{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:05:03Z","timestamp":1774242303503,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n \n There are various surgical approaches for total hip replacement (\n THR<\/jats:styled-content>\n ), such as the Direct Lateral (Hardinge), anterior, and supra\u2010acetabular (\n SuperPath<\/jats:styled-content>\n ) approach. The aim of this study was to compare the post\u2010operative clinical, functional and quality of life outcomes of the\n SuperPath<\/jats:styled-content>\n and Direct Lateral approach in hip osteoarthritis patients undergoing\n THR<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective analysis was performed of a single\u2010surgeon consecutive cohort of\n THR<\/jats:styled-content>\n 's. Data was obtained from the St. Vincent's Melbourne Arthroplasty Outcomes (\n SMART<\/jats:styled-content>\n ) Registry, for all\n THR<\/jats:styled-content>\n 's between 01\u201001\u20102012 and 31\u201012\u20102019. Primary outcomes were the patient\u2010reported\n WOMAC<\/jats:styled-content>\n and\n VR12<\/jats:styled-content>\n , measured at pre\u2010op, 12\u2010 and 24\u2010month timepoints. Groups were compared using a mixed\u2010model analysis adjusted for potential confounders. Secondary outcomes were length of stay, surgery duration, complications, readmissions, and reoperations.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 384 patients were analysed (259 Direct Lateral; 125 SuperPath). Total WOMAC Scores were significantly better for the SuperPath group (mean diff: 7.1, 95% CI 0.76\u201313.54,\n p<\/jats:italic>\n \u2009=\u20090.02). VR12 Total Scores were significantly higher for SuperPath patients (mean diff: 3.9, 95% CI 0.53\u20137.35,\n p<\/jats:italic>\n \u2009=\u20090.02). For secondary outcomes, the SuperPath approach had a shorter operation time than the Direct Lateral approach (81.9\u2009min vs. 85.8\u2009min, mean difference 3.8, 95% CI: 0.14\u20137.50,\n p<\/jats:italic>\n \u2009=\u20090.04).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Although the\n SuperPath<\/jats:styled-content>\n approach led to slightly better pain, function and quality of life outcomes than the Direct Lateral approach, the difference was below the minimal clinically important difference (\n MCID<\/jats:styled-content>\n ) although statistically significant. There were no differences in other clinical outcomes except for shorter surgery duration, presumably since there were more cemented procedures in the Direct Lateral group.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.70508","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T13:15:46Z","timestamp":1770297346000},"page":"472-480","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical and Patient\u2010Reported Outcomes of the\n SuperPath<\/scp>\n Versus Hardinge Approach in Total Hip Replacement for Osteoarthritis: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7653-5365","authenticated-orcid":false,"given":"Ak\u0131n","family":"S\u00f6nmezda\u011f","sequence":"first","affiliation":[{"name":"Leiden University Medical Centre Leiden University Leiden the Netherlands"},{"name":"St. Vincent's Hospital The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Dowsey","sequence":"additional","affiliation":[{"name":"St. Vincent's Hospital The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5588-0277","authenticated-orcid":false,"given":"Marta","family":"Fiocco","sequence":"additional","affiliation":[{"name":"Leiden University Medical Centre Leiden University Leiden the Netherlands"},{"name":"Mathematical Institute Leiden University Leiden the Netherlands"},{"name":"Department of Biomedical Data Science, Section Medical Statistics Leiden University Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieter Bas","family":"de Witte","sequence":"additional","affiliation":[{"name":"Leiden University Medical Centre Leiden University Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3522-7374","authenticated-orcid":false,"given":"Peter","family":"Choong","sequence":"additional","affiliation":[{"name":"St. Vincent's Hospital The University of Melbourne Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2013.12.006"},{"key":"e_1_2_10_3_1","unstructured":"SuperPATH Total Hip Replacement Chowhipandknee.com https:\/\/www.chowhipandknee.com\/superpath\u2010total\u2010hip\u2010replacement\u2010hip\u2010knee\u2010specialist\u2010phoenix\u2010arizona\/."},{"issue":"2","key":"e_1_2_10_4_1","first-page":"1","article-title":"Functional Outcomes and Gait Analysis of Total Hip Arthroplasty Through Lateral Hardinge Approach and Gluteus Medius\u2010Sparing Approach: A Prospective Study","volume":"16","author":"Kushwaha N. S.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010023\u201003713\u20109"},{"key":"e_1_2_10_6_1","unstructured":"SuperPath Portal\u2010Assisted Hip Approach Microport https:\/\/microport.uk\/products\/orthopedics\/hips\/superpath."},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.08.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040408"},{"key":"e_1_2_10_9_1","unstructured":"J.McKean T.Snow andJ.Badylak Hip Direct Lateral Approach (Hardinge Transgluteal) Orthobullets.com https:\/\/www.orthobullets.com\/approaches\/12022\/hip\u2010direct\u2010lateral\u2010approach\u2010hardinge\u2010transgluteal."},{"key":"e_1_2_10_10_1","unstructured":"Western Ontario and McMaster Universities Osteoarthritis Index Shirley Ryan AbilityLab https:\/\/www.sralab.org\/rehabilitation\u2010measures\/western\u2010ontario\u2010and\u2010mcmaster\u2010universities\u2010osteoarthritis\u2010index."},{"key":"e_1_2_10_11_1","unstructured":"The Veterans Rand 12 Item Health Survey (vr\u201012) Sharp.com https:\/\/www.sharp.com\/rees\u2010stealy\/upload\/srs\u2010online\u2010health\u2010appraisal.pdf."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000444"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118782159"},{"issue":"21","key":"e_1_2_10_14_1","first-page":"1874","article-title":"Early Rate of Revision of Total Hip Arthroplasty Related to Surgical Approach: An Analysis of 122,345 Primary Total Hip Arthroplasties","volume":"102","author":"Hoskins W.","year":"2020","journal-title":"Journal of Bone and Joint Surgery (American Volume)"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70508","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70508","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T04:46:09Z","timestamp":1774241169000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,5]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/ans.70508"],"URL":"https:\/\/doi.org\/10.1111\/ans.70508","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,5]]},"assertion":[{"value":"2025-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}