• Acta Orthop Traumato · Jan 2014

    Cross-cultural adaptation, reliability and validity of the Turkish version of the Hospital for Special Surgery (HSS) Knee Score.

    • Selnur Narin, Bayram Unver, Serkan Bakırhan, Ozgür Bozan, and Vasfi Karatosun.
    • Department of Orthopedic Physiotherapy, School of Physical Therapy and Rehabilitation, Dokuz Eylül University, İzmir, Turkey. selnur62@hotmail.com.
    • Acta Orthop Traumato. 2014 Jan 1;48(3):241-8.

    ObjectiveThe purpose of this study was to adapt the English version of the Hospital for Special Surgery (HSS) knee score for use in a Turkish population and to evaluate its validity, reliability and cultural adaptation.MethodsStandard forward-back translation of the HSS knee score was performed and the Turkish version was applied in 73 patients. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Mini-Mental State Examination and sit-to-stand test were also performed and analyzed. Internal consistency reliability was tested using Cronbach's alpha. The intraclass correlation coefficient (ICC) was used to calculate the test-retest reliability at one-week intervals. Validity was assessed by calculating the Pearson correlation between the HSS, WOMAC and sit-to-stand test scores.ResultsThe ICC ranged from 0.98 to 0.99 with high internal consistency (Cronbach's alpha: 0.87). The WOMAC score correlated with total HSS score (r: -0.80, p<0.001) and sit-to-stand score (r: 0.12, p: 0.312).ConclusionThe Turkish version of the HSS knee score is reliable and valid in evaluating the total knee arthroplasty in Turkish patients.

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