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An objective measurement of surgical procedures outcomes is inherent to professional practices quality control; this especially applies in orthopaedics to joint replacement outcomes. A self-administered questionnaire offers an attractive alternative to surgeon's judgement but is infrequently used in France for these purposes. The British questionnaire, the 12-item Oxford Hip Score (OHS) was selected for this study because of its ease of use.The objective of this study was to validate the French translation of the self-assessment 12-item Oxford Hip Score and compare its results with those of the reference functional scores: the Harris Hip Score (HHS) and the Postel-Merle d'Aubigné (PMA) score.Based on a clinical series of 242 patients who were candidates for total hip arthroplasty, the French translation of this questionnaire was validated. Its coherence was also validated by comparing the preoperative data with the data obtained from the two other reference clinical scores.The translation was validated using the forward-backward translation procedure from French to English, with correction of all differences or mistranslations after systematized comparison with the original questionnaire in English. The mean overall OHS score was 43.8 points (range, 22-60 points) with similarly good distribution of the overall value of the three scores compared. The correlation was excellent between the OHS and the HHS, but an identical correlation between the OHS and the PMA was only obtained for the association of the pain and function parameters, after excluding the mobility criterion, relatively over-represented in the PMA score.Subjective questionnaires that contribute a personal appreciation of the results of arthroplasty by the patient can easily be applied on a large scale. This study made a translated and validated version of an internationally recognized, reliable self-assessment score available to French orthopaedic surgeons. The results obtained encourage us to use this questionnaire as a complement to the classical evaluation scores and methods.

Original publication

DOI

10.1016/j.otsr.2009.01.003

Type

Journal article

Journal

Orthopaedics & traumatology, surgery & research : OTSR

Publication Date

03/04/2009

Volume

95

Pages

89 - 99

Addresses

Department of Orthopaedic Surgery, clinique Yvette, 67-71, route de Corbeil, 91160 Longjumeau, France. c.delaunay@clinique-yvette.com

Keywords

Humans, Pain, Postoperative, Disability Evaluation, Range of Motion, Articular, Activities of Daily Living, Arthroplasty, Replacement, Hip, Sickness Impact Profile, Linear Models, Probability, Sensitivity and Specificity, Hip Prosthesis, Orthopedics, Cross-Cultural Comparison, France, Female, Male, Surveys and Questionnaires, Practice Patterns, Physicians', United Kingdom