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. This included an assessment based on pain 44 points and function 47 points. Patientreported health outcomes after total hip and knee. The templated neck length was selected and a trial component was assessed.
The most lasting legacy from this classic 1969 article from william harris is the authors proposed hip score. Non arthritic hip score 1115 twin cities orthopedics. Harris to assess the results of hip surgery or hip replacement. These articles have been selected by the editorinchief and deputy editors of the journal because of their longstanding significance to the orthopaedic. Our objective was to examine the clinically meaningful change thresholds, responsiveness and the predictive ability of the hhs questionnaire. Osteoarthritis index womac, and modified harris hip score mhhs. The harris hip score provides and easy and effective tool in. Prospective analysis of hip arthroscopy with 2year followup. Data of consecutive patients between 1993 and 2014 were collected. A single, reliable figure designed to be equally applicable to different hip problems and different treatments, the harris hip score is still used worldwide today in. The improvements in pain and function after tha are measured with instruments such as harris hip score. Pdf outcome evaluations are of primary concern in contemporary medical. Pdf the harris hip score comparison of patient selfreport with. Validation of the spanish version of the hip outcome score.
A scale with a maximum of 100 points, it evaluates pain, function, deformity and motion. Some aspects of validity are missing for the harris hip score hhs. Pdf the minimal clinical important difference mcid and. Hemiarthroplasty remains a useful mode of treatment for fracture neck of femur in patients aged 60 years and above. Clinically important improvement thresholds for harris hip. 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. The elements of deformity 4 points and range of motion 5 points from the original harris hip score. It was developed in 1969, and has since undergone multiple revisions. The standard evaluation applies to various hip disabilities and methods of treatment in adults. 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. The non arthroplasty hip surgery register nahsr the british hip society, 35 43 lincolns inn fields, london wc2a 3pn modified harris hip score to be completed by patient. 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 methods of treatment in an adult population.
In situations where the harris score is applied post operative, any increase of the score with more than 20 correlated with radiographic evidence of the stability of the implant suggests that there is no need for additional femoral reconstruction. Reliability of modified harris hip score as a tool for. The aim of the present study is to translate and validate hos into spanish. The original harris hip score hhs does not contain ability to perform squatting and sitting cross legged as items in the questionnaire and hence a need was felt to modify the harris hip score so that it could stay relevant in functional assessment of indian patients in the rural setting. Harris hip score hhs, hip disability and osteoarthritis outcome score hoos, oxford. The answers to these questions form the basis for the harris hip score hhs1 developed by dr.
The score is reported as 90100 for excellent results, 8089 being good, 7079 fair, 6069 poor, and below 60 a failed result. 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. A score of 06 is given, based on the angle made by a line drawn between the centres of the femoral heads and a second line drawn from the femoral head to the cranial edge of the acetabulum on each side. Modified harris hip score mhhs check how your hip is doing.
A prospective and multicenter study with 100 patients undergoing hip arthroscopy was performed between june. The patient presented with pain and a low harris hip score 64. Walking o unlimited o 10 blocks o 510 blocks o modified harris hip score please mark one choice for each topic. Free online harris hip score calculator orthotoolkit. Mayo elbow score 546 u m with dash m with ases l es1. Pdf reliability of modified harris hip score as a tool for outcome. Is the harris hip score system useful to study the outcome. Using the hhs, results of hip surgeries can be compared across different surgeons in an objective. Does the modified harris hip score reflect patient satisfaction after hip arthroscopy.
The validity, reliability, and responsiveness of commonly. This hip scoring method was developed by harris in 1969 as a mean of evaluating patient outcome after total hip arthroplasty. We recommend the use of modified hhs for assessing postthr functional status of patients. Study of results of difficult total hip arthroplasty. Reliability of modified harris hip score as a tool for outcome. Modified harris hip score seen as accurate determinant of. 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. Osteoarthritis is a common condition of the hip that affects millions of adults around the world. The aim of this study was to perform a validity test of the harris hip score and to test its reliability. To determine the patient acceptable symptomatic state pass for the modified harris hip score mhhs and the hip outcome score hos in patients with fai treated with arthroscopic hip surgery.
The hip outcome score hos is a selfreported questionnaire evaluating the outcomes of treatment interventions for hip pathologies, divided in 19 items of activities of daily life adl and 9 sports items. Use of telephone interviews to follow up patients after total hip replacement we studied the. An endresult study using a new method of result evaluation. Comparison of results bw harris hip score vs charnley hip score score points unipolar harris hip score charnley hip score bipolar satisfactory 77. Harris hip score, total hip replacement, outcome, fracture. Download table modified harris hip score from publication. Pdf reliability of modified harris hip score as a tool. Assessing functional outcome using modified harris hip score in. Total hip arthroplasty tha is the second most commonly performed arthroplasty in the u. 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. Are harris hip scores and gait mechanics related before.
Reliability of modified harris hip score as a tool for outcome evaluation of total hip replacements in indian population article pdf available in journal of clinical orthopaedics and trauma. Functional outcome was assessed using harris hip score and radiological findings were compared at 3, 6, and 12 months postoperatively. Fillup those 8 questions and get a result on the spot. Sir john charnley invented total hip replacement thr, that has evolved as an effective surgery, used commonly around the world for treatment of a spectrum of hip pathologies. Part 2 function page 2 of 2 function score knee society score is. The hip disability and osteoarthritis outcome score hoos is a patientreported outcome measure prom that is used to evaluate total hip arthroplasty tha patients. In time, clinical scope of the score has increased and now it is used for hip replacement, assessment of femoral neck fractures and hip osteoarthritis. The original version of the score was first published in 1969. Modified harris hip score mhhs nashville hip institute.
Scoresevaluationsquestionnaires reduced womac score knee general and arthroplasty modules 28. Pdf background standard harris hip score hhs is a validated tool, to measure the functional status of an individual and has been. 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. The outcome of austin moor vs bipolar hemiarthoplasty in. The elements of deformity 4 points and range of motion 5. Its a frequent cause of pain, functional disability and reduced quality of life. Traumatic arthritis of the hip after dislocation and acetabular fractures. The harris hip scale hhs was developed for the assessment of the results of. Patientreported outcome pro measurement is a method for measuring perceptions of patients on their health and quality of life. Modified harris hip score download table researchgate. The harris hip score hhs is a clinicianbased outcome measure frequently used for the evaluation of patients following a total hip arthroplasty. Translation and transcultural adaptation of the modified. Reproducibility was assessed from data on an additional random sample of 17 patients with hip pain. The hhs is an outcome measure administered by a qualified health care professional, such as a physician or a physical therapist.
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. Crae, which gives a relative indication of acetabular depth and a measure of coxofemoral subluxation laxity. Study of results of difficult total hip arthroplasty according to modified harris hip score 56 int j res med. Please circle one answer that best describes your situation. Is the modified harris hip score valid and responsive. Today, the scope of the hhs has increased, and many clinicians now use it for the assessment of femoral neck fractures and. Modified harris hip scoring system pain 44 noneignores 40 slight, occasional, no compromise in activity.
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