Score nach Ranawat und Shine (Hospital for Special Surgery Score, HSS)

Anwendung

Endoprothesen

Pain (30 points)No pain at any time30
 No pain on walking 15
 Mild pain on walking 10
 Moderate pain on walking 5
 Severe pain on walking0
 No pain at rest15
 Mild pain at rest10
 Moderate pain at rest 5
 Severe pain at rest0
Function (22 points) Walking and standing unlimited 12
  Walking distance of 5-10 blocks and standing ability intermittent (< 1/2 hour) 10
 Walking 1-5 blocks and standing ability up to 1/2 hour 8
 Walking less than 1 block 4
 Cannot walk 0
 Climbing stairs 5
 Climbing stairs with support 2
 Transfer activity 5
 Transfer activity with support 2
Range of motion (18 points) 1 point for each 8° of arc of motion to a maximum of 18 points max. 18
Muscle strength (10 points) Good: can't break the quadriceps power 10
  Good: Can break the quadriceps power 8
 Fair: moves through the arc of motion 4
 Poor: can't move through the arc of motion 0
Flexion deformity (10 points) No deformity 10
  Few degrees 8
 5- 10° 5
 11° or more 0
Instability (10 points) None 10
  Mild: 0 - 5° 8
 Moderated- 15° 5
 Severe: 16° or more 0
   
Substraction One cane 1
 One crutch 2
 Two crutches 3
 Extension lag of 5° 2
 Extension lag of 10° 3
 Extension lag of 1 5° 5
 Each 5° of varus 1
 Each 5° of valgus 1
   
   
Result85-100excellent
 70-81good
 60 - 69 fair
 < 60 poor