Integrating wearables and modelling for monitoring rehabilitation following total knee joint replacement

•Wearable computed ‘tibial shock’ is a good surrogate for knee joint contact force from computer modelling.•Wearables showed 20% of patients did not improve knee joint loading.•Traditional patient related outcome measures did not detect these patient changes.•This study has important implications for improving patient outcomes, equity, and for those who live in rural regions.•To our knowledge no other studies exist in the literature evaluating the use of wearables and modelling together following total knee replacement surgery.