head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue1
Subject Area: Medicine
-
DOI: 10.5272/jimab.2025311.5998
Published online: 11 Febrary 2025

Original article
J of IMAB. 2025 Jan-Mar;31(1):5998-6003
NAVIGATED TOTAL KNEE REPLACEMENT - OUR PHYSIOTHERAPY EXPERIENCE IN THE EARLY POSTOPERATIVE PERIOD
Stoyan Ivanov1ORCID logoCorresponding Autoremail, Evgeniya Vladeva2ORCID logo, Liliya Panayotova-Ovcharova2ORCID logo, Petar Petkov1ORCID logo, Detelina Nedyalkova-Petkova2ORCID logo,
1) Department of Orthopedics and Traumatology, University Hospital St. Marina - Varna, Faculty of Medicine, Medical University, Varna, Bulgaria.
2) Department of Physiotherapy, Rehabilitation and Thalassotherapy, University Hospital St. Marina -Varna, Faculty of Public Health, Medical University of Varna, Bulgaria.

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,

pdf - Download FULL TEXT /PDF 951 KB/
Please cite this article as: 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 Jan-Mar;31(1):5998-6003. [Crossref - 10.5272/jimab.2025311.5989]

Corresponding AutorCorrespondence to: Stoyan Ivanov, Department of Orthopedics and Traumatology, Faculty of Medicine, Medical University - Varna; 55, Marin Drinov Str., 9002 Varna, Bulgaria; E-mail: ton_ivanov@abv.bg

REFERENCES:
1. O'Hara NN, Isaac M, Slobogean GP, Klazinga NS. The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis. PLoS One.2020 Jan 15;15(1):e0227907. [PubMed]
2. Gaudias J. Antibiotic prophylaxis in orthopedics-traumatology. Orthop Traumatol Surg Res. 2021 Feb;107(1S):102751. [PubMed ]
3. Krumov J, Obretenov V, Vodenicharova A, Kanalev K, Stavrev V, Troev T, et. al. The benefits to functional ambulation and physical activity of group-based rehabilitation in frail elderly Bulgarians undergoing total knee arthroplasty. Preliminary results. J Frailty Sarcopenia Falls. 2019 Mar 1;4(1):20-25. [PubMed]
4. Moutzouri M, Gleeson N, Billis E, Tsepis E, Panoutsopoulou I, Gliatis J. The effect of total knee arthroplasty on patients' balance and incidence of falls: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3439-3451. [PubMed]
5. McHugh AC. Online Course. Rehabilitation Guidelines Following Total Knee Arthroplasty. Plus by Physiopedia. [Internet]
6. Connolly P, Coombs S, Schwarzkopf R. Mechanical complications after total knee arthroplasty. Expert Rev Med Devices. 2023 Jul-Dec;20(12):1105-1117. [PubMed]
7. Ryazkova M, Kirova I. [Physical therapy - general and specific part.] [in Bulgarian]  Arso-Sofia. 2002.
8. Souza GGA, Ramalho RSC, Albuquerque RSPE, Barretto JM, Chaves RSM, de Sousa EB. Higher Risk of Complications afret Total Knee Arthroplasty in Octogenarians. Acta Ortop Bras. 2020 Jul-Aug;28(4):177-181. [PubMed]
9. Siddiqi A, Horan T, Molloy RM, Bloomfield MR, Patel PD, Piuzzi NS. A clinical review of robotic navigation in total knee arthroplasty: historical systems to modern design. EFORT Open Rev. 2021 Apr 1;6(4):252-269. [PubMed]
10. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96. [PubMed]
11. Weigl K, Forstner T. Design of Paper-Based Visual Analogue Scale Items. Educ Psychol Meas. 2021 Jun;81(3):595-611. [PubMed]
12. Batailler C, Shatrov J, Sappey-Marinier E, Servien E, Parratte S, Lustig S. Artificial intelligence in knee arthroplasty: current concept of the available clinical applications. Arthroplasty. 2022 May 2;4(1):17. [PubMed]
13. da Mota E Albuquerque RF. Navigation in total knee arthroplasty. Rev Bras Ortop. 2015 Nov 16;46(1):18-22. [PubMed]
14. Evans M. Rehabilitation protocol for knee replacement surgery. Physiotherapy Guidelines. Melbourne Orthopaedic Group. 2019. [Internet]
15. Мratskova G. Use of Deep Оscillation- therapy in rehabilitation program for patient after distal radius fracture with a complex regional pain syndrome (sudeck atrophy): A case report. Trakia Journal of Sciences. 2020; 18(Suppl. 1):187-193. [Crossref]
16.Mikhalchik E, Titkova S, Anurov M, Suprun M, Ivanova A, Trakhtman I, et al. Wound Healing Effects of Deep Oscillation. 1st International Conference on Skin and Environment. 2005.
17. O'Brien CP, Watson A. Deep oscillation therapy in the treatment of lateral epicondylalgia: a pilot randomized control trial. J Sports Med Doping Stud. 2016; 6(3):1000180. [Crossref]
18. Hinman MR, Lundy R, Perry E, Robbins K, Viertel L. Comparative Effect of Ultrasound and DEEP OSCILLATION® on the Extensibility of Hamstring Muscles. J Athletics Med. 2013; 1(1):45-55. [Internet]

Received: 16 August 2024
Published online: 11 February 2025

back to Online Journal