Clinical assessment after total hip arthroplasty using the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire

Fukui, Kiyokazu; Kaneuji, Ayumi; Sugimori, Tanzo; Ichiseki, Toru; Matsumoto, Tadami; Hiejima, Yoshimitsu

doi:10.1016/j.jor.2015.01.021

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…Clinical assessments were performed using the Japanese Orthopaedic Association (JOA) hip scores (14) as the clinician reported outcome measures (CROMs) pre-operatively, and at 6 and 12 months postoperatively. Additionally, patient-reported outcome measures (PROMs) were evaluated with the Japanese Orthopaedic Association Hip-disease Evaluation Questionnaire (JHEQ) (15,16) and Forgotten Joint Score (FJS) (17). The JHEQ consisted of pain, movement and mental subscales, which were assessed preoperatively, at 6 and 12 months post-operatively.…”

Section: Discussionmentioning

confidence: 99%

Limited Effects on Patient Outcomes of Conjoint Tendon Release in Anterolateral Muscle-Sparing Total Hip Arthroplasty

Tanaka

Yamada²,

Kurishima

et al. 2021

Preprint

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Background: The anterolateral muscle-sparing total hip arthroplasty (THA) in the supine position is advantageous owing to the very low-dislocation rate and excellent leg length discrepancy control. However, femur exposure is challenging. Although the conjoined external rotators tendon (CERT) release is effective in improving femoral access, the effects on clinical outcomes remain unclear. The purpose of this study was to evaluate the clinical and radiographic results of CERT release in the anterolateral muscle-sparing THA approach.Methods: The study was performed as a retrospective cohort study and included 85 hips in 85 patients who underwent primary anterolateral THA. Clinical and radiographic outcomes were investigated 6 months and 1 year after THA (CERT-preserved and non-released patients). The Japanese Orthopaedic Association (JOA) hip score, JOA Hip-disease Evaluation Questionnaire (JHEQ), forgotten joint score (FJS) and the 36 short-form questionnaires (SF-36 mental and physical) were evaluated. The leg length discrepancy, cup inclination and stem orientation were evaluated with radiographs.Results: Among all the included hips, 37 patients (43.5%) retained the CERT, and 48 patients (56.5%) included the released CERT. There were no significant differences in the JOA hip scores, JHEQ, FJF-12 and SF-36 between the released and non-released groups. There were significant differences in sagittal stem alignments between groups.Conclusion: The CERT release in anterolateral muscle-sparing THA has a limited effect on post-operative clinical outcomes. The CERT release improved the femur exposure and is more invasive than the preserved CERT. We infer that the CERT should be maintained in patients with wide range of motions, and release the CERT in inadequate femur canal preparation cases.

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Section: Discussionmentioning

confidence: 99%

Limited Effects on Patient Outcomes of Conjoint Tendon Release in Anterolateral Muscle-Sparing Total Hip Arthroplasty

Tanaka

Yamada²,

Kurishima

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Clinical assessments were performed using the Japanese Orthopaedic Association (JOA) hip scores [ 14 ] as the clinician-reported outcome measures (CROMs) pre-operatively, and at 6 and 12 months post-operatively. Additionally, patient-reported outcome measures (PROMs) were evaluated with the Japanese Orthopaedic Association Hip-disease Evaluation Questionnaire (JHEQ) [ 15 , 16 ] and Forgotten Joint Score (FJS) [ 17 ]. The JHEQ consisted of pain, movement, and mental subscales, which were assessed pre-operatively, at 6 and 12 months post-operatively.…”

Section: Methodsmentioning

confidence: 99%

Limited effects on patient outcomes of conjoint tendon release in anterolateral muscle-sparing total hip arthroplasty

Tanaka¹,

Yamada²,

Kurishima

et al. 2021

J Orthop Surg Res

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Background The anterolateral muscle-sparing total hip arthroplasty (THA) in the supine position is advantageous owing to the very low-dislocation rate and excellent leg length discrepancy control. However, femur exposure is challenging. Although the conjoined external rotators tendon (CERT) release is effective in improving femoral access, the effects on clinical outcomes remain unclear. The purpose of this study was to evaluate the clinical and radiographic results of CERT release in the anterolateral muscle-sparing THA approach. Methods The study was performed as a retrospective cohort study and included 85 hips in 85 patients who underwent primary anterolateral THA. Clinical and radiographic outcomes were investigated 6 months and 1 year after THA (CERT-preserved and non-released patients). The Japanese Orthopaedic Association (JOA) hip score, JOA Hip-disease Evaluation Questionnaire (JHEQ), forgotten joint score (FJS), and the 36 short-form questionnaires (SF-36 mental and physical) were evaluated. The leg length discrepancy, cup inclination and stem orientation were evaluated with radiographs. Results Among all the included hips, 37 patients (43.5%) retained the CERT, and 48 patients (56.5%) included the released CERT. There were no significant differences in the JOA hip scores, JHEQ, FJF-12 and SF-36 between the released and non-released groups. There were significant differences in sagittal stem alignments between groups. Conclusion The CERT release in anterolateral muscle-sparing THA has a limited effect on post-operative clinical outcomes. The CERT release improved the femur exposure and is more invasive than the preserved CERT. We infer that the CERT should be maintained in patients with a wide range of motions, and release the CERT in inadequate femur canal preparation cases.

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“…The JHEQ is a patient-reported outcome measure that includes questions concerning common Asian-lifestyle movements, such as using a squatting pan toilet or getting up from the floor; both movements require deep flexion of the hip joint. 15 The JHEQ consists of pain (seven questions, 28 points), movement (seven questions, 28 points), and mental (seven questions, 28 points) subscales, with higher scores indicating a better HRQoL (maximum 84 points). In this study, the composite measure of JHEQ was used for analyses.…”

Section: Methodsmentioning

confidence: 99%

Factors associated with health-related quality of life in Japanese patients with hip osteoarthritis: A cross-sectional study

Tanaka

Robbins

Inoue

et al. 2020

Journal of Orthopaedics, Trauma and Rehabilitation

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Background/Purpose: Chronic symptoms related with hip osteoarthritis (OA) can negatively affect health-related quality of life (HRQoL). The purpose of this study was to examine factors related to a HRQoL measure that considers an Asian lifestyle in Japanese patients with hip OA. Methods: Forty-seven female subjects participated. The dependent variable was the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), which assessed HRQoL. Potential factors were measured as independent variables. After screening, potential variables were entered into a multiple regression analysis to determine which variables were related to HRQoL. Results: In the regression model, knee extension muscle strength on the unaffected side and hip flexion range of motion (ROM) on the affected side were associated with HRQoL. Higher strength and higher ROM were related to greater HRQoL. Conclusion: Results can help health-care providers develop appropriate rehabilitation programs for improving HRQoL in patients with hip OA.

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Clinical assessment after total hip arthroplasty using the Japanese Orthopaedic Association Hip-Disease Evaluation Questionnaire

Cited by 8 publications

References 19 publications

Limited Effects on Patient Outcomes of Conjoint Tendon Release in Anterolateral Muscle-Sparing Total Hip Arthroplasty

Limited Effects on Patient Outcomes of Conjoint Tendon Release in Anterolateral Muscle-Sparing Total Hip Arthroplasty

Limited effects on patient outcomes of conjoint tendon release in anterolateral muscle-sparing total hip arthroplasty

Factors associated with health-related quality of life in Japanese patients with hip osteoarthritis: A cross-sectional study

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