Comparison of the Responsiveness of the SF-36 and WOMAC in Patients Undergoing Total Hip Arthroplasty

2007 ◽  
Vol 22 (8) ◽  
pp. 1168-1173 ◽  
Author(s):  
Nelson Fong SooHoo ◽  
Raj M. Vyas ◽  
David B. Samimi ◽  
Ricardo Molina ◽  
Jay R. Lieberman
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Total Hip ◽  
Sf 36

scholarly journals Total hip arthroplasty for intertrochanteric fracture fixation failure

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Liyun Liu ◽  
Yongqiang Sun ◽  
Linlin Wang ◽  
Qiankun Gao ◽  
Ang Li ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Elderly Patients ◽  
Internal Fixation ◽  
Hip Arthroplasty ◽  
Fracture Fixation ◽  
Intertrochanteric Fracture ◽  
Joint Function ◽  
Fixation Failure ◽  
Total Hip ◽  
Sf 36

Abstract Background Intertrochanteric fracture is a common fracture suffered by elderly patients. Total hip arthroplasty (THA) is regarded as a salvage operation to restore hip joint function after fixation failure, which remains somewhat controversial due to some clinical potential issues. Methods 18 elderly patients (average age 70.3 years) each with intertrochanteric fracture fixation failure treated with THA between September 2013 and October 2016 were retrospectively analyzed. Internal fixation treatments involved 5 patients who had received proximal femoral nail anti-rotation, 7 who received locking proximal femur plates and 6 who received dynamic hip screws. All patients were treated with THA using biological acetabular prosthesis and hip arthroplasty (HA) coating skillet femoral prosthesis, with the greater trochanter fixed using wire or steel when necessary. Patients’ Harris scores pre- and post-treatment, SF-36 Health Questionnaire score and digital radiology (DR) were used for joint prostheses initial stability and survival evaluation. Results 15 patients completed follow-up periods ranging between 19 and 54 months (mean 26.2 months; 1 patient died from a pulmonary embolism, 1 patient died from pulmonary heart disease 1 year after surgery and 1 patient withdrew for personal reasons). There were no joint infections, periprosthetic fractures or dislocations. The average Harris score increased significantly, from 32.68 ± 12.04 points before surgery to 91.08 ± 5.9 points at 24 months post-treatment. SF-36 scores were significantly increased. Conclusion THA as salvage treatment for failed internal fixation of intertrochanteric femoral fractures in elderly patients significantly reduced hip pain and restored joint function, and early clinical outcomes were satisfactory.

Responsiveness of the Harris Hip Score and the SF-36: five years after total hip arthroplasty

2009 ◽  
Vol 18 (8) ◽  
pp. 1053-1060 ◽  
Author(s):  
Hon-Yi Shi ◽  
Lih-Wen Mau ◽  
Je-Ken Chang ◽  
Jun-Wen Wang ◽  
Herng-Chia Chiu
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Total Hip ◽  
Sf 36

Periacetabular Bone Densitometry after Total Hip Arthroplasty with Highly Porous Titanium Cups: A 2-Year Follow-Up Prospective Study

2017 ◽  
Vol 27 (6) ◽  
pp. 551-557 ◽  
Author(s):  
Leo Massari ◽  
Alessandro Bistolfi ◽  
Pier Paolo Grillo ◽  
Alda Borré ◽  
Gaetano Gigliofiorito ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Functional Recovery ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Radiographic Evaluation ◽  
Mineral Density ◽  
Cellular Solid ◽  
Total Hip ◽  
Sf 36

Introduction Trabecular Titanium is an advanced cellular solid structure, composed of regular multiplanar hexagonal interconnected cells that mimic the morphology of the trabecular bone. This biomaterial demonstrated improved mechanical properties and enhanced osteoinduction and osteoconduction in several in vitro and in vivo studies. The aim of this study was to assess Trabecular Titanium osseointegration by measuring periacetabular changes in bone mineral density (BMD) with dual-emission X-ray absorptiometry (DEXA). Methods 89 patients (91 hips) underwent primary total hip arthroplasty (THA) with acetabular Trabecular Titanium cups. Clinical (Harris Hip Score (HHS), SF-36) and radiographic assessment were performed preoperatively, and postoperatively at 7 days and at 3, 6, 12 and 24 months. DEXA analysis was performed only postoperatively, using the BMD values measured at 7 days as baselines. Results After an initial decrease from baseline to 6 months, BMD increased and progressively stabilised in all 3 regions of interest (ROIs). Median (IQR) HHS and SF-36 increased from 48 (39-62) and 49 (37-62) preoperatively to 99 (96-100) and 86 (79-92) at 24 months, indicating a considerable improvement in terms of pain relief, functional recovery and quality of life. BMD patterns and radiographic evaluation showed evident signs of periacetabular bone remodelling and osseointegration; all cups were stable at the final follow-up without radiolucent lines, loosening or osteolysis. No revisions were performed. Conclusions After an initial reduction in periacetabular BMD, all 3 ROIs exhibited stabilisation or slight recovery. Although clinical outcomes and functional recovery proved satisfactory, longer follow-ups are necessary to assess this cup long-term survivorship.

scholarly journals Health Related Quality of Life in Men After Total Hip Replacement

2020 ◽  
Author(s):  
Monika Białkowska ◽  
Tomasz Stołtny ◽  
Jarosław Pasek ◽  
Michał Mielnik ◽  
Karol Szyluk ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Life Quality ◽  
Hip Osteoarthritis ◽  
Mental Condition ◽  
Total Hip ◽  
Sf 36 ◽  
Health Related

Abstract Background: Hip osteoarthritis is a substantial health-related, social, and economic problem.The aim of the study was assessment of life quality in men with degenerative hip disease, after total hip arthroplastyor metaphyseal surgery.Material and methods: 118male patients were subjects of the study, being in the age range from 31 to 79years of age, qualified for the procedure of total hip arthroplasty. The study was a questionnaire study, in which for assessing Quality of Life in patients, the abbreviated version of WHOQoL-BREF,as well as EQ-5D-5L, and SF-36 scale. The assessment of life quality was performed before the surgery, during the first follow-up visit (6 weeks after surgery) and 6 months after the surgery. Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement regarding the assessed quality of life after the surgery –in the 6th week after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain –by 5% after 6 weeks, and by 6% after 6 months(p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), while after 6 months by 41-48% (p<0.001). The most considerable improvement was achieved in reducing pain complaints and enhancing the ability to move.In the SF-36 questionnaire, in turn, statistically significant improvement 6 months after the surgery refer to both physical (by 44%),and mental condition(by 54%) (p<0.001). Conclusions: The total hip arthroplasty results in improvement quality of life in examined group ofmen withhip osteoarthrosis, as early as 6 weeks after the procedure, while the improvement is more perceptible 6 months after the procedure, mainly the less severe pain experienced, and better functioning of examined patients.

Influence of Training of Orthopaedic Surgeons on Clinical Outcome after Total Hip Arthroplasty in a High Volume Endoprosthetic Centre

2018 ◽  
Vol 157 (01) ◽  
pp. 48-53 ◽  
Author(s):  
Katrin Osmanski-Zenk ◽  
Susanne Finze ◽  
Robert Lenz ◽  
Rainer Bader ◽  
Wolfram Mittelmeier
Keyword(s):  
Total Hip Arthroplasty ◽  
Clinical Outcome ◽  
Hip Arthroplasty ◽  
High Volume ◽  
Harris Hip Score ◽  
Orthopaedic Surgeons ◽  
Total Hip ◽  
Sf 36 ◽  
Euroqol 5D

Zusammenfassung Hintergrund Ziel der Studie ist die Überprüfung, ob sich die postoperative Ergebnisqualität und die Komplikationswahrscheinlichkeit hüftendoprothetischer Eingriffe signifikant bei Operateuren in Weiterbildung von denen der sog. Hauptoperateure im Rahmen der EndoCert-Struktur unterscheiden. Material und Methoden Eingeschlossen wurden 192 Patienten, die mit einer primären Hüftendoprothese versorgt wurden. Zur Evaluierung der Ergebnisqualität wurden präoperativ und 12 Monate postoperativ der Harris-Hip-Score, WOMAC, SF-36 und der EuroQol-5D abgefragt. Zudem wurden als Komplikationen die vom EndoCert-System definierten Qualitätsindikatoren erfasst. Ergebnisse Signifikante Verbesserungen der postoperativen Score-Werte in Abhängigkeit von der Qualifikation des verantwortlichen Operateurs konnten sowohl bei Senior-/Hauptoperateuren als auch bei Ärzten in Weiterbildung festgestellt werden. Sofern ein Operateur in Facharztweiterbildung von einem Senior-/Hauptoperateur assistiert wird, ist kein Anstieg des peri- und postoperativen Komplikationsrisikos zu verzeichnen. Dagegen ergeben sich signifikante Unterschiede hinsichtlich einer verlängerten OP-Dauer. Schlussfolgerung Durch die Umsetzung des EndoCert-Verfahrens wird sichergestellt, dass die postoperative Ergebnisqualität und die Komplikationswahrscheinlichkeit nach künstlichem Hüftgelenkersatz nicht von der Qualifikation des Erstoperateurs abhängig sind.

scholarly journals WOMAC and SF-36: instruments for evaluating the health-related quality of life of elderly people with total hip arthroplasty. A descriptive study

2015 ◽  
Vol 133 (4) ◽  
pp. 290-297 ◽  
Author(s):  
Mariana Kátia Rampazo-Lacativa ◽  
Ariene Angelini dos Santos ◽  
Arlete Maria Valente Coimbra ◽  
Maria José D'Elboux
Keyword(s):  
Quality Of Life ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Descriptive Study ◽  
Health Related Quality ◽  
Total Hip ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

CONTEXT AND OBJECTIVES: Quality-of-life results have increasingly been evaluated among patients undergoing joint replacements. The objective of this study was to compare two assessment instruments for health-related quality of life (one generic and the other specific), among elderly patients undergoing total hip arthroplasty.DESIGN AND SETTING: Cross-sectional descriptive study in a reference hospital in the region of Campinas.METHODS: The subjects were 88 elderly outpatients aged 60 years or over who underwent primary total hip arthroplasty. Two instruments for assessing health-related quality of life were applied: the generic Medical Study 36-item Short-Form Health Survey (SF-36) and the specific Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Cronbach's alpha and the ceiling and floor effects of the instruments were evaluated.RESULTS: The scores from both instruments showed that issues of a physical nature affected these elderly people's quality of life most. The pain and stiffness dimensions of WOMAC showed ceiling effects and only the functional capacity and pain dimensions of the SF-36 did not show the ceiling effect. The SF-36 presented floor effects in the dimensions of physical and emotional aspects. Cronbach's alpha was considered satisfactory in both instruments (α > 0.70).CONCLUSIONS: The floor and ceiling effects that were observed suggest that these instruments may present some limitations in detecting changes to the majority of the SF-36 dimensions, except for functional capacity and pain, and to the pain and stiffness dimensions of WOMAC, when applied to elderly people with total hip arthroplasty.

scholarly journals Limited effects on patient outcomes of conjoint tendon release in anterolateral muscle-sparing total hip arthroplasty

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hidetatsu Tanaka ◽  
Norikazu Yamada ◽  
Hiroaki Kurishima ◽  
Yu Mori ◽  
Takashi Sakamoto ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Clinical Outcomes ◽  
Hip Arthroplasty ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Total Hip ◽  
Length Discrepancy ◽  
Sf 36 ◽  
Wide Range ◽  
Muscle Sparing

Abstract Background The anterolateral muscle-sparing total hip arthroplasty (THA) in the supine position is advantageous owing to the very low-dislocation rate and excellent leg length discrepancy control. However, femur exposure is challenging. Although the conjoined external rotators tendon (CERT) release is effective in improving femoral access, the effects on clinical outcomes remain unclear. The purpose of this study was to evaluate the clinical and radiographic results of CERT release in the anterolateral muscle-sparing THA approach. Methods The study was performed as a retrospective cohort study and included 85 hips in 85 patients who underwent primary anterolateral THA. Clinical and radiographic outcomes were investigated 6 months and 1 year after THA (CERT-preserved and non-released patients). The Japanese Orthopaedic Association (JOA) hip score, JOA Hip-disease Evaluation Questionnaire (JHEQ), forgotten joint score (FJS), and the 36 short-form questionnaires (SF-36 mental and physical) were evaluated. The leg length discrepancy, cup inclination and stem orientation were evaluated with radiographs. Results Among all the included hips, 37 patients (43.5%) retained the CERT, and 48 patients (56.5%) included the released CERT. There were no significant differences in the JOA hip scores, JHEQ, FJF-12 and SF-36 between the released and non-released groups. There were significant differences in sagittal stem alignments between groups. Conclusion The CERT release in anterolateral muscle-sparing THA has a limited effect on post-operative clinical outcomes. The CERT release improved the femur exposure and is more invasive than the preserved CERT. We infer that the CERT should be maintained in patients with a wide range of motions, and release the CERT in inadequate femur canal preparation cases.

Capsular resection versus capsular repair in direct anterior approach for total hip arthroplasty: a randomized controlled trial

2021 ◽  
Vol 103-B (2) ◽  
pp. 321-328
Author(s):  
Frans-Jozef Vandeputte ◽  
Jens Vanbiervliet ◽  
Cigdem Sarac ◽  
Ronald Driesen ◽  
Kristoff Corten
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Anterior Approach ◽  
Direct Anterior Approach ◽  
Harris Hip Score ◽  
Anterior Capsule ◽  
Total Hip ◽  
Implant Positioning ◽  
Sf 36 ◽  
One Year

Aims Optimal exposure through the direct anterior approach (DAA) for total hip arthroplasty (THA) conducted on a regular operating theatre table is achieved with a standardized capsular releasing sequence in which the anterior capsule can be preserved or resected. We hypothesized that clinical outcomes and implant positioning would not be different in case a capsular sparing (CS) technique would be compared to capsular resection (CR). Methods In this prospective trial, 219 hips in 190 patients were randomized to either the CS (n = 104) or CR (n = 115) cohort. In the CS cohort, a medial based anterior flap was created and sutured back in place at the end of the procedure. The anterior capsule was resected in the CR cohort. Primary outcome was defined as the difference in patient-reported outcome measures (PROMs) after one year. PROMs (Harris Hip Score (HHS), Hip disability and Osteoarthritis Outcome Score (HOOS), and Short Form 36 Item Health Survey (SF-36)) were collected preoperatively and one year postoperatively. Radiological parameters were analyzed to assess implant positioning and implant ingrowth. Adverse events were monitored. Results At one year, there was no difference in HSS (p = 0.728), HOOS (Activity Daily Life, p = 0.347; Pain, p = 0.982; Quality of Life, p = 0.653; Sport, p = 0.994; Symptom, p = 0.459), or SF-36 (p = 0.338). Acetabular component inclination (p = 0.276) and anteversion (p = 0.392) as well as femoral component alignment (p = 0.351) were similar in both groups. There were no dislocations, readmissions, or reoperations in either group. The incidence of psoas tendinitis was six cases in the CS cohort (6%) and six cases in the CR cohort (5%) (p = 0.631). Conclusion No clinical differences were found between resection or preservation of the anterior capsule when performing a primary THA through the DAA on a regular theatre table. In case of limited visibility during the learning curve, it might be advisable to resect a part of the anterior capsule. Cite this article: Bone Joint J 2021;103-B(2):321–328.

scholarly journals Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Markus Weber ◽  
Florian Zeman ◽  
Benjamin Craiovan ◽  
Max Thieme ◽  
Moritz Kaiser ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Roc Curve ◽  
Predictive Power ◽  
Curve Analysis ◽  
Roc Curve Analysis ◽  
Total Hip ◽  
Good Outcome ◽  
Sf 36 ◽  
Predicting Outcome

Choosing the appropriate patient for surgery is crucial for good outcome in total hip arthroplasty (THA). Therefore, parameters predicting outcome preoperatively are of major interest. In the current study, we compared the predictive power of different presurgical measures in minimally invasive THA. In the course of a prospective clinical trial preoperative HOOS, EQ-5D and SF-36 were obtained in 140 patients undergoing THA. Responder rate was defined by the modified OMERACT-OARSI criteria at six-month-, one-year, two-year, and three-year follow-up. Logistic regression was performed to compare the different questionnaires regarding their power of predicting positive responders. ROC-curve analysis was used to define benchmarks in preoperative measures associated with good outcome. Preoperative HOOS (p<0.001), EQ-5D (p=0.007), and PCS of SF-36 (p<0.001) were higher in responders than in nonresponders whereas no differences between responders and nonresponders were found for preoperative MCS (p=0.96) of SF-36. However, preoperative HOOS revealed best predictive power (OR=0.84 95%CI=0.78-0.90, p<0.001, Pseudo R-Squared according to Nagelkerke=0.48, effect size according to Cohen=0.96) compared to all other preoperative measures. Multivariable analysis confirmed preoperative HOOS as an independent parameter correlating with postoperative responder status (OR=0.76, 95% CI=0.66–0.88, p<0.001). In ROC-curve analysis nonresponders were identified with a sensitivity of 91.7% and specificity of 68.9% using a cutoff in preoperative HOOS of 40.3. Presurgical HOOS can predict outcome in THA better than other preoperative outcome measures. Patients with a preoperative HOOS value less than 40.3 have the highest probability of a positive response in terms of pain and function after THA.

scholarly journals Cross-cultural Adaptation and Validation of the Arabic Version of the Harrus Hip Score

2021 ◽  
Author(s):  
Ibrahim Alshaygy ◽  
Musab Abdulaziz Alageel ◽  
Abdulaziz Aljurayyan ◽  
Anthony Griffen ◽  
Orfan Arafah ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Cultural Adaptation ◽  
Short Form ◽  
Cross Cultural ◽  
Cronbach’S Alpha ◽  
Cross Cultural Adaptation ◽  
Total Hip ◽  
Cronbach's Alpha ◽  
Sf 36

Abstract Background: The goal of this study was to translate the Harris Hip (HHS) questionnaire into the Arabic language with cross-cultural adaptation to include and benefit Arabic speaking communities as it is the most widely used instrument for disease-specific hip joint evaluation and measurement of total hip arthroplasty outcome. Methods: This questionnaire was translated following A clear and user-friendly guideline protocol. The Cronbach’s alpha was used to assess the reliability and internal consistency of the items of HHS. Additionally, The constructive validity of HHS was evaluated against the 36-Item Short Form Survey (SF 36). Results: A total of 100 participants were included in this study, of which 30 participants were re-evaluated for reliability testing. Cronbach’s alpha of the total score of Arabic HHS is 0.528 and after the standardization, it changed to 0.742 which is within the recommended range (0.7-0.9). Lastly, The correlation between HHS and SF 36 was r=0.71 (p<0.001) which represents a strong correlation between Arabic HHS and SF-36. Conclusion: Based on the results, we believe that the Arabic HHS can be used by clinicians, researchers, and patients to evaluate and report hip pathologies and total hip arthroplasty treatment efficacy.

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