In an ideal world it would be appropriate to follow-
But at the same time, if the patients are not followed up regularly, silent problems like implant loosening, impending peri-
Studies have shown that if after the initial year or two, the patients could be followed up by validated outcome score questionnaires and radiological investigations at appropriate time intervals which could be reviewed by their surgeons without having to see the patients personally in the clinics. Patients could be called back for review if problems are identified. Hopefully this system of follow-
Oxford Hip score and Oxford Knee score are two of the commonly used patient reported outcome scores –
In addition you could also ask the patients to do the Oxford Hip/Knee scores when they see you for hip or knee arthritis and although there is no cut off score which indicate that a surgical treatment is warranted, the scores will give you a guide to the severity of the patient’s problem and also an objective data tool to justify your referral for example to seek an urgent orthopaedic appointment for your patient (and it is also more than likely that the orthopaedic surgeons will be caught by surprise if your patients bring the Oxford scores to the clinic along with their prescription!).
The non arthritic hip score is used to evaluate non arthritic hip problems like hip impingement.
(forms can be downloaded by clicking the links in a PDF format).