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

Objective: The purpose of this study was to adapt the English version of the Hospital for SpecialSurgery (HSS) knee score for use in a Turkish population and to evaluate its validity, reliability andcultural adaptation. Methods: Standard 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. Results: The 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). Conclusion: The Turkish version of the HSS knee score is reliable and valid in evaluating the total knee arthroplasty in Turkish patients.