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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities

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Related Experiment Video

Updated: May 14, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Using the patient's perspective to develop function short forms specific to total hip and knee replacement based on

T R Liebs1, W Herzberg, J Gluth

  • 1University of Schleswig-Holstein Medical Centre, Kiel Campus, Department of Orthopaedic Surgery, Kiel, Germany. liebs@liebs.eu

The Bone & Joint Journal
|February 1, 2013
PubMed
Summary
This summary is machine-generated.

The Western Ontario and McMaster Universities (WOMAC) osteoarthritis index function items were prioritized differently by total hip (THR) and total knee replacement (TKR) patients. Developed joint-specific short forms are equally responsive to the original WOMAC index.

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Last Updated: May 14, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

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Published on: September 7, 2022

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Area of Science:

  • Orthopedics
  • Rheumatology
  • Health Outcomes Research

Background:

  • The Western Ontario and McMaster Universities (WOMAC) osteoarthritis index is widely used for assessing outcomes in hip and knee replacement surgery.
  • However, its 17 function items may not capture the most critical aspects of recovery for individual patients undergoing total hip replacement (THR) or total knee replacement (TKR).

Purpose of the Study:

  • To identify and prioritize the most important WOMAC function items from the patient's perspective for THR and TKR.
  • To develop joint-specific short forms of the WOMAC function scale based on these patient-identified priorities.

Main Methods:

  • A cohort of 1198 patients (704 THR, 494 TKR) completed the WOMAC index pre-operatively and at 3, 6, 12, and 24 months post-surgery.
  • Patients were asked to identify the single most important function item at each follow-up point.
  • Statistical analysis was used to determine significant differences in item importance between THR and TKR groups and across follow-up periods.

Main Results:

  • Patient priorities for WOMAC function items differed significantly between THR and TKR groups (p < 0.001) and evolved post-surgery.
  • Using a ≥ 5% prioritization threshold, eight items were identified for THR and seven for TKR, with six common items.
  • The newly developed WOMAC-THR and WOMAC-TKR function short forms demonstrated equivalent responsiveness compared to the original WOMAC function scale.

Conclusions:

  • Patient-reported priorities for WOMAC function items vary between total hip and total knee replacement.
  • Joint-specific WOMAC function short forms can be developed based on patient priorities.
  • These short forms maintain the responsiveness of the original WOMAC index, offering a more tailored assessment for THR and TKR patients.