[When should the implantation of total hip prosthesis be considered in patients with coxarthrosis?].
COMPOSITE SCORE: The decision to perform total hip arthroplasty in patients with degenerative hip disease requires a homogeneous set of indications to determine as objectively as possible patient needs and priorities and to help the physician to indicate surgery appropriately. A NEW SCORING SYSTEM: To date, the different scores proposed have not taken into account the severity of the structural involvement nor the use of symptomatic treatments. A new composite score was thus developed using symptomatic, structural and therapeutic variables for osteoarthritis and its impact on quality of life. Cut-off value: A score of 40 is used as the cut-off value for indication of total hip arthroplasty with a sensitivity and specificity greater than 80%. Using values > or = 40, total hip arthroplasty is predictable in 54.3% of the patients.
Maillefert
J F
JF
Service de rhumatologie, CHU, 21000 Dijon.
D006622:Hip Prosthesis; D006801:Humans; D015207:Osteoarthritis, Hip / Q000601:surgery*; D012720:Severity of Illness Index