Comparison of Oxford Knee Score in Knee Osteoarthritis Patients Before and After Total Knee Replacement at Dr. Mohamad Soewandhie Hospital
Downloads
Background: One of the most common degenerative joint diseases is knee osteoarthritis. This condition leads to pain and reduces functionality of the knee joints, which can negatively impact a patient’s quality of life. Total knee replacement (TKR) has become the standard procedure to treat end-stage osteoarthritis. Evaluating the success of TKR procedures is very important. One instrument that can be used for this purpose is the Oxford Knee Score (OKS).
Methods: This observational analytic comparative study involved 40 patients. The data were collected by interviewing patients who had undergone TKR at Dr. Mohamad Soewandhie General Hospital between 2019 and 2024. The data were analyzed using Wilcoxon signed-ranks test, independent samples t-test, and Kruskal-Wallis test.
Results: The majority of the sample in this study was aged over 60 years (62.5%), female (87.5%), and had an overweight BMI (47.5%). The analysis showed a significant increase in the OKS after surgery, with a p-value of <0.05. The independent samples t-test showed a significant difference in the improvement of the OKS between males and females. Meanwhile, the Kruskal-Wallis test showed no significant difference in OKS improvement across BMI categories.
Conclusions: There is a significant difference in the OKS before and after TKR surgery, which indicates an improvement in knee functionality and quality of life after surgery. Differences in patient gender may affect the outcome of the surgery, including post-surgery recovery rate and knee functionality. Meanwhile, BMI showed no significant difference in the outcome of TKR surgery.
Allen KD, Thoma LM, Golightly YM. Epidemiology of osteoarthritis. Osteoarthritis Cartilage. 2022;30(2):184–95.
Hunter DJ, March L, Chew M. Osteoarthritis in 2020 and beyond: a Lancet Commission. Lancet. 2020;396(10264):1711–2.
Zamri NAA, Harith S, Mohd Yusoff NA, Mat Hassan N, Ong YQ. Prevalence, risk factors and primary prevention of osteoarthritis in Asia: a scoping review. Elder Health J. 2019;5(1):19–31.
Butarbutar JCP, Basuki P, Sungono V, Riantho A, Fidiasrianto K. Burden of osteoarthritis in Indonesia: a Global Burden of Disease (GBD) study 2019. Narra J. 2024;4(2):e884.
Tan YY, Ang KXM, Wong CYA, Mehta KV, Loh SYJ. Cultural and urban city living expectations of knee motion in a Southeast Asian city: implications on total knee arthroplasty outcomes. Front Rehabil Sci. 2024;5:1446389.
Hawker GA and King LK. The burden of osteoarthritis in older adults. Clin Geriatr Med. 2022;38(2):181–92.
Albaker AB, Al-Awn RMM, Basalem SM, Alharbi L, Al Salhi R, Alkhalifah KM, et al. Awareness and management of knee pain and osteoarthritis in Saudi Arabia: a cross-sectional analysis. Cureus. 2024;16(1):e52736.
Codazza S, Ferrara PE, Ariani M, Ferriero G, Ronconi G. The management of knee osteoarthritis in the real world: an Italian national survey. J Clin Med. 2024;13(13):3704.
Al Turki AS, Al Dakhil Y, Al Turki A, Ferwana MS. Total knee arthroplasty: effect of obesity and other patient characteristics on operative duration and outcome. World J Orthop. 2015;6(2):284–9.
Clement ND, Jenkins PJ, McDonald D, Nie IX, Patton JT, Breusch SJ, et al. Socioeconomic status affects the Oxford Knee Score and Short-Form 12 score following total knee replacement. Bone Joint J. 2013;95-B(1):52–8.
Jang S, Lee K, Ju JH. Recent updates on diagnosis, pathophysiology, and treatment of knee osteoarthritis. Int J Mol Sci. 2021;22(5):1–15.
Klem N-R, Kent P, Smith A, Dowsey M, Fary R, Schütze R, et al. Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review. Osteoarthr Cartil Open. 2020;2(1):100032.
Puls L, Hauke D, Camathias C, Hügle T, Barg A, Valderrabano V. Conservative trio-therapy for varus knee osteoarthritis: a prospective case study. Medicina (Kaunas). 2022;58(4):460.
Agung AP, Priambodo A, Julianti HP. Perbedaan jenis total knee arthroplasty terhadap derajat fungsional lutut dan kualitas hidup pasien osteoarthritis lutut [Differences in the type of total knee arthroplasty on the degree of knee function and quality of life in knee osteoarthritis patients]. Diponegoro Med J. 2017;6(1):1–11.
Lenguerrand E, Wylde V, Gooberman-Hill R, Sayers A, Brunton L, Beswick AD, et al. Trajectories of pain and function after primary hip and knee arthroplasty: the ADAPT cohort study. PLoS One. 2016;11(2):e0149306.
Aryana IGNW, Dharmayuda CGO, Febyan F, Dimitri D, Limena S, Kuswara LW. Clinical demographic characteristics of total knee arthroplasty at Prof IGNG Ngoerah General Hospital, Bali, Indonesia. Indones J Med. 2023;8(2):128–35.
Ingelsrud LH, Terluin B, Gromov K, Price A, Beard D, Troelsen A. Which Oxford Knee Score level represents a satisfactory symptom state after undergoing a total knee replacement? Acta Orthop. 2020;92(1):85–90.
Lim JBT, Chi CH, Lo LE, Lo WT, Chia SL, Yeo SJ, et al. Gender difference in outcome after total knee replacement. J Orthop Surg. 2015;23(2):194–7.
Hame SL and Alexander RA. Knee osteoarthritis in women. Curr Rev Musculoskelet Med. 2013;6(2):182–7.
Novicoff WM and Saleh KJ. Examining sex and gender disparities in total joint arthroplasty. Clin Orthop Relat Res. 2011;469(7):1824–8.
Valdes AM and Stocks J. Osteoarthritis and ageing. Eur Med J. 2018;3(1):116–23.
Palazzo C, Nguyen C, Lefevre-Colau MM, Rannou F, Poiraudeau S. Risk factors and burden of osteoarthritis. Ann Phys Rehabil Med. 2016;59(3):134–8.
Clement ND, Ng N, MacDonald D, Scott CEH, Howie CR. One-year Oxford Knee Scores should be used in preference to 6-month scores when assessing the outcome of total knee arthroplasty. Knee Surg Relat Res. 2020;32(1):43.
Sulaiman MA, Ghazni MA, Farooq MO, Arshad Khan MA, Noor SMN, Hashmi P. Early outcome of simultaneous bilateral total knee arthroplasty through the Oxford Knee Score in a developing country: a prospective cohort. Cureus. 2024;16(7):e65563.
Ingelsrud LH, Roos EM, Terluin B, Gromov K, Husted H, Troelsen A. Minimal important change values for the Oxford Knee Score and the Forgotten Joint Score at 1 year after total knee replacement. Acta Orthop. 2018;89(5):541–7.
Accatino G, Monzio Compagnoni A, Grassi FA, Castelli A, Pasta G, Benazzo F, et al. Bilateral total knee arthroplasty (TKA) in a one-stage procedure versus two-stage procedure: a retrospective study. Healthcare (Basel). 2024;12(18):1902.
Romanowski MW, Špiritović M, Romanowski W, Straburzyńska-Lupa A. Manual therapy (postisometric relaxation and joint mobilization) in knee pain and function experienced by patients with rheumatoid arthritis: a randomized clinical pilot study. Evid Based Complement Alternat Med. 2020;2020:1452579.
Chaudhary C, Kothari U, Shah S, Pancholi D. Functional and clinical outcomes of total knee arthroplasty: a prospective study. Cureus. 2024;16(1):e52415.
Brown MJC, Vella-Baldacchino M, O’Flaherty E, Jenkins PJ. Predicting patient-reported outcome in total knee arthroplasty using body mass index and limb measurements. Knee. 2018;25(5):915–22.
Nandi M, Schreiber KL, Martel MO, Cornelius M, Campbell CM, Haythornthwaite JA, et al. Sex differences in negative affect and postoperative pain in patients undergoing total knee arthroplasty. Biol Sex Differ. 2019;10(1):23.
Ayers DC, Zheng H, Yang W, Yousef M. Gender differences in pain, function, and quality of life five years following primary total knee arthroplasty. J Arthroplasty. 2024;39(8):S100–7.
Oberbek J and Synder M. Impact of body mass index (BMI) on early outcomes of total knee arthroplasty. Ortop Traumatol Rehabil. 2015;17(2):127–34
Copyright (c) 2025 (JOINTS) Journal Orthopaedi and Traumatology Surabaya
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The author acknowledges that the copyright of the article is transferred to the Journal of Orthopaedi and Traumatology Surabaya (JOINTS), whilst the author retains the moral right to the publication.
- The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Non Commercial-Share Alike 4.0 International License (CC BY-NC-SA).
- All published manuscripts, whether in print or electronic form, are open access for educational, research, library purposes, and non-commercial uses. In addition to the aims mentioned above, the editorial board is not liable for any potential violations of copyright laws.
- The form to submit the manuscript's authenticity and copyright statement can be downloaded here.
Journal of Orthopaedi and Traumatology Surabaya (JOINTS) is licensed under a Creative Commons Attribution-Non Commercial-Share Alike 4.0 International License.
Journal Orthopaedi and Traumatology Surabaya (JOINTS) (