| Logout |
Date of completion
|
Threshold for knee replacement |
| |
|
|
Name *
Date of Birth *
Side *
Surgeon *
Evaluation*
What is your height *
cm
Weight*
kg
|
| Pre-operative review |
| Please answer the following 12 multiple choice questions. |
|
| During the past 4 weeks... |
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
|
Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window. |
|
The Oxford Knee Score is:
|
|
Grading for the Oxford Knee Score |
| Score 0 to 19 |
May indicate severe knee arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an Orthopaedic Surgeon. |
| Score 20 to 29 |
May indicate moderate to severe knee arthritis. See your family physician for an assessment and x-ray. Consider a consult with an Orthopaedic Surgeon. |
| Score 30 to 39 |
May indicate mild to moderate knee arthritis. Consider seeing your family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and /or anti-inflammatory medication |
| Score 40 to 48 |
May indicate satisfactory joint function. May not require any formal treatment. |
Reference for Score: Dawson J, Fitzpatrick R, Murray D, Carr A. Questionnaire on the perceptions of patients about total knee replacement.
J Bone Joint Surg Br. 1998 Jan;80(1):63-9. Link
|
You will need the Adobe Reader to view and print the above document. 