Objective To investigate the reason and strategies of intraoperative complications of minimally invasive hip arthroplasty through SuperPATH approach in the treatment of elderly patients with femoral neck fracture. Methods From June 2015 to December 2018, total of 120 patients with femoral neck fracture treated by SuperPATH approach were retrospectively analyzed. There were 74 males and 56 females, with an average age of 74.5 years (range 65-98). All the cases underwent SuperPATH approach hip arthroplasty, including 63 cases of total hip arthroplasty (THA) and 57 cases of hemiarthroplasty (HA). Results All of the patients were followed up for at least 24 months, among them, intraoperative complications occurred in 12 cases, including acetabular abrasion and fracture, femoral lateral fissure fractures, too small anterior angle of the femoral components or placed internally and externally. Normal hip function was restored after corresponding treatment. There were no complications such as infection and dislocation, and no secondary operation. Conclusions SuperPATH minimally invasive hip arthroplasty in the treatment of elderly patients with femoral neck fracture adopts intermuscular interspace approach, which has the characteristics of less trauma, less bleeding, quick functional recovery and good patient satisfaction. At the same time, due to the small visual field of operation and the non-standard operation, it is easy to make surgical mistakes, so we must pass through strict formal training and standardized operation to effectively avoid the occurrence of surgical complication.
Key words
Femoral neck fractures; /
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SuperPATH; /
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Minimally invasive; /
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surgical errors; /
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Hip arthroplasty
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