Oxford Hip Score

Original Editor - [Ayelawa Samuel] Top Contributors - Ayelawa Samuel, Rachael Lowe and Kim Jackson


Oxford Hip Score.jpg

The oxford hip score (OHS) is a joint specific outcome measure tool designed to assess disability in patients undergoing total hip replacement (THR)[1]. It was developed in 1996, it is one of the most popular pro measures for THR[2].


Its primary goal during development was to assess pain and function in patients undergoing Joint replacement surgery. Apart from it utility in evaluating THR patients, The OHS is also used to assess patients after alternative non-surgical interventions. This includes Physical therapy, joint supplements, and anti-inflammatory medications.

Method of Use

The Oxford Hip Score questionnaire is a short 12-item survey. Its recall period is four weeks and assesses pain, and function of the hip in relation to daily activities. This includes walking, dressing, climbing the stairs and sleeping. Each item has five possible responses (least difficult to most difficult), and items are summed to give a score from 12-60. Higher scores represent better functionality[2].

Validity and Reliability

The validity of this score has shown a strong correlation, practicable, reliable, and valid for self assessment of pain and function with patients with hip osteoarthritis[3].

Score Grading

Score 0 to 19- May indicate severe hip arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an Orthopedic[4]

Score 20 to29- May indicate moderate to severe hip arthritis. See your family physician for an assessment and x-ray. Consider a consult with an Orthopedic surgeon[4]

Score 30 to 39- May indicate mild to moderate hip arthritis. Consider seeing your family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and/ or anti-inflammatory medication.

Score 40 to 48- May indicate satisfactory joint function. May not require any formal treatment.[4]


  1. 1.      Wylde V, Learmonth ID, Cavendish VJ. The Oxford hip score: the patient’s perspective. Health and quality of life outcomes. 2005 Dec;3(1):66.
  2. 2.0 2.1 1.      CODE TECHNOLOGY. Available from: http://www.codetechnology.com/oxford-hip-score-tool/
  3. Florian D, Marc S, Franco M, Fabian VK, Anne F, Micheal L. Reliability and Validity of the cross-culturally Adapted German Oxford Hip Score. Clin Orthop Relat Res. 2009;467(4):952-957.
  4. 4.0 4.1 4.2 MEDICI. Available from: http://www.medicipractice.co.uk/navigator/oxford-hip-score/