Russian Version of HSS Knee Replacement Expectations Survey: Language and Cultural Adaptation


Purpose . To perform language and cultural adaptation of the Hospital of Special Surgery (HSS) Knee Replacement Expectations Survey and evaluate its reliability. Material and methods . To preserve the HSS validity its language and cultural adaptation was performed in several steps: (1) direct translation, (2) synthesis of the intermediate version, (3) back translation, (4) expert commission review and creation of the 2nd intermediate version, (5) pre-testing and formation of a final version, study of reliability with evaluation of Cronbach’s alpha and intra class correlation coefficient (ICC). Total number of 35 patients (mean age 54.2 years) with terminal-stage gonarthrosis who were admitted for total knee arthroplasty (TKA) participated in the study. Results . Cronbach’s alpha and intra class correlation coefficient (ICC) for the translated and adapted version of HSS Knee Replacement Expectations Survey made up 0.871 and 0.82 (95% confidence interval 0.725-0.897) that was indicative of high correlation between Russian version and the original. Conclusion . Russian version of HSS Knee Replacement Expectations Survey is a reliable tool and can be used for the evaluation of patient expectations prior to TKA.

Full Text

Restricted Access

About the authors

M. A Cherkasov

Russian Scientific Research Institute of Traumatology and Orthopedics named after R. R. Vreden

St. Petersburg, Russia
postgraduate, RNII of TO n. a. R.R. Vreden

A. S Ibiev

Russian Scientific Research Institute of Traumatology and Orthopedics named after R. R. Vreden

St. Petersburg, Russia

A. V Saraev

Russian Scientific Research Institute of Traumatology and Orthopedics named after R. R. Vreden

St. Petersburg, Russia

N. N Kornilov

North-Western State Medical University named after I.I. Mechnikov

St. Petersburg, Russia


  1. Тихилов Т.Р., Корнилов Н.Н., Куляба Т.А. и др. Современные тенденции в ортопедии: артропластика коленного сустава. Травматология и ортопедия России. 2012; (2): 5-15. doi: 10.21823/2311-2905-2012--2-5-15.
  2. Mancuso C.A., Salvati E.A., Johanson N.A. et al. Patients’ expectations and satisfaction with total hip arthroplasty. J. Arthroplasty. 1997; 12 (4): 387-96.
  3. Mancuso C.A., Graziano S., Briskie L.M. et al. Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clin. Orthop. Relat. Res. 2008; 466 (2): 424-31. doi: 10.1007/s11999-007-0052-z.
  4. Mancuso C.A., Sculco T.P., Wickiewicz T.L. et al. Patients’ expectations of knee surgery. J. Bone Joint Surg. Am. 2001; 83-A (7): 1005-12.
  5. Beaton D.E., Bombardier C., Guillemin F., Ferraz M.B. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25 (24): 3186-91.
  6. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. 2-е изд. М.: ЗАО «ОЛМА Медиа Групп»; 2007.
  7. Cronbach L. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16: 297-334.
  8. Cicchetti D.V. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment. 1994; 6 (4): 284-90. doi: 10.1037/1040-3590.6.4.284.
  9. Gandhi R., Davey J.R., Mahomed N. Patient expectations predict greater pain relief with joint arthroplasty. J. Arthroplasty. 2009; 24 (5): 716-21. doi: 0.1016/j. arth.2008.05.016.
  10. Mahomed N.N., Liang M.H., Cook E.F. et al. The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. J. Rheumatol. 2002; 29 (6): 1273-9.
  11. Marcinkowski K., Wong V.G., Dignam D. Getting back to the future: a grounded theory study of the patient perspective of total knee joint arthroplasty. Orthop. Nurs. 2005; 24 (3): 202-9.
  12. Noble P.C., Conditt M.A., Cook K.F., Mathis K.B. The John Insall Award: patient expectations affect satisfaction withtotalkneearthroplasty. Clin. Orthop. Relat. Res. 2006; (452): 35-43. doi: 10.1097/01.blo.0000238825.63648.1e
  13. Nilsdotter A.K., Toksvig-Larsen S., Roos E.M. Knee arthroplasty: are patients’ expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. Acta Orthop. 2009; 80 (1): 55-61. doi: 10.1080/17453670902805007.
  14. Rosenberger P.H., Jokl P., Cameron A., Ickovics J.R. Shared decision making, preoperative expectations, and postoperative reality: differences in physician and patient predictions and ratings of knee surgery out- comes. Arthroscopy. 2005; 21 (5); 562-9. doi: 10.1016/j. arthro.2005.02.022.
  15. Thomas K.M., Sethares K.A. An investigation of the effects of preoperative interdisciplinary patient education on understanding postoperative expectations following a total joint arthroplasty. Orthop Nurs. 2008; 27 (6): 374-81. doi: 10.1097/01.NOR.0000342428.74830.67.



Abstract - 39


Article Metrics

Metrics Loading ...


  • There are currently no refbacks.

Copyright (c) 2017 Cherkasov M.A., Ibiev A.S., Saraev A.V., Kornilov N.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies