Abstract:

BACKGROUND: The dysfunction of the knee joint greatly affects quality of patient life. After the treatment of the injured joint, scientific, reasonable and accurate assessment of joint function has been a hot research in joint surgery. Although there are a variety of international scoring systems, there has been no one widely accepted as a gold standard.
OBJECTIVE: To analyze the current status of knee joint function assessment to improve and upgrade current scoring system.
METHODS: A computer-based online search of PubMed, Wanfang, CNKI, VIP, Elsevier and JBJS databases was performed for articles published between 1990 and 2008, with key words “knee score, function score, score status” in English and Chinese, respectively. Articles published in the latest 5 years were included. The application and characteristics of different scoring systems were compared. By tracing the references of the used literature materials, the basic information and overview of the score system were known.
RESULTS AND CONCLUSION: Through the screening of 58 articles, 31 articles were included. The summary shows that although different scoring systems can assess knee joint function, they also have different emphases: The Lysholm Knee Scale is more suitable for the evaluation of knee ligament injuries and cartilage damage; The Oxford Knee Score, American Knee Society Score and High-Activity Arthroplasty Score——HAAS are more suitable for the evaluation of total knee replacement and total knee arthroplasty; Knee Injury and Osteoarthritis Outcome Score——KOOS and Knee Osteoarthritis Flare-Ups Score——KOFUS have significant meaning in the evaluation of knee osteoarthritis.