Tele-rehabilitation has the potential to improve or at least be as effective as some current care services, while increasing their accessibility. The objective of this study was to evaluate the safety and effectiveness of tele-rehabilitation after total hip or knee replacement surgery. 200 patients received a tele-rehabilitation programme after their surgery. The patients' progress was monitored by physiotherapists, who gave them personalised advice and adapted exercises. The number of complications, standardized patient reported outcome measures and satisfaction were measured three months after surgery. There have been no complications related to monitoring by the application. There were 7 unplanned consultations and 3 readmissions. Patient’s scores of activities of daily living, pain, quality of life and symptoms improved after surgery. The scores of knee prosthesis patients were similar to a control group in the 3rd month post-operatively. This study showed that tele rehabilitation can be organized safely and effectively after knee and hip arthroplasty. Those results are in line with latest research that showed that one-to-one therapy does not provide superior outcome compared to a self directed home program or tele-rehabilitation

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