scholarly journals Differences among the observers in the assessments of Japanese orthopedic association hip scores between surgeons and physical therapists and the correlations to patients’ reported outcomes after total hip arthroplasty

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Hisaki Aiba ◽  
Nobuyuki Watanabe ◽  
Toshiaki Inagaki ◽  
Muneyoshi Fukuoka ◽  
Hideki Murakami
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Therapists ◽  
Correlation Coefficients ◽  
Retrospective Case ◽  
Japanese Orthopedic Association ◽  
Total Hip ◽  
Patient Reported ◽  
Hip Disease ◽  
Control Study

Abstract Background We aimed to assess the utility of a clinician-reported outcome (the Japanese Orthopedic Association [JOA] hip score) as evaluated by clinicians and physiotherapists. This assessment was made by comparing these scores to those of the JOA hip disease evaluation questionnaire (JHEQ), which is a measurement of patient-reported outcomes after total hip arthroplasty. Methods In this retrospective case-control study, 52 hips that underwent primary total hip arthroplasty were included in the analyses. The mean age of the participants was 66.8 years (sex, seven male and 45 female participants). The JOA hip score included four categories: pain, range of motion, ability to walk, and active daily living. The JHEQ included three categories: pain, movement, and mental health. These scores were evaluated preoperatively and postoperatively by clinicians or physiotherapists. Pearson’s correlation coefficients were utilized to analyze the association of the JOA hip scores to those of the JHEQ. Results The JOA hip scores were determined by clinicians and physiotherapists (scores of 46.8 and 57.3, respectively) preoperatively and at 24 months (scores of 94.4 and 91.7, respectively) postoperatively. The JHEQ points were 28.8 and 66.2 preoperatively and at 24 months postoperatively, respectively. The correlation coefficients between the JOA hip and JHEQ scores were .66 and .69 preoperatively and .57 and .76 at 24 months postoperatively, as evaluated by clinicians and physiotherapists, respectively. Conclusions Although the JHEQ scores were positively correlated to the JOA hip scores by clinicians and physiotherapists preoperatively and postoperatively, this study implies that clinicians may interpret the results in a way that might have been beneficial to them. To comprehend a patients’ health status, we should inclusively understand the varying range of information among different evaluators.

Risk Factors and Cup Protrusion Thresholds for Symptomatic Iliopsoas Impingement After Total Hip Arthroplasty: A Retrospective Case-Control Study

2018 ◽  
Vol 33 (10) ◽  
pp. 3288-3296.e1 ◽  
Author(s):  
Takuro Ueno ◽  
Tamon Kabata ◽  
Yoshitomo Kajino ◽  
Daisuke Inoue ◽  
Takaaki Ohmori ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Total Hip ◽  
Control Study

scholarly journals Higher Acetabular Anteversion in Direct Anterior Total Hip Arthroplasty: A Retrospective Case-Control Study

2016 ◽  
Vol 12 (3) ◽  
pp. 240-244 ◽  
Author(s):  
Antonia F. Chen ◽  
Chi-Lung Chen ◽  
Sara Low ◽  
Wei-Ming Lin ◽  
Karthikeyan Chinnakkannu ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Case Control Study ◽  
Case Control ◽  
Acetabular Anteversion ◽  
Retrospective Case ◽  
Total Hip ◽  
Control Study

Implant Survival and Clinical Outcomes of Total Hip Arthroplasty in Adolescent and Young Adult Patients

2021 ◽  
Author(s):  
Lauren Zeitlinger ◽  
Anthony Gemayel ◽  
Patrick Whitlock ◽  
Joel Sorger
Keyword(s):  
Young Adult ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Patient Reported Outcomes ◽  
Adult Patients ◽  
Total Hip ◽  
Patient Reported ◽  
Hip Disease ◽  
End Stage

AbstractTotal hip arthroplasty (THA) in pediatric patients is controversial with concern for high failure rates, and lack of promising outcomes as compared with the adult population. Increased survivorship of implants invites the potential for improved function and quality of life in young adults. Although THA is now an option for end-stage symptomatic hip disease in young patients, outcomes with contemporary techniques and implants have yet to be reported.Following the institutional review board approval, a retrospective chart review of 25 patients (29 hips) with end-stage hip disease at a single institution from 2010 to 2017 was performed. All patients underwent THA with noncemented, contemporary THA with highly cross-linked polyethene liners. Clinical, radiographic, and patient-reported outcomes were obtained including any postoperative complications, revisions, evidence of loosening or wear, and lastly, Western Ontario & McMaster Universities Osteoarthritis Index, Harris Hip Scores, Non-Arthritic Hip scores, and International Hip Outcome Tool. With a minimum follow-up duration of 2 years, there were no revisions or evidence of loosening or wear on follow-up radiographs. All patients underwent noncemented THA with metal or ceramic on highly cross-linked polyethylene liners. Six patients accounting for seven THAs completed patient-reported outcomes: two reporting excellent outcomes, four good outcomes, and one failed outcome. With advancing techniques and strategies, treatment options for hip pathology in the pediatric population are growing. We present favorable outcomes 2 years post-procedure, suggesting THA as a potential option for end-stage hip disease in pediatric and young adult patients.

scholarly journals Kinematic alignment versus conventional techniques for total hip arthroplasty: A retrospective case control study

2019 ◽  
Vol 105 (5) ◽  
pp. 895-905 ◽  
Author(s):  
Charles Rivière ◽  
Ciara Harman ◽  
Thomas Parsons ◽  
Loic Villet ◽  
Justin Cobb ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Case Control Study ◽  
Case Control ◽  
Kinematic Alignment ◽  
Retrospective Case ◽  
Total Hip ◽  
Control Study

scholarly journals Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12

2021 ◽  
Vol 18 (5) ◽  
pp. 2267
Author(s):  
Umile Giuseppe Longo ◽  
Sergio De Salvatore ◽  
Ilaria Piergentili ◽  
Anna Indiveri ◽  
Calogero Di Naro ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Validity And Reliability ◽  
Total Hip ◽  
Forgotten Joint Score ◽  
Post Surgery ◽  
Clinically Important Difference ◽  
Patient Reported ◽  
Patient Acceptable Symptom State

The Forgotten Joint Score-12 (FJS-12) is a valid patient-reported outcome measures (PROMs) used to assess prosthesis awareness during daily activities after total hip arthroplasty (THA). The minimum clinically important difference (MCID) can be defined as the smallest change or difference that is evaluated as beneficial and could change the patient’s clinical management. The patient acceptable symptom state (PASS) is considered the minimum PROMs cut-off value that corresponds to a patient’s satisfactory state of health. Despite the validity and reliability of the FJS-12 having been already demonstrated, the MCID and the PASS of this score have not previously been defined. Patients undergoing THA from January 2019 to October 2019 were assessed pre-operatively and six months post-surgery using the FJS-12, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Oxford Hip Score (OHS). Pre-operative and follow-up questionnaires were completed by 50 patients. Both distribution-based approaches and anchor approaches were used to estimate MCID. The aim of this paper was to assess the MCID and PASS values of FJS-12 after total hip replacement. The FJS-12 MCID from baseline to 6 months post-operative follow-up was 17.5. The PASS calculated ranged from 69.8 to 91.7.

Can spinopelvic mobility be predicted in patients awaiting total hip arthroplasty?

2019 ◽  
Vol 101-B (8) ◽  
pp. 902-909 ◽  
Author(s):  
M. M. Innmann ◽  
C. Merle ◽  
T. Gotterbarm ◽  
V. Ewerbeck ◽  
P. E. Beaulé ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Patient Reported Outcome Measures ◽  
Screening Tools ◽  
Sacral Slope ◽  
Sitting Position ◽  
Total Hip ◽  
Patient Reported ◽  
Hip Flexion

Aims This study of patients with osteoarthritis (OA) of the hip aimed to: 1) characterize the contribution of the hip, spinopelvic complex, and lumbar spine when moving from the standing to the sitting position; 2) assess whether abnormal spinopelvic mobility is associated with worse symptoms; and 3) identify whether spinopelvic mobility can be predicted from static anatomical radiological parameters. Patients and Methods A total of 122 patients with end-stage OA of the hip awaiting total hip arthroplasty (THA) were prospectively studied. Patient-reported outcome measures (PROMs; Oxford Hip Score, Oswestry Disability Index, and Veterans RAND 12-Item Health Survey Score) and clinical data were collected. Sagittal spinopelvic mobility was calculated as the change from the standing to sitting position using the lumbar lordosis angle (LL), sacral slope (SS), pelvic tilt (PT), pelvic-femoral angle (PFA), and acetabular anteinclination (AI) from lateral radiographs. The interaction of the different parameters was assessed. PROMs were compared between patients with normal spinopelvic mobility (10° ≤ ∆PT ≤ 30°) or abnormal spinopelvic mobility (stiff: ∆PT < ± 10°; hypermobile: ∆PT > ± 30°). Multiple regression and receiver operating characteristic (ROC) curve analyses were used to test for possible predictors of spinopelvic mobility. Results Standing to sitting, the hip flexed by a mean of 57° (sd 17°), the pelvis tilted backwards by a mean of 20° (sd 12°), and the lumbar spine flexed by a mean of 20° (sd 14°); strong correlations were detected. There was no difference in PROMs between patients in the different spinopelvic mobility groups. Maximum hip flexion, standing PT, and standing AI were independent predictors of spinopelvic mobility (R2 = 0.42). The combined thresholds for standing was PT ≥ 13° and hip flexion ≥ 88° in the clinical examination, and had 90% sensitivity and 63% specificity of predicting spinopelvic stiffness, while SS ≥ 42° had 84% sensitivity and 67% specificity of predicting spinopelvic hypermobility. Conclusion The hip, on average, accounts for three-quarters of the standing-to-sitting movement, but there is great variation. Abnormal spinopelvic mobility cannot be screened with PROMs. However, clinical and standing radiological features can predict spinopelvic mobility with good enough accuracy, allowing them to be used as reliable screening tools. Cite this article: Bone Joint J 2019;101-B:902–909.

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