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Osteoarthritis is a condition that aff ects the joints, causing pain and stiff ness. The most commonly affected joints are those of the hip, the knee the fingers of the hands Total knee arthroplasty is very widespread surgery. It decreases pain in most patients, but do not resolve many of the considerable functional limitation Total knee arthroplasty (TKA) is performed when the knee joint is severely damaged in osteoarthritis and other diseases. Depending on the underlying disease and the extent of destruction of the knee joint, a prosthesis is selected. The general goals of providing physical rehabilitation after total knee arthroplasty are to reduce pain in the operated knee, achieve functional range of motion, achieve independent moving about, and decrease activity limitations. Earlier and more intensive physiotherapy exercise after total knee arthroplasty (TKA) enhance recovery. Yet, we lack enough information as to which type of exercise works best for which patients at post operative total knee arthroplasty