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Calcimator

Joint Replacement Candidacy Calculator

Evaluate candidacy for total hip or knee replacement based on pain, function, radiographic severity, and surgical risk factors.

Inputs

Results

Candidacy score (0-100)

76

Surgical risk (0-2)0
Recommendation (0-2)2
5-year implant survival (%)97
Expected hospital stay (days)1.5
Kl NameModerate
How to Use This Calculator
  1. Rate Pain VAS (0 = no pain, 10 = worst imaginable) and Functional limitation (0 = none, 10 = severe).
  2. Enter the Kellgren-Lawrence radiographic grade (0 = none to 4 = severe joint space loss) from imaging reports.
  3. Enter months of Conservative treatment already attempted and the patient's BMI, Age, and number of significant Comorbidities.
  4. Review the Candidacy score (0–100): ≥70 = strong candidate, 50–69 = moderate, <50 = continue conservative management.
  5. Note the Surgical risk level (Low/Moderate/High), Recommendation, estimated 5-year implant survivorship (%), and expected hospital length of stay.

How the result changes with Pain VAS (0-10)

Pain VAS (0-10)Candidacy score (0-100)
158
3.565.5
6.574.5
982

What each input means

Pain VAS (0-10)
Visual Analog Scale pain score (0=no pain, 10=worst).
Functional limitation (0-10)
Functional limitation score (0=none, 10=severe).
K-L grade (0-4)
Kellgren-Lawrence radiographic grade. 0=None, 4=Severe.
Conservative treatment (months)
Duration of conservative management attempted.
BMI
Body mass index.
Age (years)
Patient age.
Comorbidities (0-5)
Number of significant comorbid conditions.

What each result means

Candidacy score (0-100)
Composite score. >=70 = strong candidate, 50-69 = moderate, <50 = continue conservative.
Surgical risk (0-2)
0=Low, 1=Moderate, 2=High perioperative risk.
Recommendation (0-2)
0=Continue conservative, 1=Shared decision, 2=Strong surgical candidate.
5-year implant survival (%)
Estimated 5-year implant survivorship percentage.
Expected hospital stay (days)
Estimated length of stay with enhanced recovery protocol.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    4 parameters
    Pain VAS (0-10) = 7, Functional limitation (0-10) = 6, K-L grade (0-4) = 3, Conservative treatment (months) = 6 = 7 input(s) provided
  2. Calculate Candidacy score
    76 = 76
  3. Calculate Surgical risk
    0 = 0
  4. Calculate Recommendation
    2 = 2

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