title: Early radiographic loosening impairs the function of a total hip replacement. The Nottingham Health Profile of 49 patients at five years.
abstract: We made a study of 49 total hip arthroplasties at five years, comparing the Charnley hip score, the Nottingham Health Profile (NHP) score and the appearance on serial radiographs. Each of the three investigations was performed by an independent observer with no knowledge of the results of the other two studies. The eight patients with radiographic signs of prosthetic loosening had significant reductions in function and quality of life as measured by the NHP questionnaire, but no differences in the mean Charnley hip scores. None of the eight patients had clinical signs of prosthetic loosening sufficient to recommend revision of their THR. The NHP is a relatively low-cost method of providing long-term follow-up of THR.
authors.affiliation: Department of Orthopaedics, University Hospital, Lund, Sweden.
authors.forename: L T
authors.initials: LT
authors.lastname: Nilsson
authors.forename: H
authors.initials: H
authors.lastname: Frazén
authors.forename: A S
authors.initials: AS
authors.lastname: Carlsson
authors.forename: R
authors.initials: R
authors.lastname: Onnerfält
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D011788:Quality of Life; D011859:Radiography; D016059:Range of Motion, Articular; D011795:Surveys and Questionnaires