ortho-trauma rheumatology

Oxford Hip Score (OHS)

12-item patient-reported outcome for hip arthroplasty / OA (Dawson 1996). Each item 0–4. Total 0–48 (higher = better).

Q1. Hip pain at any time*

Q2. Trouble washing/drying*

Q3. Trouble in/out of car*

Q4. Putting on socks/tights*

Q5. Doing household shopping*

Q6. Pain after walking 30 min*

Q7. Sudden severe pain*

Q8. Limp when walking*

Q9. Pain interfering with sleep*

Q10. Pain interfering with usual work*

Q11. Pain when standing up from chair*

Q12. Climbing flight of stairs*

Score interpretation

Severe (0–19) 0–19

→ Total hip arthroplasty consideration. Imaging + orthopaedic referral. Optimise comorbidities pre-op.

Moderate-to-severe (20–29) 20–29

→ Trial conservative: weight loss, paracetamol, topical NSAIDs, physiotherapy, walking aid. Refer for surgical opinion if persistent.

Mild-to-moderate (30–39) 30–39

→ NICE NG226 conservative: physiotherapy, analgesia ladder, intra-articular steroid in selected cases.

Satisfactory (40–48) 40–48

→ Maintain activity; reassess if change. No surgical indication from PROM alone.

Interpretation bands for the Oxford Hip. Apply clinical judgement and local guidance.

Curated clinical cross-links plus same-class fallbacks.

Pathways

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.