Remote Patient Monitoring after TKA—What Surgeons Need to Know

Abstract

Multiple new technologies have been introduced in recent years to allow for remote patient monitoring (RPM) after total knee arthroplasty. These tools allow for the recording and transmission of various types of data from the patient to the surgeon throughout a recovery course without necessitating an in-person office visit.

RPM has the ability to improve patient outcomes and experience throughout the rehabilitation period by providing much more data on patient progress than has been available in the past. However, these technologies are available in many forms, and different formats provide different types of data that may be of variable utility depending on surgeon preference and training. In this article, we will review different forms of RPM, benefits associated with each, and recommendations for incorporating RPM into a knee arthroplasty practice.

Keywords

remote patient monitoring - total knee arthroplasty

Publication History

Received: 07 January 2025

Accepted: 24 February 2025

Accepted Manuscript online:
25 February 2025

Article published online:
01 April 2025

• References

• 1 DeFrance MJ, Scuderi GR. Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature. J Arthroplasty 2023; 38 (03) 594-599
• 2 Bonanni S, Chang KC, Scuderi GR. Should body mass index be considered a hard stop for total joint replacement?: An ethical dilemma. Orthop Clin North Am 2025; 56 (01) 13-20
• 3 Knapp PW, Scuderi GR. Anatomic referencing restores the anatomy of the distal femur with less compromise. J Knee Surg 2024; 37 (02) 114-120
• 4 Cushner FD, Yergler JD, Elashoff B, Aubin PM, Verta P, Scuderi GR. Staying ahead of the curve: the case for recovery curves in total knee arthroplasty. J Arthroplasty 2025; 40 (02) 373-379
• 5 Yocum D, Housholder E, Yergler J. Manipulation under anesthesia following TKA with Persona IQ: A case series. J Orthop Case Rep 2023; 13 (08) 127-131
• 6 Li M, Torah R, Nunes-Matos H. et al. Integration and testing of a three-axis accelerometer in a woven e-textile sleeve for wearable movement monitoring. Sensors (Basel) 2020; 20 (18) 5033
• 7 Ramkumar PN, Haeberle HS, Ramanathan D. et al. Remote patient monitoring using mobile health for total knee arthroplasty: validation of a wearable and machine learning-based surveillance platform. J Arthroplasty 2019; 34 (10) 2253-2259
• 8 Bolam SM, Batinica B, Yeung TC. et al. Remote patient monitoring with wearable sensors following knee arthroplasty. Sensors (Basel) 2021; 21 (15) 1-12
• 9 Bell KM, Onyeukwu C, Smith CN. et al. A portable system for remote rehabilitation following a total knee replacement: a pilot randomized controlled clinical study. Sensors (Basel) 2020; 20 (21) 6118
• 10 ROMTech. ROMTech and the PortableConnect help patients with advanced telemedicine technology. GlobeNewswire News Room. 2021.
• 11 Hameed D, Sodhi N, Dubin J, Schneider A, Barrack RL, Mont MA. Integrating smartphone applications and wearable devices for postoperative rehabilitation in total knee arthroplasty: a critical review. J Arthroplasty 2024; 39 (08) 2028-2039.e1
• 12 Gordon AM, Nian P, Baidya J, Scuderi GR, Mont MA. Randomized controlled studies on smartphone applications and wearable devices for postoperative rehabilitation after total knee arthroplasty: a systematic review. J Arthroplasty 2025; S0883-5403 (25) 00062-2
• 13 Sodhi N, Hameed D, Barrack RL, Schneider AM, Bhave A, Mont MA. Use of remote physiologic and therapeutic monitoring following total knee arthroplasty. Surg Technol Int 2023; 42: 321-328
• 14 Chahal S, Siddiqui R, Puskas L. et al. Impact of a remote patient monitoring platform on outcomes following a total hip or knee arthroplasty. Arthroplast Today 2024; 27: 101415
• 15 Booth MW, Riegler V, King JS, Barrack RL, Hannon CP. Patients' perceptions of remote monitoring and app-based rehabilitation programs: a comparison of total hip and knee arthroplasty. J Arthroplasty 2023; 38 (7S): S39-S43
• 16 Kurtz SM, Higgs GB, Chen Z. et al. Patient perceptions of wearable and smartphone technologies for remote outcome monitoring in total knee arthroplasties. J Knee Surg 2023; 36 (12) 1253-1258
• 17 Rao SS, Loeb AE, Amin RM, Golladay GJ, Levin AS, Thakkar SC. Establishing telemedicine in an academic total joint arthroplasty practice: needs and opportunities highlighted by the COVID-19 pandemic. Arthroplast Today 2020; 6 (03) 617-622
• 18 Chen Z, Tarazi JM, Salem HS, Scuderi GR, Mont MM. The utility of telehealth in the recovery from the COVID-19 pandemic. Surg Technol Int 2021; 39: 17-21
• 19 Giunta NM, Paladugu PS, Bernstein DN, Makhni MC, Chen AF. Telemedicine hip and knee arthroplasty experience during COVID-19. J Arthroplasty 2022; 37 (8S): S814-S818 , 818.e2
• 20 Campbell K, Louie P, Levine B, Gililland J. Using patient engagement platforms in the postoperative management of patients. Curr Rev Musculoskelet Med 2020; 13 (04) 479-484
• 21 Holte AJ, Molloy IB, Werth PM, Jevsevar DS. Do patient engagement platforms in total joint arthroplasty improve patient-reported outcomes?. J Arthroplasty 2021; 36 (12) 3850-3858
• 22 Mehta SJ, Hume E, Troxel AB. et al. Effect of remote monitoring on discharge to home, return to activity, and rehospitalization after hip and knee arthroplasty: a randomized clinical trial. JAMA Netw Open 2020; 3 (12) e2028328
• 23 Weinberg M, Danoff JR, Scuderi GR. Remote patient monitoring following total joint arthroplasty. Orthop Clin North Am 2023; 54 (02) 161-168