Problems with your hip the oxford hip score department of public health, university of oxford, old road campus, oxford ox3 7lf, uk. Fractures of the femoral neck are common fractures and an important cause of hip pain, especially in elderly people. The outcome of hemiarthroplasty for neck of femur fractures. The durom acetabular component is also used in the total hip construct and has been associated with higher than anticipated failure rates for acetabular loosening and pain. Moderate pain, tolerable but makes concessions to pain. Because its not a patientreported tool, many of the inconveniences associated with pro instruments ie. The harris hip score provides and easy and effective tool in assessment of outcome after hip surgery. The ten items described above have each a series of answer choices with different number of points awarded. Originally published in 1969 in the journal of bone and joint surgery, the harris hip score hhs was designed to be a standardized assessment of patients following total hip arthroplasty.
Patientreported outcomes measurement information system. The harris hip scale hhs was developed for the assessment of the results of hip surgery, and is intended to evaluate various hip disabilities and. Type text hip outcome score hos type text sports subscale because of your hip how much difficulty do you have with. Clinical scores significantly improved harris hip score from 46. Categories for the ohs based on data from the harris hip score hhs and translated to the 048 scoring has suggested cut off scores. Display 203 harris hip function scale 3 circle one in. In total there were 67 revisions, an incidence of 3. Unstable intertrochanteric fracture in elderly patients. Comparison of results bw harris hip score vs charnley hip score score points unipolar harris hip score charnley hip score bipolar satisfactory 77. Modified harris hip score please mark one choice for each topic. Correlations between the harris hip score and the visual.
Pdf the harris hip score comparison of patient self. These range on scales from 0 to 47 while the maximum score awarded after answering all questions is 100. Abstract total hip replacement is one of the most frequently performed orthopaedic interventions that can. If you are unsure how to answer a question, please give the best answer you can. Since that time, it has also been used for evaluating patients following hip fractures and the diagnosis of osteoarthritis. The higher the score, the better the prospects and the lower the dysfunction. Patients name or ref pain check one o none, or ignores it 44 o slight, occasional, no compromise in activities 40 o mild, no effect on average activities, rarely moderate pain with unusual activity, may take aspirin 30. Which of these categories would best describe your hip pain. The method for translation and cultural validation of the harris hip score. Translation, crosscultural adaptation and validation of.
The harris hip score hhs is a widely used patientrelated outcomes score. Clinically important improvement thresholds for harris hip. Reliability of modified harris hip score as a tool for outcome. Singh1,2,4,5, cathy schleck3, scott harmsen3 and david lewallen4 abstract background. Pdf modification of the harris hip score in acetabular. The answers to these questions form the basis for the harris hip score hhs1 developed by dr. According to harris hip scores evaluation system, 26 patients 28% reached an excellent result, 37 good 41%, 18 poor 20%. Translation and transcultural adaptation of the modified harris hip.
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. Report harris hip score please fill this form, we will try to respond as soon as possible. Harris hip score hhs is a surgeon administered measurement for assessing hip function before and after total hip arthroplasties tha. Nov 26, 2010 the harris hip score hhs is one such measure that has frequently been used to measure outcome after total hip arthroplasty haverkamp et al. The harris hip score takes about 57 minutes to complete and is easy for clinicians to score. Each patient completed a selfreport harris hip score hhs 30 days before a formal evaluation by an independent orthopaedic surgeon that included a hhs. The outcome of austin moor vs bipolar hemiarthoplasty in. It measures pain and function levels in patients with hip pathologies. Xray of the pelvis with both, hip with thigh antero posterior and lateral full length was taken to assess fracture union and implant bone interaction. Concordance of item response and kappa statistic were calculated.
Knee osteo arthritis knee society score kss oxford knee score. This study comprised 50 primary total hip arthroplasties in 36 patients who had undergone the procedure at least 12 months before enrollment. Hoos hip disability and osteoarthritis outcome womac score. Scoresevaluationsquestionnaires eq5d euroqol contact the euroqol group for a license. An endresult study using a new method of result evaluation. The mean harris hip score at 12 weeks postoperatively was 77. This instrument has 10 items in 3 sections describing pain, function, range of motion, and. Harris 1969 developed this score with a rating scale of 100 points and with domains of pain, function, activity, deformity, and motion. The modified harris hip score mhhsisacommonlyusedjointspecificoutcomesmeasure for hip osteoarthritis, arthroscopic, and arthroplasty procedures. Communited pertrochantric fracture exclusion criteria 1. Translation and crosscultural adaptation of the harris. The revision rate was higher in females n 43 than males n 24.
Contact us at 72446392 or visit us at 6445 main street, suite 2500, houston, tx 77030. Responsiveness of the harris hip score and the sf36. This score evaluates patients pain, ability of walking, requirement of support when walking, distance for walking. No difficulty at all some difficulty moderate difficulty extreme difficulty unable na running one mile 4 3 2 1 0 na jumping 4 3 2 1 0 na swinging objects like a golf club 4 3 2 1 0 na landing 4 3 2 1 0 na. Original article artigo 177 translation and cultural. Harris hip score,total hip replacement outcome fracture introduction total hip replacement thr is a highly effective procedure for patients with hip pain due to joint deterioration from a variety of conditions. The harris hip score hhs is one such measure that has frequently been used to measure outcome after total hip arthroplasty haverkamp et al. The patient acceptable symptomatic state for the modified harris hip score and hip outcome score among patients undergoing surgical treatment for femoroacetabular impingement. The 36 item medical outcomes study shortform health survey sf36 supplements. Harris hip score orthotoolkit about the score originally published in 1969 in the journal of bone and joint surgery, the harris hip score hhs was designed to be a standardized assessment of patients following total hip arthroplasty. William harris, a prominent orthopaedist in massachusetts, the hhs is a tool for the evaluation of how a patient is doing after their hip is replaced. Thirty nine patients had excellent results, ten had good results and four had poor results according to harris hip score.
Modification of the harris hip score in acetabular fracture treatment 347 table 2 the modified harris hip score has four domains adding to a total numeric score, as the original i pain a pain at night 200 b pain at rest by day 170 c pain at gait d analgesics. Type text hip outcome score hos type text please answer every question with one response that most closely describes your condition within the past week. In most cases for non commercial use it will be free. Fracture neck of femur, hemiarthroplasty, harris hip score introduction neck of femur nof is the commonest site of fracture in the elderly. Comparison of the responsiveness of the harris hip score with. To compare responsiveness of the harris hip score with generic measures that is, the short form36 sf36, and a test of walking speed and pain during walking in patients with osteoarthritis oa of the hip.
An ocial slovenian version has not been culturally adapted and validated. Correlations between the harris hip score and the visual analogue scale in the assessment of total hip replacement in hip dysplasia zuh s. Hemiarthroplasty remains a useful mode of treatment for fracture neck of femur in patients aged 60 years and above. Preoperative and postoperative scores at minimum 2year followup were recorded for the modified harris hip score mhhs, nonarthritic hip score nahs, hip outcome score sportspecific subscale. Some aspects of validity are missing for the harris hip score hhs. Harris hip score and charnley hip score and radiologically with special reference to loosening, migration and dislocation of the implant, acetabular erosion, acetabulum protosia and calcar resorption. Harris hip score in its standard form includes a physicians physical examination component which has a high interobserver variability. Complete the form and the score is calculated automatically. Proximal femoral nail in reverse trochanteric femoral. This information will help keep track of how you feel and how well you are able to do your usual activities. Harris hip score pain check one stairs none or ignores it 44 normally without using a railing 4 slight, occasional, no compromise in activities 40 normally using a railing 2 mild pain, no effect on average activities, rarely moderate in any manner 1.
The first 75 cases within the population of a randomised clinical trial on manual therapy and exercise therapy were selected for secondary analysis. Translation and crosscultural adaptation of the harris hip. Each patient completed a selfreport harris hip score hhs 30 days before a formal evaluation by an independent orthopaedic surgeon that. Functional outcome predictors harris hip score introduction complex combinations of static and dynamic stresses are responsible for hip pain in patients without osteoarthritis 1, 2. Psychometric evaluation of the lower extremity computerized. Dec 02, 2020 the modified harris hip score mhhs is a validated and diseasespecific instrument commonly used to assess outcomes in total hip arthroplasty tha. Pdf responsiveness of the harris hip score and the sf36. The questionnaire was applied in interview form and the mean questionnaire. Pdf the minimal clinical important difference mcid and. The harris hip score provides and easy and effective tool in.
Harris hip score hhs, hip disability and osteoarthritis outcome score hoos. Chahal j, van thiel gs, mather rc 3rd, lee s, song sh, davis am, salata m, nho sj am j sports med 2015 aug. Extended report comparison of the responsiveness of the. Display 203 harris hip function scale 3 circle one in each. The harris hip score was chosen because it is a wellaccepted measure of hip performance although it is not validated and its answers are weighted arbitrarily. Pdf the harris hip score comparison of patient selfreport with. It was designed for use in young men with often longstanding. Ferguson, md, mas 2004 hayes street, suite 700 nashville, tn 37204 615 2845800, fax.
The harris hip score hhs is a clinicianbased outcome measure frequently used for the evaluation of patients following a total hip arthroplasty. Scores range from 0 to 100 with higher scores indicating better outcomes. The patientreported outcomes measurement information system promis is a validated, computer adaptive testing catbased global health assessment tool. The consensus version was applied to thirty patients with hip disorders. Small to moderate effect sizes for the other domains of the sf36 and eq5d 0. A total of 41 patients were treated with proximal femoral nail from january 2004 to december 2009. Role of proximal femoral nail in the treatment of unstable.
Traumatic arthritis of the hip after dislocation and acetabular fractures. Baseline questionnaires, including the modified harris hip, the questionnaire of habitual physical activity of baecke et al. Harris hip score hhs was measured for each patient after one year of surgery. Fresh cases of unstable proximal femoral fractures with in one week after injury. Comparison was made between the completed responses to the individual items on the selfreport hhs and surgeonassessed hhs. Harris developed this score with a rating scale of 100 points and with domains of pain, function, activity, deformity, and motion. Predictors of functional outcome following femoral neck. The harris hip score is the most widely used outcome measure for the assessment of hip pathologies. For the same patients, the harris hip score was 61. Free online harris hip score calculator orthotoolkit.
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