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.
Similar content being viewed by others
References
De Martino I, De Santis V, Sculco PK, D’Apolito R, Poultsides LA, Gasparini G (2016) Long-term clinical and radiographic outcomes of porous tantalum monoblock acetabular component in primary hip arthroplasty: a minimum of 15-year follow-up. J Arthroplasty 31(9 Suppl):110–114
Tozun IR, Ozden VE, Dikmen G, Beksac B (2014) Mid-term result of ceramic bearings in total hip arthroplasty. Int Orthop 38:2027–2031
Kobayashi H, Homma Y, Baba T, Ochi H, Matsumoto M, Yuasa T, Kaneko K (2016) Surgeons changing the approach for total hip arthroplasty from posterior to direct anterior with fluoroscopy should consider potential excessive cup anteversion and flexion implantation of the stem in their early experience. Int Orthop 40:1813–1819
Travis EC, Tan RS, Funaki P, McChesney SJ, Patel SC, Brogan K (2015) Clinical outcomes of total hip arthroplasty for fractured neck of femur in patients over 75 years. J Arthroplasty 30(2):230–234
Harris WH (1969) Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am 51:737–755
D’Aubigne RM, Postel M (1954) Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am 36:451–475
Kuribayashi M, Takahashi KA, Fujioka M, Ueshima K, Inoue S, Kubo T (2010) Reliability and validity of the Japanese Orthopaedic Association hip score. J Orthop Sci 15:452–458
Lieberman JR, Dorey F, Shekelle P, Schumacher L, Thomas BJ, Kilgus DJ, Finerman GA (1996) Differences between patients’ and physicians’ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg Am 78:835–838
Brokelman RB, van Loon CJ, Rijnberg WJ (2003) Patient versus surgeon satisfaction after total hip arthroplasty. J Bone Joint Surg Br 85:495–498
Seki T, Hasegawa Y, Ikeuchi K, Ishiguro N, Hiejima Y (2013) Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease. J Orthop Sci 18:782–787
Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The ‘‘forgotten joint’’ as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplast 27:430–436
Hamilton DF, Giesinger JM, MacDonald DJ, Simpson AH, Howie CR, Giesinger K (2016) Responsiveness and ceiling effects of the Forgotten Joint Score-12 following total hip arthroplasty. Bone Joint Res 5:87–91
Shadid MB, Vinken NS, Marting LN, Wolterbeek N (2016) The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation. Acta Orthop Belg 82:112–118
Homma Y, Baba T, Sano K, Ochi H, Matsumoto M, Kobayashi H, Yuasa T, Maruyama Y, Kaneko K (2016) Lateral femoral cutaneous nerve injury with the direct anterior approach for total hip arthroplasty. Int Orthop 40:1587–1593
Matsumoto M, Baba T, Homma Y, Kobayashi H, Ochi H, Yuasa T, Behrend H, Kaneko K (2015) Validation study of the Forgotten Joint Score-12 as a universal patient-reported outcome measure. Eur J Orthop Surg Traumatol 25:1141–1145
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840
Matsumoto T, Kaneuji A, Hiejima Y, Sugiyama H, Akiyama H, Atsumi T, Ishii M, Izumi K, Ichiseki T, Ito H, Okawa T, Ohzono K, Otsuka H, Kishida S, Kobayashi S, Sawaguchi T, Sugano N, Nakajima I, Nakamura S, Hasegawa Y, Fukuda K, Fujii G, Mawatari T, Mori S, Yasunaga Y, Yamaguchi M (2012) Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ): a patient-based evaluation tool for hip-joint disease. The Subcommittee on Hip Disease Evaluation of the Clinical Outcome Committee of the Japanese Orthopaedic Association. J Orthop Sci 17:25–38
Quintana JM, Escobar A, Aguirre U, Lafuente I, Arenaza JC (2009) Predictors of health-related quality-of-life change after total hip arthroplasty. Clin Orthop Relat Res 467:2886–2894
Nilsdotter AK, Petersson IF, Roos EM, Lohmander LS (2003) Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis 62:923–930
Tönnis D, Heinecke A (1999) Acetabular and femoral anteversion: relationship with osteoarthritis of the hip. J Bone Joint Surg Am 81:1747–1770
Valera M, Ibañez N, Sancho R, Me Tey (2016) Reliability of Tönnis classification in early hip arthritis: a useless reference for hip-preserving surgery. Arch Orthop Trauma Surg 136:27–33
Edwards PK, Queen RM, Butler RJ, Bolognesi MP, Lowry Barnes C (2016) Are range of motion measurements needed when calculating the Harris Hip Score? J Arthroplasty 31:815–819
Knahr K, Kryspin-Exner I, Jagsch R, Freilinger W, Kasparek M (1998) Evaluating the quality of life before and after implantation of a total hip endoprosthesis. Z Orthop Ihre Grenzgeb 136:321–329
Thienpont E, Vanden Berghe A, Schwab PE, Forthomme JP, Cornu O (2016) Joint awareness in osteoarthritis of the hip and knee evaluated with the ‘Forgotten Joint’ Score before and after joint replacement. Knee Surg Sports Traumatol Arthrosc 24:3346–3351
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
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.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-017-1963-3