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Translation and Validation of Forgotten Joint Score for Total Hip Arthroplasty for Indian Population

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Abstract

Background

The ultimate success of a total hip replacement lies in patients forgetting about their artificial joints during routine activities. “Forgotten Joint Score (FJS)” is emerging as an important tool in assessing outcomes of total hip arthroplasty. There has been no version of this score available in commonly spoken vernaculars in India. This study aims to formulate and validate the Hindi version of FJS in Indian population.

Methods

A total of 136 patients with a minimum follow-up of 6 months and a maximum follow-up of 18 months after total hip arthroplasty were asked to fill the translated and adapted version of FJS questionnaire, at two points of time 2 weeks apart. The Hindi version of FJS (I-FJS) was tested for reliability and responsiveness, floor and ceiling effect and validity against modified Harris Hip Score (mHHS). Construct validity was expressed as the Pearson correlation coefficient. Internal consistency was expressed as Cronbach’s alpha and test–retest reliability as the intra-class correlation coefficient (ICC).

Results

I-FJS showed excellent internal consistency with Cronbach’s alpha of 0.88. Intra-class correlation coefficient (ICC) was 0.94. I-FJS showed good correlation with m-HHS (r = 0.8, p = 0.001). The standard error of measurement was 3.6 and the smallest detectable change was 9.97. There was no floor or ceiling effect observed with I-FJS. Data from this study were insufficient to establish adequate responsiveness of I-FJS.

Conclusion

I-FJS is a valid, reliable and reproducible score for hip function in post-THA patients. It is devoid of any floor or ceiling effect. Hindi version of FJS could be an effective tool for studying hip function in the Indian population.

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Authors and Affiliations

  1. Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Rishikesh, India

    Siddharth S. Sethy, Souvik Paul, S. Lakshmana Das, Arghya Kundu Choudhury & Roop Bhushan Kalia

  2. Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Bathinda, Punjab, 151001, India

    Tarun Goyal

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Correspondence to Tarun Goyal.

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The institutional ethics committee approved the study (AIIMS/IEC/18/146). Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. The study was conducted in All India Institute of Medical Sciences, Rishikesh, India.

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Sethy, S.S., Goyal, T., Paul, S. et al. Translation and Validation of Forgotten Joint Score for Total Hip Arthroplasty for Indian Population. JOIO 54, 892–900 (2020). https://doi.org/10.1007/s43465-020-00228-x

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