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Reliability of Modified Harris Hip Score as a tool for outcome evaluation of Total Hip Replacements in Indian
Prasoon Kumar1, Ramesh Sen2, Sameer Aggarwal1
1Department of Orthopaedics, PGIMER, Chandigarh, India.
Background:
Standard Harris Hip Score (HHS) is a validated tool, to measure the functional status of an individual and has been traditionally used to assess the condition of a patient with hip pathologies. Harris hip score in its standard form includes a physician's physical examination component which has a high inter-observer variability. A modified version of HHS (MHHS) was devised and brought into use, but has not been validated as an outcome measure, post total hip replacement (THR) in Indian population.
Methods:
101 patients with 122 hips for whom THR was done, were followed up, and HHS and MHHS were recorded at a minimum followup of 6 months.
Results:
The mean MHHS was 78.97 with a standard deviation of 15.017. There was positive correlation between the two functional outcome scores with a p value of 0.001. MHHS was found to be reliable with a significant intraclass correlation coefficient (p = 0.001).
Conclusion:
MHHS is a reliable and valid tool to measure functional outcome in patients undergoing Total Hip Replacements.
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