Tables


This page shows a number of tables that are applied with hip problems.

This first image shows a so-called “Visual Analogue (pain) Scale”. It helps a doctor to understand how the patient experiences the pains in connection with for example hip problems during different activities, rest and sleep. The pain level is an important factor in the decission to operate or not.

painscaleThe following point system or “Robert Merle d’Aubigné Hip Score” does apart from the pain level (as in the first table) also take in consideration the limitations in activities, the leg’s limited range of movement and the type of aids required during walking.

robertmerlehipscore

The Brooker HO Classification system uses the incidence of  the so-called “heterotopic bone” in the hip as a measure for possible further operative intervention. In early stages this may involve the easier artroscopic surgery or in developed stages any of the forms of hip arthroplasty (an operation for placement of a prosthesis). With true ankylosis the stiffness of the hip is so far advanced that the femoral head can unite solid with the pelvis.

Brooker

 Med BMI eller Bone Mass Index får man en indikation om en persons vikt i förhållande till längden. Det är ett sätt att mäta kroppsfettet i förhållande till kroppslängden. Resultatet visar var man befinner sig i skalan från underviktig till feta. Vid en höftoperation med ytersättning kan extrem undervikt eller övervikt leda till avslag som lämplig patient för metoden.BMI2BMIARCO

När det blir dags för en höftoperation ska man som patient och ortoped självklart välja den lösmningen som gör minst intrång i kroppen och inte påverkar kroppens originala anatomiska förhållanden. Självklart är det också bra att veta att man i framtiden vid en eventuell revision kommer att ha bäst möjliga förutsättningar….allt detta garanteras om du väljer en ytersättningsprotes. Bilden nedan försöker visa något av detta…

Prosthesis-1

bhr-thr-enl960

The next table shows the big difference between the number of conventional hip prostheses used in Sweden (for example 16609 during 2015) and the dangerously low number of resurfacings nowadays (only 1 during 2016). Conclusion: Hip resurfacing should only be performed by the surgeons that are highly specialized in this method and not be allowed to be performed by of local amateurs!

jämförelserE

BHRBMHR

The BHR and BMHR tables show that each individual person is guaranteed a size that will suit him/her.

angles

 

The hip resurfacing method developed over a long time with the first attempts made in 1923 and nearly 100 years ago as the table below shows.

Resurfacing History