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Date of completion
Harris Hip Score
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 - Answer ALL 4 yes/no questions
Does your patient have: -
yes
no
Less than 30degrees of fixed flexion  
yes
no
Less than 10 degrees of fixed int rotation in extension
yes
no
Less than 10 degrees of fixed adduction  
yes
no
Limb length discrepancy less than 3.2 cm (1.5 inches)
The answer to all four questions is yes (click only if true)
     
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.

©2006 Kurer/Gooding/Dazines