FP16.4 Quantitative Functional Hip Measures Correlated With Patient Reported Outcomes in Patients Undergoing Total Hip Arthroplasty Using Markerless Motion Analysis

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ID: 331207
2026
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Abstract
Abstract ICLA16 - Beyond the Operating Room: Value-Based Healthcare, Large Registries, and Predicting Failures, Auditorium B (BMCC Level 1), October 9, 2026, 14:00 - 16:00 Purpose This study aims to evaluate whether subjective patient-reported outcomes (PROs) correlate with objective functional hip parameters measured by a three-dimensional marker-less motion capture system in a population of patients with symptomatic hip osteoarthritis (OA). Methods Prospectively collected data was analyzed for patients who were indicated for unilateral primary hip arthroplasty for symptomatic unilateral OA. Patients were included if they completed a 14-movement, 82-parameter functional hip test, along with preoperative patient-reported outcome scores. Correlations between functional hip scores and preoperative PROs, including modified Harris Hip Score (mHHS), Hip Disability and Osteoarthritis Outcome Score – Joint Replacement (HOOS-JR), and pain scores (VAS), were analyzed to determine relationships between functional deficits and subjective patients' reported symptoms. Additionally, a comparison was performed to evaluate differences between subjects’ affected and unaffected sides. A sub-analysis by biological sex was also conducted to examine differences in these correlations. Results A total of 134 patients (54 females; 40.3%) were included in this study. Correlation analyses demonstrated multiple significant relationships between functional hip performance measures and biomechanical parameters with PROs. The HOOS-JR exhibited the greatest magnitude of significant functional parameter associations (13 (16%); r range 0.31-0.59), while the VAS demonstrated the fewest and weakest overall correlations (3 (4%); r range 0.32-0.53). Across PROs, the strongest associations ((|r|>0.4) were observed for unilateral strength, unilateral plyometric tasks, and unilateral lunge-based and step-down movements. Analysis stratified by sex demonstrated stronger correlations between functional testing variables and PROs (females r range 0.31-0.94; males r range 0.31-0.77). The most significant side-to-side differences were observed during unilateral squat and lateral lunge assessments (p < 0.001 for all), with deficits on the symptomatic side compared to the asymptomatic side. Conclusion Objective functional assessment using 3D marker-less motion analyses demonstrated meaningful correlations with previously validated PROs when assessing hip dysfunction for osteoarthritis. Additionally, the functional assessment successfully detected deficits in specific movement parameters between the surgical, symptomatic hip and non-surgical, asymptomatic hip.
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Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.124
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