May 24, 2016
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Modified Harris Hip score seen as accurate determinant of patient clinical outcome after THA

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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 an accurate determinant of patient clinical outcome and that range of motion assessment is not essential.

Researchers collected complete Harris Hip score data, including completed physician-reported and patient-reported outcome components, of 483 patients who had undergone either primary or revision total hip arthroplasty (THA) between April 2001 and July 2013. Researchers divided American Society of Anesthesiologists (ASA) score into low and high groups and divided BMI into four categories.

Results showed a mean difference of four points between Harris Hip score and modified Harris Hip score groups. Researchers found a significant interaction in the ASA score, BMI and surgical type with the Harris Hip score calculation method. The difference between the two Harris Hip score calculations was greater in the low ASA score group, in the normal weight group and the primary reconstruction group, according to results.

Researchers found an increase in the Harris Hip score among men vs. women. Although the Harris Hip score and the modified Harris Hip score significantly correlated with height and modified Harris Hip score was weakly correlated with BMI, results showed neither Harris Hip score nor the modified Harris Hip score correlated with weight. – by Casey Tingle

 

Disclosures: Edwards is a paid consultant for Biomet, Smith & Nephew and DJO Global. Please see the full study for a list of all other authors’ relevant financial disclosures.