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
- Rate Pain VAS (0 = no pain, 10 = worst imaginable) and Functional limitation (0 = none, 10 = severe).
- Enter the Kellgren-Lawrence radiographic grade (0 = none to 4 = severe joint space loss) from imaging reports.
- Enter months of Conservative treatment already attempted and the patient's BMI, Age, and number of significant Comorbidities.
- Review the Candidacy score (0–100): ≥70 = strong candidate, 50–69 = moderate, <50 = continue conservative management.
- 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) |
|---|---|
| 1 | 58 |
| 3.5 | 65.5 |
| 6.5 | 74.5 |
| 9 | 82 |
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
- Identify Input Parameters4 parametersPain VAS (0-10) = 7, Functional limitation (0-10) = 6, K-L grade (0-4) = 3, Conservative treatment (months) = 6 = 7 input(s) provided
- Calculate Candidacy score76 = 76
- Calculate Surgical risk0 = 0
- Calculate Recommendation2 = 2
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