*SAKURA HSS Knee Score

*DATAFILE c:\sakura\datafile\hssknee.mdb

*NEURALFILE c:\sakura\neural\hssknee.net

*APPLICATION Knee

*HOSPITAL HSS Knee Score

*CONSULTANT Consultant Surgeon

*CONSULTANT Senior Registrar

*CONSULTANT Registrar

*INDICATION Osteo-arthritis

*INDICATION Rheumatoid Arthritis

*INDICATION Avascular Necrosis

*INDICATION Tibial Bearing Revision

*INDICATION Total Revision

*OUTCOME Surviving

*OUTCOME Possibly Loose

*OUTCOME Probably Loose

*OUTCOME Revised

*FUNCTION WALKING PAIN (WP)

0 Severe

5 Moderate

10 Mild

15 None

*FUNCTION REST PAIN (RP)

0 Severe

5 Moderate

10 Mild

15 None

*FUNCTION WALKING / STANDING (WS)

0 Cannot walk

4 "Less than 1 block walking"

8 "Walk 1 - 5 blocks and standing 15 - 30 minutes"

10 "Walk 5 - 10 blocks and standing longer than 30 minutes"

12 "Walking and standing unlimited"

*FUNCTION STAIRS (S)

2 With support

5 Normal

*FUNCTION TRANSFER (T)

2 With support

5 Normal

*FUNCTION RANGE OF MOTION (RM)

0 "Less than 8 degrees"

1 "8 - 15 degrees"

2 "16 - 23 degrees"

3 "24 - 31 degrees"

4 "32 - 39 degrees"

5 "40 - 47 degrees"

6 "48 - 55 degrees"

7 "56 - 63 degrees"

8 "64 - 71 degrees"

9 "72 - 79 degrees"

10 "80 - 87 degrees"

11 "88 - 95 degrees"

12 "96 - 103 degrees"

13 "104 - 111 degrees"

14 "112 - 119 degrees"

15 "120 - 127 degrees"

16 "128 - 135 degrees"

17 "136 - 143 degrees"

18 "144 degrees and over"

*FUNCTION MUSCLE STRENGTH (S)

0 Cannot move through arc of motion

4 Can move through arc of motion

8 Can break quadriceps

10 Cannot break quadriceps

*FUNCTION FLEXION DEFORMITY (FD)

0 "Greater than 20 degrees"

5 "10 - 20 degrees"

8 "5 - 10 degrees"

10 None

*FUNCTION INSTABILITY (I)

0 "Greater than 15 degrees"

5 "6 - 15 degrees"

8 "5 - 10 degrees"

10 None

*FUNCTION WALKING AID (WA)

-3 Two crutches

-2 One crutch

-1 One Cane

0 None

*FUNCTION EXTENSION LAG (E)

-5 "Greater than 15 degrees"

-3 "10 - 15 degrees"

-2 "5 - 10 degrees"

0 "Less than 5 degrees"

*FUNCTION VARUS DEFORMITY (VR)

-5 "About 25 degrees"

-4 "About 20 degrees"

-3 "About 15 degrees"

-2 "About 10 degrees"

-1 "About 5 degrees"

0 "0 degrees"

*FUNCTION VALGUS DEFORMITY (VL)

-5 "About 25 degrees"

-4 "About 20 degrees"

-3 "About 15 degrees"

-2 "About 10 degrees"

-1 "About 5 degrees"

0 "0 degrees"

*XRAY FEMUR (F)

1 "> 5mm"

2 "2 - 5mm"

3 "0 - 2mm"

4 x

5 None

*XRAY TIBIA (T)

1 "> 5mm"

2 "2 - 5mm"

3 "0 - 2mm"

4 x

5 None

*XMEASURE Femoral Component Flexion Orientation (degrees)

*XMEASURE Femoral Valgus Angle (degrees)

*XMEASURE Tibial A-P Angle (degrees)

*XMEASURE Tibial Varus Angle (degrees: Valgus is -ve)

*MEMO 100

*END