www.orthopaedicscores.com
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Date of completion
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IDKC Score
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Date of completion
2024-04-23
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IKDC SUBJECTIVE KNEE EVALUATION FORM
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Patient's name (or ref
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Clinician Diagnosis
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Patient's d.o.b
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Type of surgery:
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Surgery date
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INSTRUCTIONS: This survey asks for your view about your knee. This information will
help us keep track of how you feel about your knee and how well you are able to do your usual activities.
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Answer every question by ticking the appropriate box. If you are unsure about how
to answer a question, please give the best answer you can.
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Sports activities
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Function, and activity of daily living - The following questions concern your physical function when being active on a higher level. The questions should be answered thinking of what degree of difficulty you have experienced during the last week due to your knee.
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10.
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How would you rate the function of your knee on a scale of 0 to 10 with 10 being normal, excellent function and 0 being the inability to perform any of your usual daily activities which may include sports?
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Thank you very much for completing all the questions in this questionnaire.
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Nb: This page cannot be saved due to patient data protection so please print the filled in form before closing the window.
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IKDC Score is
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A group of knee surgeons from Europe and America met in 1987 and founded the International Knee Documentation Committee. A common terminology and an evaluation form were created. This form is the standard form for use in all publications on results of treatment of knee ligament injuries.
IKDC COMMITTEE:
AOSSM: Anderson, A., Bergfeld, J., Boland, A. Dye, S., Feagin, J., Harner, C. Mohtadi, N. Richmond, J. Shelbourne, D., Terry, G.
ESSKA: Staubli, H., Hefti, F., Hoher, J., Jacob, R., Mueller, W., Neyret, P.
APOSSM: Chan, K., Kurosaka, M.
Reference for Score: IKDC 2000 forms
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