Deep Oscillation Therapy in Early Rehabilitation After Navigated Total Knee Replacement: A Physiotherapy Experience
This study investigates the benefits of combining early physiotherapy with deep oscillation therapy after navigated total knee replacement. Results showed significant improvements in pain, girth, ROM, and contracture. Deep oscillation is suitable for patients with metal implants
Ivanov S, Vladeva E, Panayotova-Ovcharova L, Petkov P, Nedyalkova-Petkova D. Navigated
Total Knee Replacement - Our Physiotherapy Experience in the Early Postoperative Period. J of IMAB. 2025 JanMar;31(1):5998-6003. [Crossref - https://doi.org/10.5272/jimab.2025311.5989]
ABSTRACT: The advancement of technology has led to the development of surgical instruments that aim to assist and improve surgical skills and patient satisfaction after operation. One of the most significant advancements in this field has been the introduction of navigation systems for knee arthroplasty. Computer-assisted orthopedic surgery and navigation applications work towards fusing images with anatomical landmarks in real-time. In addition to being an educational tool for less experienced surgeons, this technology also assists experienced surgeons in planning bone cuts, tunneling, and ligament balancing.
Purpose: This study explores the potential benefits of physical therapy methods for patients who have undergone Navigated total knee replacement.
Material/Methods: The study comprised ten patients of both sexes aged between 18 and 80 years with an assisted total knee arthroplasty who fulfilled the specified inclusion criteria. The patients underwent navigated total knee arthroplasty, which resulted in postoperative contracture and oedema. Patients are followed up at three-time points and assessed using a knee injury and osteoarthritis outcome score questionnaire, circumference measurements, range of motion and a pain rating scale (visual analogue scale).
Results: A significant improvement has been observed in reducing girth measurements and pain rating scale, as measured by (VAS), increase in ROM and a decrease in contracture.
Conclusions: Combining the surgical technological revolution with the potential of restorative physical therapy methods is essential for achieving sustainable and fast results.
Keywords: navigation systems for knee arthroplasty, total knee replacement, kinesitherapy, deep oscillation therapy
