Journals / Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2026 / Volume: 4 Issue: 2

Turkish Version of the Knee Society Short Form in Older Adults with Total Knee Arthroplasty: Reliability and Validity Study

Total Diz Artroplastisi Uygulanan Yaşlı Yetişkinlerde Diz Cemiyeti Kısa Formu Türkçe Versiyonu: Güvenilirlik ve Geçerlilik Çalışması

Fatih Özden(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ, KÖYCEĞİZ SAĞLIK HİZMETLERİ MESLEK YÜKSEKOKULU, SAĞLIK BAKIM HİZMETLERİ BÖLÜMÜ, YAŞLI BAKIMI PR.)0000-0001-6593-3758
Nazan Tuğay(SANKO ÜNİVERSİTESİ)0000-0002-5666-2578
Özgür Nadiye Doğrukök(Muğla Eğitim ve Araştırma Hastanesi)0000-0002-0668-6045
İsmet Tümtürk(ANTALYA BİLİM ÜNİVERSİTESİ)0000-0003-0455-5110
Cem Yalın Kılınç(CYK Orthopaedics & Rehabilitation)0000-0003-2568-0500
Baki Umut Tuğay(MUĞLA SITKI KOÇMAN ÜNİVERSİTESİ)0000-0001-7301-0785
Pages
—
Publication Date
2026-05-02
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The Turkish version of the Knee Society Score-Short Form is a reliable and valid scale in older adults with total knee arthroplasty.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The present study aimed to demonstrate the psychometric properties of the Turkish version of the Knee Society Score-Short Form in individuals before and after total knee arthroplasty.
📊
Key Findings & Data:A prospective cross-sectional study was conducted with 112 participants (67 pre-operative, 45 post-operative).
💡
Conclusion & Impact:The Turkish version of the Knee Society Score-Short Form is a reliable and valid scale in older adults with total knee arthroplasty.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Knee Osteoarthritis · Knee Prosthesis · Knee Society Score

Abstract

The present study aimed to demonstrate the psychometric properties of the Turkish version of the Knee Society Score-Short Form in individuals before and after total knee arthroplasty. A prospective cross-sectional study was conducted with 112 participants (67 pre-operative, 45 post-operative). Participants were evaluated with Knee Society Score-Short Form, Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Short Form-36 (SF-36) in the initial assessment. Forty-two participants refilled the Knee Society Score-Short Form one week later. Test-retest reliability and internal consistency of the Knee Society Score-Short Form (total score and items) were high (ICC: 0.84-0.96, α: 0.68-0.82). Knee Society Score-Short Form demonstrated a single factor in Exploratory Factor Analysis (EFA) (0.30-0.87). There was a high correlation between Knee Society Score-Short Form and WOMAC (r: -0.58, p<0.001). VAS (gait) and VAS (stairs or inclines) scores were moderately correlated with Knee Society Score-Short Form (r1: -0.39, r2: -0.49, p<0.001). Knee Society Score-Short Form was primarily associated (moderate to high) with social function (r: 0.57, p<0.001), physical function (r: -0.41, p<0.001), bodily pain (r: 0.45, p<0.001), general health (r: 0.43, p<0.001) and energy/vitality (r: 0.40, p<0.001) among the SF-36 subscores. Besides, ROC curve-based cut-off value, SEM and MDC of the Knee Society Score-Short Form were 52.5, 4.40 and 12.18, respectively. The Turkish version of the Knee Society Score-Short Form is a reliable and valid scale in older adults with total knee arthroplasty.

Özet

Bu çalışmanın amacı, total diz artroplastisi öncesi ve sonrası bireylerde Diz Cemiyeti-Kısa Form'un Türkçe versiyonunun psikometrik özelliklerini ortaya koymaktır. Prospektif kesitsel çalışma 112 katılımcı (67 ameliyat öncesi, 45 ameliyat sonrası) ile gerçekleştirilmiştir. Katılımcılar ilk değerlendirmede Diz Cemiyeti-Kısa Form, Görsel Analog Skala (GAS), Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi (WOMAC) ve Kısa Form-36 (SF-36) ile değerlendirilmiştir. Kırk iki katılımcı bir hafta sonra Diz Cemiyeti-Kısa Formu tekrar doldurmuştur. Diz Cemiyeti-Kısa Formun (toplam puan ve maddeler) test-tekrar test güvenilirliği ve iç tutarlılığı yüksek bulunmuştur (ICC: 0,84-0,96, α: 0,68-0,82). Diz Cemiyeti-Kısa Form, Açıklayıcı Faktör Analizi'nde (AFA) tek bir faktör göstermiştir (0,30-0,87). Diz Cemiyeti-Kısa Form ile WOMAC arasında yüksek bir korelasyon vardı (r: -0,58, p<0,001). GAS (yürüme) ve GAS (merdiven veya eğim) skorları Diz Cemiyeti-Kısa Form ile orta düzeyde korelasyon göstermiştir (r1: -0,39, r2: -0,49, p<0,001). Diz Cemiyeti-Kısa Form, SF-36 alt skorlarından sosyal fonksiyon (r: 0,57, p<0,001), fiziksel fonksiyon (r: -0,41, p<0,001), bedensel ağrı (r: 0,45, p<0,001), genel sağlık (r: 0,43, p<0,001) ve enerji/canlılık (r: 0,40, p<0,001) ile öncelikli olarak ilişkiliydi (orta ila yüksek). Ayrıca, Diz Cemiyeti-Kısa Formun ROC eğrisine dayalı kesme değeri, SEM ve MDC sırasıyla 52,5, 4,40 ve 12,18 olarak bulunmuştur. Diz Cemiyeti-Kısa Form’un Türkçe versiyonu total diz artroplatisili yaşlı yetişkinlerde güvenilir ve geçerli bir ölçektir.

🔖

Cite This Article

Özden, F., Tuğay, N., Doğrukök, Ö. N., Tümtürk, İ., Kılınç, C. Y., Tuğay, B. U. (2026). Turkish Version of the Knee Society Short Form in Older Adults with Total Knee Arthroplasty: Reliability and Validity Study. Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Volume: 4 Issue: 2. https://doi.org/10.61535/bseusbfd.1627278

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (34)

  1. Ares, O., León-Muñoz, V. J., Castellet, E., Pelfort, X., Hinarejos, P., Amillo, J. R., Ríos, J., & Torner, P. (2021). Translation and validation of the new knee society knee scoring system into Spanish: Spanish KSS translation. Knee Surgery, Sports Traumatology, Arthroscopy, 29, 2934-2939. https://doi.org/10.1007/s00167-020-06225-9
  2. Baumgartner, T. A., & Chung, H. (2001). Confidence limits for intraclass reliability coefficients. Measurement in Physical Education and Exercise Science, 5(3), 179-188. https://doi.org/10.1207/S15327841MPEE0503_4
  3. Boeckstyns, M. E., & Backer, M. (1989). Reliability and validity of the evaluation of pain in patients with total knee replacement. Pain, 38(1), 29-33. https://doi.org/10.1016/0304-3959(89)90069-9
  4. Culliton, S. E., Bryant, D. M., MacDonald, S. J., Hibbert, K. M., & Chesworth, B. M. (2018). Validity and internal consistency of the new knee society knee scoring system. Clinical Orthopaedics and Related Research, 476(1), 77. https://doi.org/10.1007/s11999.0000000000000014
  5. Davies, A. P. (2002). Rating systems for total knee replacement. The Knee, 9(4), 261-266. https://doi.org/10.1016/S0968-0160(02)00095-9
  6. Debette, C., Parratte, S., Maucort-Boulch, D., Blanc, G., Pauly, V., Lustig, S., Servien, E., Neyret, P., & Argenson, J.-N. (2014). French adaptation of the new Knee Society Scoring System for total knee arthroplasty. Orthopaedics & Traumatology: Surgery & Research, 100(5), 531-534. https://doi.org/10.1016/j.otsr.2014.03.025
  7. Dinjens, R. N., Senden, R., Heyligers, I. C., & Grimm, B. (2014). Clinimetric quality of the new 2011 Knee Society score: high validity, low completion rate. The Knee, 21(3), 647-654. https://doi.org/10.1016/j.knee.2014.02.004
  8. Giesinger, J. M., Hamilton, D. F., Jost, B., Behrend, H., & Giesinger, K. (2015). WOMAC, EQ-5D and knee society score thresholds for treatment success after total knee arthroplasty. The Journal of Arthroplasty, 30(12), 2154-2158. https://doi.org/10.1016/j.arth.2015.06.012
  9. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417-1432. https://doi.org/10.1016/0895-4356(93)90142-N
  10. Hamamoto, Y., Ito, H., Furu, M., Ishikawa, M., Azukizawa, M., Kuriyama, S., Nakamura, S., & Matsuda, S. (2015). Cross-cultural adaptation and validation of the Japanese version of the new Knee Society Scoring System for osteoarthritic knee with total knee arthroplasty. Journal of Orthopaedic Science, 20(5), 849-853. https://doi.org/10.1007/s00776-015-0736-2
  11. Hossain, F. S., Konan, S., Patel, S., Rodriguez-Merchan, E. C., Haddad, F. S. (2015). The assessment of outcome after total knee arthroplasty: are we there yet? Bone Joint J, 97-B(1), 3-9. https://doi.org/10.1302/0301-620X.97B1.34434.
  12. Insall, J. N., Dorr, L. D., Scott, R. D., & Scott, W. N. (1989). Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res, 248(248), 13-14.
  13. Juniper, E. F. (1996). How to develop and validate a new health-related quality of life instrument. Quality of life and pharmacoeconomics in clinical trials içinde (ss.49-56) (2nd ed.) Philadelphia: Lippincott-Raven Publishers.
  14. Kayaalp, M. E., Keller, T., Fitz, W., Scuderi, G. R., & Becker, R. (2019). Translation and validation of the German new knee society scoring system. Clinical Orthopaedics and Related Research, 477(2), 383. https://doi.org/10.1097/CORR.0000000000000555
  15. Kim, S. J., Basur, M. S., Park, C. K., Chong, S., Kang, Y. G., Kim, M. J., Jeong, J. S., & Kim, T. K. (2017). Crosscultural adaptation and validation of the Korean version of the New Knee Society Knee Scoring System. Clinical Orthopaedics and Related Research, 475, 1629-1639. https://doi.org/10.1007/s11999-017-5307-8
  16. Koçyiğit, H., Aydemir, Ö., Fişek, G., Ölmez, N., & Memiş, A. (1995). The reliability and validity of Turkish version of Short form 36 (SF 36). J Drug Treat, 12, 102-106.
  17. Liu, D., He, X., Zheng, W., Zhang, Y., Li, D., Wang, W., Li, J., & Xu, W. (2015). Translation and validation of the simplified Chinese new Knee Society Scoring System. BMC Musculoskeletal Disorders, 16(1), 1-6. https://doi.org/10.1186/s12891-015-0854-1
  18. Maltenfort, M. (2017). CORR Insights: What is the responsiveness and respondent burden of the new knee society score? Clinical Orthopaedics and Related Research, 475, 2228-2229. https://doi.org/10.1007/s11999-017-5352-3
  19. Maniar, R. N., Maniar, P. R., Chanda, D., Gajbhare, D., & Chouhan, T. (2017). What is the responsiveness and respondent burden of the New Knee Society Score? Clinical Orthopaedics and Related Research, 475, 2218-2227. https://doi.org/10.1007/s11999-017-5338-1
  20. Maniar, R. N., Maniar, P. R., Chanda, D., Gajbhare, D., & Chouhan, T. (2021). Short-Form New Knee Society Score: What Is Its Responsiveness and Convergent Validity with Other Scores? The Journal of Knee Surgery, 34(11), 1182-1188. https://doi.org/10.1055/s-0040-1702190
  21. Nishitani, K., Yamamoto, Y., Furu, M., Kuriyama, S., Nakamura, S., Ito, H., Fukuhara, S., & Matsuda, S. (2019). The minimum clinically important difference for the Japanese version of the new Knee Society Score (2011KSS) after total knee arthroplasty. Journal of Orthopaedic Science, 24(6), 1053-1057. https://doi.org/10.1016/j.jos.2019.09.001
  22. Noble, P. C., Scuderi, G. R., Brekke, A. C., Sikorskii, A., Benjamin, J. B., Lonner, J. H., Chadha, P., Daylamani, D. A., Scott, W. N., & Bourne, R. B. (2012). Development of a new Knee Society scoring system. Clinical Orthopaedics and Related Research, 470, 20-32. https://doi.org/10.1007/s11999-011-2152-z
  23. Özden, F., Tuğay, N., Tuğay, B. U., & Kılınç, C. Y. (2019). Psychometrical properties of the Turkish translation of the new knee society scoring system. Acta Orthopaedica et Traumatologica Turcica, 53(3), 184-188. https://doi.org/10.1016/j.aott.2019.03.003
  24. Özden, F., & Tümtürk, İ. (2022). Performance-Based Outcome Measures in Total Knee Arthroplasty: A Systematic Review. Physical & Occupational Therapy In Geriatrics, 40(3), 241-260. https://doi.org/10.1080/02703181.2021.2015048
  25. Portney, L. G., & Watkins, M. P. (2009). Foundations of clinical research: applications to practice (Vol. 892). Pearson/Prentice Hall Upper Saddle River, NJ.
  26. Ramkumar, P., Harris, J. D., & Noble, P. (2015). Patient-reported outcome measures after total knee arthroplasty: a systematic review. Bone & Joint Research, 4(7), 120-127. https://doi.org/10.1302/2046-3758.47.2000380
  27. Scuderi, G. R., Bourne, R. B., Noble, P. C., Benjamin, J. B., Lonner, J. H., & Scott, W. (2012). The new knee society knee scoring system. Clinical Orthopaedics and Related Research, 470, 3-19. https://doi.org/10.1007/s11999-011-2135-0
  28. Scuderi, G. R., Sikorskii, A., Bourne, R. B., Lonner, J. H., Benjamin, J. B., & Noble, P. C. (2016). The knee society short form reduces respondent burden in the assessment of patient-reported outcomes. Clinical Orthopaedics and Related Research, 474, 134-142. https://doi.org/10.1007/s11999-015-4370-2
  29. Senden, R., Grimm, B., Meijer, K., Savelberg, H., & Heyligers, I. C. (2011). The importance to including objective functional outcomes in the clinical follow up of total knee arthroplasty patients. The Knee, 18(5), 306–311. https://doi.org/10.1016/j.knee.2010.07.008
  30. Silva, A. L. P., Croci, A. T., Gobbi, R. G., Hinckel, B. B., Pecora, J. R., & Demange, M. K. (2017). Translation and validation of the new version of the Knee Society Score-The 2011 KS Score-into Brazilian Portuguese. Revista Brasileira de Ortopedia, 52, 506-510. https://doi.org/10.1016/j.rboe.2016.08.020
  31. Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., Bouter, L. M., & de Vet, H. C. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
  32. Tüzün, E., Eker, L., Aytar, A., Daşkapan, A., & Bayramoğlu, M. (2005). Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and Cartilage, 13(1), 28-33. https://doi.org/10.1016/j.joca.2004.10.010
  33. Van Der Straeten, C., Witvrouw, E., Willems, T., Bellemans, J., & Victor, J. (2013). Translation and validation of the Dutch new knee society scoring system. Clinical Orthopaedics and Related Research, 471, 3565-3571. https://doi.org/10.1007/s11999-013-3149-6
  34. Hossain, F. S., Konan, S., Patel, S., Rodriguez-Merchan, E. C., Haddad, F. S. (2015). The assessment of outcome after total knee arthroplasty: are we there yet? Bone Joint J, 97-B(1), 3-9. https://doi.org/10.1302/0301-620X.97B1.34434.