RT Journal A1 Gross, Allan E. T1 Commentary on an article by Trevor G. Russell, MD, et al.: “Internet-Based Outpatient Telerehabilitation for Patients Following Total Knee Arthroplasty. A Randomized Controlled Trial” JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2011 FD January 19 VO 93 IS 2 SP e6 1 OP 2 DO 10.2106/JBJS.J.01535 UL http://dx.doi.org/10.2106/JBJS.J.01535 AB The authors performed a single-blinded, prospective, randomized, controlled, noninferiority trial comparing physical therapy done in the conventional manner with an Internet-based telerehabilitation program. The trial was performed on patients following total knee arthroplasty, and the groups were compared with use of well-accepted primary and secondary outcome measures. Patients who have had a total knee replacement require more intense and more closely supervised physiotherapy than do patients following a total hip replacement. I think that this is well accepted by the orthopaedic community. Some patients have difficulty attending outpatient physical therapy because it is not available, is expensive, or is inaccessible to those who live in rural areas. The authors described an Internet-based technique that can overcome these problems in an extremely efficient and effective way.