The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Evaluation of the Validity and Reliability of a Persian Version of the Forgotten Joint Score in Patients Undergoing Total Hip Arthroplasty

Document Type : RESEARCH PAPER

Authors
Keyvan Ramezani 1
Mohammad Mahdi Sarzaeem 1
Davud Feizi 2
Moein Bonakdar 1
Mitra Ramezani 3
Mahdi Sarzaeem 4
Mohammad Movahedinia 5
1 Department of Orthopedics, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Orthopedic, School of Medicine, Beasat hospital, AJA University of Medical Sciences, Tehran, Iran
3 Physical Medicine and Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran
4 4 Medical student, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Shahid Beheshti University of Medical Sciences, Tehran, Iran
10.22038/abjs.2023.65360.3131
Abstract
Objectives: The increasing number of total hip arthroplasties (THA) has led to increased patient
demands and expectations, making it crucial to assess patients' ability to "forget" their implants in daily
life. This study aimed to determine the reliability and validity of a Persian version of the Forgotten Joint
Score (P-FJS) in THA patients.
Methods: The questionnaire was translated bidirectionally with the permission of the questionnaire designer. Data
were collected from 2018 to 2020 and included 142 patients who had undergone THA by the same surgeon at least
one year ago. Participants completed the FJS questionnaire twice within a one-week interval, and the validity,
reliability, and feasibility of the questionnaires were assessed using statistical tests on the HHS and OHS forms
completed by all participants.
Results: In 142 patients (52.1% male) with a mean age of 65 ± 0.5 years who answered the questionnaires, P-FJS
correlated strongly with OHS and HHS. The internal consistency (α = 0.91) and reproducibility of the questionnaire
were excellent. None of the floor and ceiling effects were detected.
Conclusion: The P-FJS questionnaire in the THA is considered a legitimate, repeatable, and self-administered
survey that can be compared to its English-language counterpart. In addition, it is noteworthy that this version does
not show any floor or ceiling effects.
 Level of evidence: III
Keywords
Forgotten joint score
Harris hip score (HHS)
OHS
P-FJS
Total hip arthroplasty (THA)
Subjects
  1. Aslani H, Nourbakhsh ST, Lahiji FA, Heydarian K, Jabalameli M, Ghazavi MT, et al. Iranian Joint Registry (Iranian National Hip and Knee Arthroplasty Registry). The archives of bone and joint surgery. 2016;4(2):192-6.
  2. Tolppanen AM, Lavikainen P, Soininen H, Hartikainen S. Incident hip fractures among community dwelling persons with Alzheimer's disease in a Finnish nationwide register-based cohort. PloS one. 2013;8(3):e59124.
  3. Hardt S, Hube R, Perka C. Total Hip Arthroplasty for High Hip Dislocation. Zeitschrift fur Orthopadie und Unfallchirurgie. 2020;158(2):170-83.
  4. Quitmann H. Supercapsular percutaneously assisted (SuperPath) approach in total hip arthroplasty : Surgical technique and preliminary results. Operative Orthopadie und Traumatologie. 2019;31(6):536-46.
  5. Bullinger M, Alonso J, Apolone G, Leplège A, Sullivan M, Wood-Dauphinee S, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. Journal of clinical epidemiology. 1998;51(11):913-23.
  6. Cao S, Liu N, Han W, Zi Y, Peng F, Li L, et al. Simplified Chinese version of the Forgotten Joint Score (FJS) for patients who underwent joint arthroplasty: cross-cultural adaptation and validation. Journal of orthopaedic surgery and research. 2017;12(1):6.
  7. Carlson VR, Post ZD, Orozco FR, Davis DM, Lutz RW, Ong AC. When Does the Knee Feel Normal Again: A Cross-Sectional Study Assessing the Forgotten Joint Score in Patients After Total Knee Arthroplasty. The Journal of arthroplasty. 2018;33(3):700-3.
  8. Marx RG, Jones EC, Atwan NC, Closkey RF, Salvati EA, Sculco TP. Measuring improvement following total hip and knee arthroplasty using patient-based measures of outcome. The Journal of bone and joint surgery American volume. 2005;87(9):1999-2005.
  9. McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate? Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 1995;4(4):293-307.
  10. Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, et al. Protocol of the COSMIN study: COnsensus-based Standards for the selection of health Measurement INstruments. BMC medical research methodology. 2006;6:2.
  11. Na SE, Ha CW, Lee CH. A new high-flexion knee scoring system to eliminate the ceiling effect. Clinical orthopaedics and related research. 2012;470(2):584-93.
  12. Behrend H, Giesinger K, Giesinger JM, Kuster MS. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. The Journal of arthroplasty. 2012;27(3):430-6.e1.
  13. Clement ND, Weir D, Holland JP, Gerrand CH, Deehan DJ. An Overview and Predictors of Achieving the Postoperative Ceiling Effect of the WOMAC Score Following Total Knee Arthroplasty. The Journal of arthroplasty. 2019;34(2):273-80.
  14. Eichler D, Beaulieu Y, Barry J, Massé V, Vendittoli PA. Perception of a Natural Joint After Total Knee Arthroplasty. The Journal of arthroplasty. 2020;35(2):358-63.
  15. Fleiss JL, Levin B, Paik MC. Statistical methods for rates and proportions: john wiley & sons; 2013.
  16. Gandek B. Measurement properties of the Western Ontario and McMaster Universities Osteoarthritis Index: a systematic review. Arthritis care & research. 2015;67(2):216-29.
  17. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. Journal of clinical epidemiology. 2007;60(1):34-42.
  18. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
  19. Byrd JW, Jones KS. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 2000;16(6):578-87.
  20. Delaunay C, Epinette JA, Dawson J, Murray D, Jolles BM. Cross-cultural adaptations of the Oxford-12 HIP score to the French speaking population. Orthopaedics & traumatology, surgery & research : OTSR. 2009;95(2):89-99.
  21. Nourbakhsh M, Zarezadeh A, Shemshaki H, Etemadifar MR, Moezi M, Mazoochian F. Translation and cultural adaptation of the oxford hip score for Iranian population. International journal of preventive medicine. 2013;4(2):141.
  22. Shadid MB, Vinken NS, Marting LN, Wolterbeek N. The Dutch version of the Forgotten Joint Score: test-retesting reliability and validation. Acta orthopaedica Belgica. 2016;82(1):112-8.
  23. Klouche S, Giesinger JM, Sariali EH. Translation, cross-cultural adaption and validation of the French version of the Forgotten Joint Score in total hip arthroplasty. Orthopaedics & traumatology, surgery & research : OTSR. 2018;104(5):657-61.
  24. Sethy SS, Goyal T, Paul S, Das SL, Choudhury AK, Kalia RB. Translation and Validation of Forgotten Joint Score for Total Hip Arthroplasty for Indian Population. Indian journal of orthopaedics. 2020;54(6):892-900.
  25. Adriani M, Malahias MA, Gu A, Kahlenberg CA, Ast MP, Sculco PK. Determining the Validity, Reliability, and Utility of the Forgotten Joint Score: A Systematic Review. The Journal of arthroplasty. 2020;35(4):1137-44.
  26. Larsson A, Rolfson O, Kärrholm J. Evaluation of Forgotten Joint Score in total hip arthroplasty with Oxford Hip Score as reference standard. Acta orthopaedica. 2019;90(3):253-7.
  27. Robinson PG, Rankin CS, Murray IR, Maempel JF, Gaston P, Hamilton DF. The forgotten joint score-12 is a valid and responsive outcome tool for measuring success following hip arthroscopy for femoroacetabular impingement syndrome. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 2021;29(5):1378-84.
  28. Hamilton DF, Loth FL, Giesinger JM, Giesinger K, MacDonald DJ, Patton JT, et al. Validation of the English language Forgotten Joint Score-12 as an outcome measure for total hip and knee arthroplasty in a British population. The bone & joint journal. 2017;99-b(2):218-24.
  29. Thomsen MG, Latifi R, Kallemose T, Barfod KW, Husted H, Troelsen A. Good validity and reliability of the forgotten joint score in evaluating the outcome of total knee arthroplasty. Acta orthopaedica. 2016;87(3):280-5.
  30. Norman GR, Wyrwich KW, Patrick DL. The mathematical relationship among different forms of responsiveness coefficients. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2007;16(5):815-22.
  31. Hamilton DF, Giesinger JM, MacDonald DJ, Simpson AH, Howie CR, Giesinger K. Responsiveness and ceiling effects of the Forgotten Joint Score-12 following total hip arthroplasty. Bone & joint research. 2016;5(3):87-91.
The Archives of Bone and Joint Surgery
Volume 11, Issue 12
December 2023
Pages 752-756

  • Receive Date 08 May 2022
  • Revise Date 02 November 2023
  • Accept Date 26 August 2023