Abstract
Purpose
The purpose of this study was to examine the influence of the contralateral hip state on postoperative assessment using the Forgotten Joint Score-12 (FJS-12) in comparison with the McMaster Universities Osteoarthritis Index (WOMAC) and the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ).
Methods
One hundred and thirty-four hips underwent total hip arthroplasty (THA) between 2014 and 2015. Of these, the subjects were 106 hips with degenerative hip arthrosis as a primary disease for whom initial THA was performed on the affected side. The WOMAC and JHEQ were investigated before surgery and 1 month, 6 months, and 1 year after surgery. The FJS-12 was examined 1 month, 6 months, and 1 year after surgery.
Results
We divided the subjects into three groups based on the state of the contralateral hip, which was not surgically treated in this study: healthy (n = 43), THA (n = 31), and OA (n = 31) groups. One year after surgery, the mean FJS-12 scores in the healthy, THA, and OA groups were 69.1, 52.8, and 68.0 points, respectively. In the THA group, the score was significantly lower than in the healthy and OA group. There were no significant differences in WOMAC and JHEQ scores among the three groups.
Conclusions
The FJS-12 score in the presence of an arthroplasty on the contralateral side was more markedly influenced by the contralateral hip state compared with that in the presence of contralateral painful OA. This result suggests that it is necessary to understand the characteristics of PROs and utilize them for post-THA assessment.
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Appendix
Appendix
FJS-12 score
The following 12 questions refer to how aware you are of your artificial hip/knee joint in everyday life. Please tick one answer from each question.
Are you aware of your artificial joint…
1. … in bed at night?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
2. … when you are sitting on a chair for more than 1 h?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
3. … when you are walking for more than 15 min?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
4. … when you are taking a bath/shower?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
5. … when you are traveling in a car?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
6. … when you are climbing stairs?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
7. … when you are walking on uneven ground?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
8. … when you are standing up from a low-sitting position?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
9. … when you are standing for long periods of time?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
10. … when you are doing housework or gardening?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
11. … when you are taking a walk/hiking?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
12. … when you are doing your favorite sport?
○ never ○ almost never ○ seldom ○ sometimes ○ mostly
Scoring: For scoring the FJS-12, all responses are summed (never, 0 points; almost never, 1 point; seldom, 2 points; sometimes, 3 points; mostly, 4 points) and then divided by the number of completed items. This mean value is subsequently multiplied by 25 to obtain a total score range of 0–100. Finally, the score is subtracted from 100, to change the direction of the final score in a way that high scores indicate a high degree of “forgetting” the artificial joint, that is, a low degree of awareness.
If more than four responses are missing, the total score should not be used.
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Matsumoto, M., Baba, T., Ochi, H. et al. Influence of the contralateral hip state after total hip arthroplasty on patient-reported outcomes measured with the Forgotten Joint Score-12. Eur J Orthop Surg Traumatol 27, 929–936 (2017). https://doi.org/10.1007/s00590-017-1963-3
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DOI: https://doi.org/10.1007/s00590-017-1963-3