title: Use of the supercapsular percutaneously assisted total hip approach for femoral neck fractures: surgical technique and case series.
abstract: BACKGROUND
  Femoral neck fractures are common injuries in the geriatric population associated with high morbidity and mortality rates. Studies have shown outcomes can be positively influenced by early postoperative mobilization. The supercapsular percutaneously assisted total hip (SuperPath) surgical technique has been shown to lead to early mobilization for osteoarthritic total hip replacement patients and as such has the potential to provide similar benefits in fracture patients. This manuscript provides a detailed description of this technique using hemiarthroplasty to treat femoral neck fractures and presents the first case series of this application.
  
  
  METHODS
  Seventeen patients with femoral neck fractures managed with this technique at two separate institutions were reviewed. In an attempt to minimize blood loss and enhance early mobilization, hemiarthroplasty utilizing the SuperPath technique was performed. The authors noticed decreased blood loss, operative time, and postoperative narcotic usage when compared to their previous experiences using traditional techniques.
  
  
  CONCLUSIONS
  Early mobilization following femoral neck fractures has been shown to decrease mortality and morbidity. There is little existing literature on the use of tissue-sparing surgical techniques for this application, and none details the use of the SuperPath technique for it. The described case reports suggest the technique is a viable option for bipolar hemiarthroplasty to treat femoral neck fractures. Appropriately designed future studies are needed to confirm findings and definitively compare outcomes to traditional approaches.
authors.affiliation: Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada.
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Bodrogi
authors.affiliation: Jones & Sciortino Orthopedics, 224 South Woods Mill Rd. Suite 255 South, 63017, Chesterfield, MO, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Sciortino
authors.affiliation: MicroPort Orthopedics Inc., 5677 Airline Rd., 38002, Arlington, TN, USA. davidafitch@gmail.com.
authors.forename: David A
authors.initials: DA
authors.lastname: Fitch
authors.affiliation: Division of Orthopaedic Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada.
authors.forename: Wade
authors.initials: W
authors.lastname: Gofton
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D015331:Cohort Studies; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D062785:Hemiarthroplasty / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies
keywords: Bipolar; Femoral neck fractures; Hemiarthroplasty; Minimally invasive surgical procedures; SuperPath; Supercapsular percutaneously assisted total hip