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The items "locking" and "instability" should be combined with clinical data to make the Lysholm score more suitable for assessment of total knee arthroplasty. The simplified-Chinese versions of the Lysholm score and the Tegner scale are applicable for use with patients undergoing total knee arthroplasty, and have relatively high validity and reliability. The items "locking" and "instability" should be combined with clinical data to make the Lysholm score more suitable for assessment of total knee arthroplasty.Drivers are often held responsible for