Kettelkamp and Thompson developed scales for evaluating patients after knee surgery. The authors are from the Universities of Indiana and Arkansas.
Parameters:
(1) pain with activity
(2) putting on or taking off shoes and socks
(3) stairs
(4) gait
(5) synovial thickening
(6) flexion contracture
(7) flexion in degrees
(8) anterior drawer
(9) rotational instability
(10) lateral collateral ligament stability
(11) pain with flexion and extension
(12) pain on rotation
(13) varus-valgus
Parameter |
Finding |
Points |
---|---|---|
pain with activity |
none |
26 |
|
with unusually heavy activity |
22 |
|
at the end of the day and not limiting |
18 |
|
at the end of the day and limiting |
14 |
|
after few hours or walking a few blocks |
10 |
|
after less than 1 hour or walking 1 block |
6 |
|
with every step |
3 |
|
constant |
0 |
shoes and socks |
no trouble |
6 |
|
difficult |
4 |
|
can do sock but not shoe |
2 |
|
cannot do either sock or shoe |
0 |
stairs |
no trouble |
22 |
|
slow with alternating steps |
14 |
|
one at a time |
6 |
|
cannot handle stairs |
0 |
gait |
no limp |
2 |
|
limp, 1 cane or 1 crutch |
1 |
|
2 canes or 2 crutches |
0 |
synovial thickening |
none |
4 |
|
mild |
2 |
|
moderate |
1 |
|
severe |
0 |
flexion contracture |
0 degrees |
8 |
|
1 to 5 degrees |
6 |
|
6 to 10 degrees |
4 |
|
11 to 15 degrees |
2 |
|
16 to 20 degrees |
1 |
|
> 20 degrees |
0 |
flexion in degrees |
> 100° |
2 |
|
75 to 99° |
1 |
|
< 75° |
0 |
anterior drawer |
negative |
6 |
|
slightly positive |
4 |
|
moderately positive |
2 |
|
markedly positive |
0 |
rotational instability |
none |
6 |
|
mild |
4 |
|
moderate |
2 |
|
severe |
0 |
lateral collateral ligament stability |
intact |
8 |
|
mildly loose |
6 |
|
moderately loose |
4 |
|
markedly loose |
0 |
pain with flexion and extension |
no |
6 |
|
on flexion or extension |
3 |
|
on both flexion and extension |
0 |
pain on rotation |
no |
8 |
|
either external or internal |
4 |
|
on both external and internal |
0 |
varus-valgus |
< 5° |
0 |
|
5 to 9° valgus |
1 |
|
> 9° |
0 |
total score =
= SUM(points for all 13 parameters)
Interpretation:
• minimum score: 0
• maximum score: 103
• The higher the score the greater the functional level.
Specialty: Surgery, orthopedic