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Arthroscopic hip preservation surgery
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
Various scoring systems are available for quantification of hip pain, function, and severity of symptoms. The Harris Hip Score, Modified Harris Hip Score, Merle d'Aubigné score, Non-Arthritic Hip Score, Musculoskeletal Function Assessment (MFA), and Western Ontario and McMaster Universities Osteoarthritis Index are in use. The use of a visual analog score is also useful for the quantification of pain at rest and pain with activities.
The effect of extracorporeal shock wave on osteonecrosis of femoral head: a systematic review and meta–analysis
Published in The Physician and Sportsmedicine, 2022
Jin Mei, Lili Pang, Zhongchao Jiang
Harris hip score scored patients according to four parts including pain, function, deformity, and range of motion. The more score patients get, the better function patients have. A score of less than 70 is poor, 70–80 is fair, 80–90 is good, and 90–100 excellent. The pooled results of HHS with eight studies of 337 hips show that ESWT achieves a higher Harris hip score after treatment (MD = −20.03; 95%CI,-25.56, −14.49; Figure 2) and the difference is statistically significant (p < 0.01). However, the heterogeneity analysis shows an excessive heterogeneity (I2 = 91%). According to the language of articles, we divide articles into the Chinese group and the English group and perform a subgroup analysis (Figure 3). In subgroup analysis, the heterogeneity of the English group is eliminated. Extracorporeal shock wave therapy also achieves higher scores compared to baseline scores.
Higher cartilage wear in unipolar than bipolar hemiarthroplasties of the hip at 2 years: A randomized controlled radiostereometric study in 19 fit elderly patients with femoral neck fractures
Published in Acta Orthopaedica, 2018
Wender Figved, Stian Svenøy, Stephan M Röhrl, Jon Dahl, Lars Nordsletten, Frede Frihagen
The RSA index radiographs were taken within 1 week postoperatively. To determine the precision of the RSA measurements, all examinations were conducted in the supine position and repeated within 1 hour, with repositioning of the patient between the scans. The precision was then calculated from the mean difference between the double examinations at all time intervals. For analyses of cartilage wear, double examinations of all patients at all time intervals were compared, and the mean result of the analyses was recorded. Hip function was rated with Harris Hip Score (HHS), ranging from 0 to 100 points covering a maximum of 44 points for absence of pain, 47 points for function, and 9 points for range of motion and absence of deformity. Health-related quality of life was rated by the patient-reported EQ-5D using VAS and index scores. After inclusion but prior to surgery, all patients completed an HHS and an EQ-5D, instructed to recall and assess their pre-fracture status (Table 1).