Patient Resources

Harris Hip

(With the permission of the Journal of Bone & Joint Surgery)

Patient's d.o.b

Clinician's name (or ref)

Patient's name (or ref)

Please answer the following questions.

Section 1
Pain		Support
	None, or ignores it		None
	Slight, occasional, no compromise in activity		Cane/Walking stick for long walks
	Mild pain, no effect on average activities, rarely moderate pain with unusual activity, may take aspirin		Cane/Walking stick most of the time
	Moderate pain, tolerable but makes concessions to pain. Some limitations of ordinary activity or work. May require occasional pain medication stronger than aspirin		One crutch
	Marked pain, serious limitation of activities		Two Canes/Walking sticks
	Totally disabled, crippled, pain in bed, bedridden		Two crutches or not able to walk

Distance walked		Limp
	Unlimited		None
	Six blocks (30 minutes)		Slight
	Two or three blocks (10 - 15 minutes)		Moderate
	Indoors only		Severe or unable to walk
	Bed and chair only

Activities - shoes, socks		Stairs
	With ease		Normally without using a railing
	With difficulty		Normally using a railing
	Unable to fit or tie		In any manner
			Unable to do stairs

Public transportation		Sitting
	Able to use transportation (bus)		Comfortably, ordinary chair for one hour
	Unable to use public transportation (bus)		On a high chair for 30 minutes
			Unable to sit comfortably on any chair

To score this section all four must be 'yes', then get 4 points. Nb. Not 1 point for each four or nothing.

Section 2

Does your patient have ALL of the following: -

	yes
	no

Less than 30degrees of fixed flexion
Less than 10 degrees of fixed int rotation in extension
Less than 10 degrees of fixed adduction
Limb length discrepancy less than 3.2 cm (1.5 inches)

Section 3 - Motion
Total degrees of Flexion		Total degrees of Abduction
	None		None
	0 >8		0 > 5
	8 > 16		5 > 10
	16 > 24		10 > 15
	24 > 32		15 > 20
	32 > 40	Total degrees of Ext Rotation
	40 > 45		None
	45 > 55		0 > 5
	55 > 65		5 > 10
	65 > 70		10 > 15
	70 > 75	Total degrees of Adduction
	75 > 80		None
	80 > 90		0 > 5
	90 > 100		5 > 10
	100 > 110		10 > 15


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The Harris Hip Score is:

Grading for the Harris Hip Score
Successful result
=post operative increase in Harris Hip Score of > 20 points + radiographically stable implant + no additional femoral reconstruction
Or
<70	Poor	70 - 79	Fair	80-89	Good	90 -100	Excellent

Reference for Score: Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969 Jun;51(4):737-55. Link

Reference for grading: Marchetti P, Binazzi R, Vaccari V, Girolami M, Morici F, Impallomeni C, Commessatti M, Silvello L. Long-term results with cementless Fitek (or Fitmore) cups. J Arthroplasty. 2005 Sep;20(6):730-7.

Source from www.orthopaedicscore.com/scorepages/harris_hip_score.html

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