Biomechanical justification of rehabilitation measures after total knee replacement


  • V.O. Fishchenko National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • Obeidat Khaled Jamal Saleh National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • O.D. Karpinska State Institution “Sytenko Institute of Spine and Joint Pathology of the National Academy of Medical Sciences of Ukraine”, Kharkiv, Ukraine



osteoarthritis, total knee replacement, rehabilitation, exercises


Total knee replacement is a common orthopedic surgery that aims to improve the quality of life of a person with end-stage osteoarthritis by reducing pain and improving limb function. Restoration of full functionality of the knee joint after arthroplasty, especially in patients of working age, has been and remains the main task of rehabilitation. Objective: based on biomechanical approaches, to develop a set of rehabilitation exercises for restoring the functionality of the knee joint after its replacement and to evaluate the effectiveness of the proposed method. The main directions of preoperative physiotherapy are considered, as well as rehabilitation at different stages from the first week to one year after surgery. Based on previously obtained data from the examination of patients with gonarthrosis and biomechanical modeling, special physical exercises at different stages of rehabilitation were substantiated, aimed at restoring the strength of muscles affected by degenerative osteoarthritis of the knee joint. The proposed rehabilitation includes a series of physical exercises to restore the strength and elasticity of the muscles and tendons of the feet, calves and thighs. It begins with simple actions to prepare muscles in bed or when sitting and ends with strength exercises using elastic bands, exercises with squats, walking on toes. The proposed rehabilitation measures significantly improve the state of patients after knee replacement surgery by restoring the functionality of the limb to perform daily exercises.


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How to Cite

Fishchenko, V., Saleh, O. K. J., & Karpinska, O. (2022). Biomechanical justification of rehabilitation measures after total knee replacement. TRAUMA, 23(1), 66–71.



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