular positioning allows the surgeon to achieve consistent and accurate cup placement with minimal soft tissue disruption without the need for navigational tools (Daluga, 2012).

         

         
        Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery.

        Key Aspects

        • Preserves Iliotibial Band, Quadrates Femoris and Obturator Externus
        • Allows for surgical dislocation of the femur if desired
        • Portal allows for tension free acetabular preparation with no tooling obscuring main wound visibility
        • Opportunity for stepwise learning curve
        • Applicable to obese patients, muscular patients, and patients with protrusio or varus hips
        • Published first use in 2004

         

        Clinical Data