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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 2, 241-248.
doi: 10.1302/0301-620X.87B2.15095  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The Oxford hip and knee outcome questionnaires for arthroplasty

OUTCOMES AND STANDARDS FOR SURGICAL AUDIT

P. B. Pynsent, PhD, Director; D. J. Adams, MA, BSc, RGN, Research Nurse; and S. P. Disney, BSc, Clinical Scientist

Research and Teaching Centre, Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.

Correspondence should be sent to Dr P. B. Pynsent; e-mail: p.b.pynsent{at}bham.ac.uk

The Oxford hip and knee scores are used to measure the outcome after primary total hip and knee replacement. We propose a new layout for the instrument in which patients are always asked about both limbs. In addition, we have defined an alternative scoring method which accounts for missing data. Over a period of 4.5 years, 4086 (1423 patients) and 5708 (1458 patients) questionnaires were completed for hips and knees, respectively. The hip score had a pre-operative median of 70.8 (interquartile range (IQR) 58.3 to 81.2) decreasing to 20.8 (IQR 10.4 to 35.4) after one year. The knee score had a pre-operative median of 68.8 (IQR 56.2 to 79.2) decreasing to 29.2 (IQR 14.6 to 45.8). There was no further significant change in either score after one year. As a result of the data analysis, we suggest that the score percentiles can be used as a standard for auditing patients before and after operation.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General