Modified micro-superior percutaneously-assisted total hip: early experiences & case reports
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Because of the extensile nature and familiarity of the standard posterior-lateral approach to the hip, a family of “micro-posterior” approaches has been developed. This family includes the Percutaneously-Assisted Total Hip (PATH) approach, the Supercapsular (SuperCap) approach and a newer hybrid approach, the Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) approach. Such approaches should ideally provide a continuum for the surgeon: from a “micro” (external rotator sparing) posterior approach, to a “mini” (external rotator sacrificing) posterior approach, to a standard posterior approach. This could keep a surgeon within his comfort zone during the learning curve of the procedure, while leaving options for complicated reconstructions for the more practiced micro-posterior surgeons. This paper details one author’s experiences utilizing this combined approach, as well as permutations of this entire micro-posterior family of approaches as applied to more complex hip reconstructions.
KeywordsSuperPATH PATH SuperCap Micro-superior Hip Total Arthroplasty Minimally-invasive Micro-posterior Micro-invasive Replacement Percutaneous Assisted Direct-posterior Direct
J. Chow: consultant to Wright Medical Technology, Inc., Smith & Nephew; B. Penenberg: patents and royalties from Wright Medical Technology, Inc.; S. Murphy: Consultant to Ceramtec, GmbH; patents and royalties from Wright Medical Technology, Inc.; holds stock/stock options in Surgical Planning Associates, Inc.
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