|
Date of completion
|
Knee Society Score |
|
|
Clinician's name (or ref)
|
Patient's name (or ref)
|
|
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. |
|
|
(NB: consider a negitive outcome as zero) |
|
|
|
|
Grading for the knee Society Score
|
Score 80-100 |
Excellent |
Score 70-79 |
Good |
Score 60-69 |
Fair |
Score below 60 |
Poor |
Reference for score: Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system.
Clin Orthop Relat Res. 1989 Nov;(248):13-4. link to pubmed. Link SF36, SF12
Reference for Grading: Asif
S , Choon DS . Midterm results of cemented Press Fit Condylar Sigma
total knee arthroplasty system. J Orthop Surg (Hong Kong). 2005
Dec;13(3):280-4.
|
|
|
|