Validez de la escala de cadera de Harris en la rehabilitación tras artroplastia de cadera

Collado, María José Navarro; Moreno, Salvador Peiró; Jareño, Lourdes Ruiz; Rubio, A. Payá; Juan, M.T. Hervás; Matéu, Pedro López

doi:10.1016/s0048-7120(05)74337-1

Cited by 10 publications

(4 citation statements)

References 29 publications

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“…Taking into account the instruments included in the studies (Table 2), a total of 8 tools were identified, four of which were variants or sub-scales of other main tools. In terms of specific questionnaires, we found: The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [33–36,44], composed by 24 Likert-type items designed to assess pain, stiffness and physical function; two different versions of the WOMAC Short Form, each composed of 11 items with 5 Likert-type items [35,37]; The WOMAC Short Form (Function dimension) composed of 7 items validated to assess functionality in joint replacement [38]; The Pain and Function of the Hip scale (PFH) composed of 9 Likert-type items to assess pain, function and mobility/strength [41,42,45]; The Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) composed of 43 Likert-type items, 40 of which are used to assess physical activity, mental health, pain, social support and social functioning [39]; The Mini-OAKHQOL composed of 20 Likert-type items to assess the same dimensions as the long version (OAKHQOL); and the Harris Hip Score (HHS), with 10 Likert-type items that assess pain, function, amplitude of movement and absence of deformity [43].…”

Section: Resultsmentioning

confidence: 99%

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

et al. 2019

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Purpose 1) To systematically review the available scientific literature regarding specific instruments developed and/or tested in a Spanish population, to assess these PROMs in hip arthroplasty; 2) to carry out a standardized assessment of their measurement properties; and 3) to identify the best tools for use in Spain in an arthroplasty registry context. Methods A systematic review of PubMed/MEDLINE and EMBASE and CINHAL was done. Furthermore, a standardized assessment of the questionnaires identified using the Evaluating the Measurement of Patient-Reported Outcomes (EMPRO) tool was performed. All developments, validation and studies aiming to assess the measurement properties of PROMs in hip arthroplasty in the Spanish population were included. Data from the questionnaires on metric properties was taken into account to identify the best candidates for inclusion in a register. Results A total of 853 documents were found. After screening title and abstract, 13 full text documents were reviewed and 8 questionnaires adapted and validated to assess some of the aspects of hip arthroplasty in the Spanish population were identified. After the EMPRO assessment, 4 questionnaires showed suitable properties (WOMAC, OAKHQOL, mini-OAKHQOL and PFH). Conclusions In Spain, there are a few suitable hip-specific questionnaires currently available to assess PROMs in hip arthroplasty surgery. Some of the more widely used questionnaires, like the OHS and HOOS, have not been validated in the Spanish population until now. Identified tools are suitable for use in a clinical context, however their use in an arthroplasty register is more questionable due to the lack of validation studies of the widely used tools in other registers.

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Section: Resultsmentioning

confidence: 99%

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

et al. 2019

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“…All subjects were clinically assessed by the same surgeon who performed the surgical indication, surgical execution, and supervised patient monitoring. A test pack containing VAS [27], HOS [51], mHHS [35], and WOMAC [13] was passed to all participants during the preoperative stage, after 3 months, after 6 months, after 1 year, then annually throughout the entire span of the monitoring period. For the present study, preoperative parameters were evaluated.…”

Section: Methodsmentioning

confidence: 99%

Preoperative risk factors in hip arthroscopy

Seijas

Barastegui

López-de-Celis

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose Arthroscopic surgery is a usual technique to repair hip femoroacetabular impingement. Correlation exists among surgical indication, postoperative evolution, the inal result, and the necessity of prosthesis in the near future. The assessment of speciic parameters allowing us to evaluate the prognosis becomes vital to improve the results. The objective of this study is to check the variables found in patients with femoroacetabular impingement (FAI) treated with hip arthroscopy, and determine which of these variables would serve as key indicators in predicting the need for subsequent arthroplasty. Methods Data from FAI surgical indications (age, weight, height, BMI, gender, side, radiographic Tönnis degree, cartilage lesion degree by Acetabular Labrum Articular Disruption (ALAD) degree, VAS value, HOS, mHHS and WOMAC) were collected from cases which should have had a minimum monitoring period of 2 years from 2007 to 2017. The results of the group which needed prosthesis were compared to the results of the ones who did not. Results Among 452 patients who were monitored for an average of 5.8 years, 82 (18.1%) required conversion to prosthesis. The variables that indicated relatively high risk were fourth-degree acetabular labrum articular disruption (ALAD) chondral injury, preoperative radiographic Grade 2 Tönnis classiication, age of over 55 years, WOMAC over 45 points, and HOS-ADL under 50 points. There were no signiicant diferences between side, gender, VAS level, nor HOS. Conclusions The presence of chondral injuries such as acetabular labrum articular disruption (ALAD) 4, radiographic Grade 2 Tönnis classiication, higher age, higher BMI, and worse WOMAC, along with mHHS and HOS-ADL preoperative results, are factors which lead to a poor prognosis following FAI hip arthroscopic surgery, increasing the risk of prosthetic conversion in the short or medium term. Level of evidence Level IV.

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“…To assess postoperative function, the Harris Hip Score was used in all patients. This questionnaire has been validated in Spanish to measure disability after THA, with 100 being the best result [38].…”

Section: Methodsmentioning

confidence: 99%

Influence of Physical Activity and Cup Orientation on Metal Ion Release and Oxidative Stress in Metal-on-Metal and Ceramic-on-Metal Total Hip Arthroplasty

Gómez-Álvarez,

Miranda,

Álvarez-Llanas

et al. 2024

JCM

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Background: Metal-on-metal (M-M) total hip arthroplasty (THA) has shown adverse reactions to metal debris, abnormal soft-tissue reactions, and high blood metal ion levels. This study aims to: (1) assess whether the toxicity of high levels of ions is related to altered oxidative stress and (2) evaluate tribological factors related to increased blood levels of chromium (Cr) and cobalt (Co) ions. Methods: A cross-sectional analytical descriptive study was conducted on 75 patients. A total of 25 underwent M-M THA, 25 ceramic-on-metal (C-M) THA, and 25 were on the THA waiting list. Ion metallic levels in blood, oxidative stress, physical activity, and implant position were compared. Results: In the M-M group, Co and Cr levels were significantly higher than those found in the C-M group and the control group (p < 0.01). We found no differences in terms of oxidative stress between the groups. Also, we did not find a correlation between metal blood levels and oxidative stress indicators, the physical activity of the patients or the position of the implants between groups. Conclusions: The use of M-M bearing surfaces in THA raises the levels of metals in the blood without modifying oxidative stress regardless of the physical activity levels of the patients. Therefore, although patients with M-M bearings require close monitoring, it does not seem necessary to recommend the restriction of physical activity in patients with M-M or C-M arthroplasties.

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Validez de la escala de cadera de Harris en la rehabilitación tras artroplastia de cadera

Cited by 10 publications

References 29 publications

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

Availability of specific tools to assess patient reported outcomes in hip arthroplasty in Spain. Identifying the best candidates to incorporate in an arthroplasty register. A systematic review and standardized assessment

Preoperative risk factors in hip arthroscopy

Influence of Physical Activity and Cup Orientation on Metal Ion Release and Oxidative Stress in Metal-on-Metal and Ceramic-on-Metal Total Hip Arthroplasty

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