1. < Joint Replacements
Profile picture for wmh9680

Has anyone had the SuperPATH hip replacement procedure?

Posted by wmh9680 @wmh9680, Oct 29, 2024

Has anyone had the SuperPath hip replacement, also known as Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) surgery, is a minimally invasive hip replacement technique that involves making a small incision into the hip to replace the hip joint:
Incision: A 2–3 inch incision is made on the side of the hip.
Hip position: The hip is kept in a natural, rested position during the surgery.
Soft tissue: The surgeon retracts the buttock muscles and tendons without cutting them.
Implant placement: The surgeon inserts the implants through the incision.
Recovery: Patients can often walk unassisted the day after surgery and leave the hospital without restrictions.

Interested in more discussions like this? Go to the Joint Replacements Support Group.

Profile picture for mmacpa
mmacpa | @mmacpa | 1 day ago
In reply to @tallbackhip "@sushar1 and @wmh9680 It sounds as though things go as well with "superpath" as anterior, posterior,..." + (show)
Profile picture for tallbackhip @tallbackhip

@sushar1 and @wmh9680

It sounds as though things go as well with "superpath" as anterior, posterior, or other approaches, based on your good reports. One or two published journal articles also indicate acceptable complications rates of 1 to 2 % per year, with "super" approach, similar to other approaches. (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2800844
If the article doesn't open up for you, you might search on reviews of hip replacement outcomes by approach. )

"Due diligence " is tricky, although all surgeons at accredited hospitals and ambulatory surgeries are undoubtedly monitored and peer reviewed, so that provides some reassurance ( they have to, to stay accredited and paid). I'm not aware of statistics published on success rates by surgeon similar to batting averages in baseball, hopefully all are >98 % per year year! "Caveat emptor" if the hospital is not accredited or pending accreditation, under new management, just emerged from financial troubles, or the information isn't available. Promotions, anecdotes from friends, and internet testimonials (such as ours) might be reassuring and worthwhile, but long standing reputation in the community and accreditation are suggested. If you are really lucky to know a couple of good orthopedic surgeons, ask who they recommend, it might be helpful?! (reference: book, "What Your Doctor May Not Tell You About Hip and Knee Replacement " by Grelsamer, MD)

Best wishes

Jump to this post

@tallbackhip

I am having my STAR surgery on the 22nd. I did alot of due-diligence and I am confident that my surgeon at HSS is the person for the surgery. She was trained by some of the leading pioneers who developed and perfected the procedure. I am not sure where you are located. In the NYC area.

REPLY
Profile picture for heavyphil
heavyphil | @heavyphil | 20 hours ago
In reply to @mmacpa "@heavyphil On the 22nd, I am having Star at HSS in Stamford, CT. How long did..." + (show)
Profile picture for mmacpa @mmacpa

@heavyphil

On the 22nd, I am having Star at HSS in Stamford, CT. How long did the surgery take? Can you give me some details on her first week of recovery? How long was in-house PT? Is she still going to PT? Thanks

Jump to this post

@mmacpa Hi there! Believe it or not - 44 minutes start to finish…no lie.
Our doctor does the procedure virtually online using special software so there are NO surprises once he goes in. If his computer mapping tells him he needs, for instance, a certain size or angulation, then there’s no guesswork.
My friend had his hip done by the best surgeon on eastern Long Island ( who dropped dead age 53 a few months ago after a triathlon); he had to have the rep from the implant company in the OR advising him on the ‘best’ size implant to use…I mean, WTF???
Anyway, first week or two was not fun - painful with very limited mobility , as expected. NO PT was advised for a minimum of 2 weeks.
She went a total of 5 times and after she saw surgeon for post op at 5 weeks, he said she could chuck the PT and return to her regular routine as comfort level dictated. She has been using her elliptical machine gently for the past week - no pain at all. The surgery was done Nov 5.
Best,
Phil

REPLY
Profile picture for steveinarizona
steveinarizona | @steveinarizona | 3 hours ago
In reply to @tallbackhip "@sushar1 and @wmh9680 It sounds as though things go as well with "superpath" as anterior, posterior,..." + (show)
Profile picture for tallbackhip @tallbackhip

@sushar1 and @wmh9680

It sounds as though things go as well with "superpath" as anterior, posterior, or other approaches, based on your good reports. One or two published journal articles also indicate acceptable complications rates of 1 to 2 % per year, with "super" approach, similar to other approaches. (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2800844
If the article doesn't open up for you, you might search on reviews of hip replacement outcomes by approach. )

"Due diligence " is tricky, although all surgeons at accredited hospitals and ambulatory surgeries are undoubtedly monitored and peer reviewed, so that provides some reassurance ( they have to, to stay accredited and paid). I'm not aware of statistics published on success rates by surgeon similar to batting averages in baseball, hopefully all are >98 % per year year! "Caveat emptor" if the hospital is not accredited or pending accreditation, under new management, just emerged from financial troubles, or the information isn't available. Promotions, anecdotes from friends, and internet testimonials (such as ours) might be reassuring and worthwhile, but long standing reputation in the community and accreditation are suggested. If you are really lucky to know a couple of good orthopedic surgeons, ask who they recommend, it might be helpful?! (reference: book, "What Your Doctor May Not Tell You About Hip and Knee Replacement " by Grelsamer, MD)

Best wishes

Jump to this post

@tallbackhip

I have a slight twist on that. I like to ask my physicians who they and their immediate family use.

My theory is that hip/knee surgeons are no different from professionals in every other category. There a select few who are outstanding; many more who are competent and capable; and some who are barely competent. Whether I am hiring a surgeon, a lawyer, an architect or an engineer (e.g.) I want one of the few who are best.

A quick anecdote. I was in my top rated Rheumatologist's office when he got a phone call. He apologized but said he needed to accept it as it was his wife and she was having her hip replaced the next day. Sure enough, it was my surgeon who was doing her procedure.

REPLY
Profile picture for ddsack
ddsack | @ddsack | 3 hours ago

@heavyphil

Actually, it's not that unusual to have the company reps attending and giving input on surgeries. They are typically well trained in understanding the fitting of the devices they sell and may be able to give helpful input if the surgeon wants it. It is in the interest of the companies to have feedback on their end to improve or develop new designs for the implants. Having reps viewing actual surgeries gives them a wider pool of feedback for future development.

REPLY
View MoreView Less
Please sign in or register to post a reply.