SuperPATH Approach And Conventional Posterolateral Approach The Early Clinical Effect Of Total Hip Arthroplasty Of Meta-analysis

Objective: Through the method of Meta analysis,compare one group with superpath approach and the other group with posterolateral surgery to analyze the clinical treatment effects of the two approaches in THA.Choose the appropriate approach to provide some help.Methods: Retrieve documents from Pub Med,Web of Science,Embase,Pro Quest,cochranelibrary,Springer,Ovid,EBSCO,Science Direct,CNKI,Wanfang,and Weipu databases through computers.The retrieval date is from the establishment of the database to March 31,2021.Collect all RCT studies on the clinical efficacy of SuperPATH approach and posterolateral approach in THA.According to the pre-set standards,two non-interfering researchers screened and collected the studies,and evaluated the quality of the included studies through the tools downloaded on the Cochrane official website;then extracted the data for the included studies;the final indicator of this analysis was surgery Time required,HHS score,blood loss during surgery,hospital stay,incision length during surgery,VAS score after surgery,time to get out of bed for the first time after surgery,drainage volume and complications after surgery.Data analysis by Rev Man5.3 software.Results: A total of 14 RCT studies were included,with a total sample size of 1214 cases in the two groups,559 cases in the Super PAH approach group,and 655 cases in the posterolateral group.The results showed that the HHS score in the SuperPATH group 6 months after the operation was higher,and the difference was significant(MD value=0.60,95%CI [0.13,1.07],P=0.01);the operation time in the SuperPATH group was longer and the difference was significant(MD Value=15.70,95%CI[8.48,22.91],P<0.0001);the incision in the SuperPATH group was shorter,and the difference was significant(MD value=-4.75,95%CI[-6.27,-3.23],P<0.00001);SuperPATH The intraoperative blood loss in the two groups was less,and the difference was significant(MD value=-90.17,95%CI[-126.62,-53.72],P<0.00001);The length of hospitalization in SuperPATH group was shorter and the difference was significant(MD value =-2.35,95%CI [-4.13,-0.57],P=0.010);the time required to get out of bed for the first time after surgery in the SuperPATH group was shorter,and the difference was significant(MD value=-50.67,95% CI[-75.88,-25.46],P<0.0001);There was no significant difference in VAS scores between the two groups at 3 months after surgery(MD value =-0.08,95% CI [-0.23,0.08],P = 0.33);postoperative drainage in the superpath group was less,and the difference was significant(MD value =-151.19,95%CI [-228.32,-74.06],P=0.0001);the postoperative infection rate of the two groups was similar,with no significant difference(RR value=0.22,95%CI[0.05,1.00],P=0.05);There was no significant difference in anteversion between the two groups(MD =-0.02,95% CI [-0.38,0.35],P = 0.93);There was no significant difference in abduction angle between the two groups(MD =-3.12,95% CI [-6.35,0.12],P = 0.06).Conclusion: The short-term efficacy of the SuperPATH approach in total hip arthroplasty(THA)is better than that of the posterolateral approach.