Study of results of difficult total hip arthroplasty according to modified harris hip score 56 int j res med. Is the harris hip score system useful to study the outcome of total hip replacement. This study comprised 50 primary total hip arthroplasties in 36 patients who had undergone the procedure at least 12 months before enrollment. The score is reported as 90100 for excellent results, 8089 being good, 7079 fair, 6069 poor, and below 60 a failed result. With the exception of the peak hip adduction moment, significant pretopostoperative improvement was evident p 0. Translation and cultural adaptation of the harris hip. Preoperative hip range of motion was slightly lower in men 14. The templated neck length was selected and a trial component was assessed. Recently published results showed no clinically meaningful difference in outcomes between the harris hip score and modified harris hip score, indicating the modified harris hip score as. This included an assessment based on pain 44 points and function 47 points. Mayo elbow score 546 u m with dash m with ases l es1. Validation of the harris hip score in rehabilitation after hip arthroplasty.
Modified harris hip score mhhs check how your hip is doing. Patientreported outcome pro measurement is a method for measuring perceptions of patients on their health and quality of life. A scale with a maximum of 100 points, it evaluates pain, function, deformity and motion. Questionnaire on the perceptions of patients about total hip replacement. Even studies that have been done to show that surgery does improve hip problems are based on shoddy metrics like the harris hip score. Traumatic arthritis of the hip after dislocation and acetabular fractures.
Some aspects of validity are missing for the harris hip score hhs. Moderate pain, tolerable but makes concessions to pain. These articles have been selected by the editorinchief and deputy editors of the journal because of their longstanding significance to the orthopaedic. Interpretation of scores the minimum score is 20 and the maximum score is 100. Study of results of difficult total hip arthroplasty. Fillup those 8 questions and get a result on the spot. In 1969 harris 10 created a scale to evaluate the functionality and quality of life of patients undergoing hip arthroplasty, known as the harris hip score hhs. Modified harris hip score to be completed by patient. First, 58 patients who had undergone total hip replacement 2 to 10 years earlier were evaluated by an orthopaedic surgeon and an experienced physiotherapist using the harris hip score. Modified harris hip score seen as accurate determinant of.
The harris score was developed to assess patients with traumatic arthritis of the hip. The harris hip score hhs is the most widely used instrument to measure results after hip arthroplasty. Using the hhs, results of hip surgeries can be compared across different surgeons in an objective. Each patient completed a selfreport harris hip score hhs 30 days before a formal evaluation by an independent orthopaedic surgeon that included a hhs. Leve, ocasional, no compromete actividad normal 40. Non arthritic hip score 1115 twin cities orthopedics. May require occasional pain medication stronger than. Data of consecutive patients between 1993 and 2014 were collected. The original version of the score was first published in 1969. Harris hip score hhs, hip disability and osteoarthritis outcome score hoos, oxford hip score ohs, lequesne index of severity for osteoarthritis of the hip lisoh, and american academy of orthopedic surgeons aaos hip and knee questionnaire.
Relationships between preoperative harris hip scores and. The validity, reliability, and responsiveness of commonly. Clinically important improvement thresholds for harris hip. Harris to assess the results of hip surgery or hip replacement. It presents a scale with a maximum of 100 points, including evaluation of pain, function, deformity and motion. It can be used to follow patients over time and to help plan management including the timing for surgical intervention. New 2020 clinical practice guidelines aim to provide evidencebased information about the diagnosis, evaluation, and treatment of postmenopausal osteoporosis for endocrinologists, physicians in general, regulatory bodies, healthrelated organizations, and interested laypersons. The fai fix the nonsurgical alternative treatment to. The standard evaluation applies to various hip disabilities and methods of treatment in adults. The aim of this paper is to present the results of pro measurements in total hip and knee replacement as routinely collected during 20 years of surgery in a university hospital setting. You can read more here about how poorly designed measurements make hip surgery seem like a good option when it really isnt. We included a cohort of patients who underwent primary total hip arthroplasty tha and responded to the hhs preoperatively and at 2 or 5year posttha change score to examine the.
Please answer the following questions as they pertain to your hip. Prospective analysis of hip arthroscopy with 2year followup. Is the harris hip score system useful to study the outcome. The quebec back pain disability scale is a 20item selfadministered instrument designed to assess the.
The elements of deformity 4 points and range of motion 5. Scoresevaluationsquestionnaires reduced womac score knee general and arthroplasty modules 28. Are harris hip scores and gait mechanics related before. Our objective was to examine the clinically meaningful change thresholds, responsiveness and the predictive ability of the hhs questionnaire. Part 2 function page 2 of 2 function score knee society score is. Harris score for evaluating arthritis of the hip overview. Are harris hip scores and gait mechanics related before and after tha.
Health outcome measures in the evaluation of total hip arthroplastiesa comparison between the harris hip score and the oxford hip score. Patientreported health outcomes after total hip and knee. Orthopaedic scores website to help clinicians and patients to gauge progress of the healing of certain treatments. Translation and transcultural adaptation of the modified. As part of the patientreported outcomes measurement information system promis created in 2004, the promis global10 is a publically available global health assessment tool that allows measurements of symptoms, functioning, and healthcarerelated quality of life hrqol for a wide variety of chronic diseases and conditions. However, very few studies have been made to validate. The aim of this study was to perform a validity test of the harris hip score and to test its reliability. It can be used to assess patients before and after surgery to determine improvement. More and more evidence is mounting against the bone theory of fai. The harris hip score is a widely used and specific assessment tool for the hip joint.
1104 983 278 1417 747 534 54 1444 436 92 458 1531 677 1389 536 178 1214 459 805 197 1505 1315 432 538 127 164 710 1158 469 441 3 1450 413 73 510 536 316 75 232 929 1158 79 1291 876 1317 738 813 1334