DOS Kongressen 2014 ·
225
PROM in the referral of patients to knee
arthroscopy
Peter Christian Siesing, Claus Hjorth Jensen, Thomas Lind, Anders Odgaard
Orthopedic Surgery, Gentofte Hospital, University of Copenhagen
Background:
Knee arthroscopy for knee pain, effusion and locking is commonly
performed. Quality assurance of the operations was introduced in our depart-
ment by the administration of the Oxford Knee Score (OKS). The measures abil-
ity to predict outcome was studied.
Purpose / Aim of Study:
Can OKS help to determine which patients are can-
didates for a knee arthroscopy?
Materials and Methods:
The OKS assessed 232 patients scheduled for knee
arthroscopy preoperatively and at three months. The preoperative score was
related to improvement by ≥8 points or deterioration at 3 months.
Findings / Results:
Of 62 patients having a preoperative score of ≥35, 11
patients increased their score with ≥8. Of 170 patients having a preoperative
score of <35, 99 increased their score by ≥8. p<0.001 chi-sq. 16 of the 62
patients with a preoperative score of ≥35 decreased their score as compared to
20 of the 170 patients with a score of <35. p<0.01 chi-sq.
Conclusions:
A preoperative OKS of ≥35 suggests a fairly well functioning
knee and leaves a narrow interval for improvement. Worsened knee function at
3 months was seen in one fourth of the patients with a high preoperative OKS.
172.
