Singh PJ, Kotnis R, Bulstrode C. Expert Review – Clinical Examination of the Knee Joint. The Journal of Clinical Examination, Feb, 2007 http://www.bjjprocs.boneandjoint.org.uk/content/93-B/SUPP_II/94.2.abstract
Caroline Blackey, Yogesh Kamat, Parminder Singh, Alexander Dinneen, Anne Vie, Vipul Patel, Ajeya Adhikari, Richard Field. The Oxford Knee Scores for Primary Total Knee Replacement. J Bone Joint Surg Br,2011 Vol. 93-B no. SUPP II 94
Publication of normal and expected outcome scores is necessary to provide a benchmark for auditing purposes following arthroplasty surgery. We have used the Oxford knee score to monitor the progress of knee replacements undertaken since 1995, the start of our review programme.4847 Oxford assessments were analysed over an 8 year follow-up period.
The mean pre-operative Oxford knee score was 39.2, all post-operative reviews showed a significant improvement. Patients with a BMI > 40, and the under 50 age group showed early deterioration in outcome scores, returning to pre-operative levels by 5 and 7 years respectively.There was no significant difference in outcome between surgeons performing < 20 knee replacements a year and those performing > 100 / year.
The age of the patient at the time of surgery and the pre-operative body habitus have been identified as factors affecting long term outcome of total knee replacement surgery. Awareness of these factors may assist surgeons in advising patients of their expected outcomes following surgery.
Kamat Yogesh, Singh Parminder, Dinneen Alexander, Vie Anne, Patel Vipul, Adhikari Ajeya, Field Richard. The Oxford knee scores for primary total knee replacement. Efort June 2-5th 2010, Madrid, Spain.
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