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Can a Musculoskeletal Model Adapted to Knee Implant Geometry Improve Prediction of 3D Contact Forces and Moments?

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Abstract

Tibiofemoral contact loads are crucial parameters in the onset and progression of osteoarthrosis. While contact loads are frequently estimated from musculoskeletal models, their customization is often limited to scaling musculoskeletal geometry or adapting muscle lines. Moreover, studies have usually focused on superior–inferior contact force without investigating three-dimensional contact loads. Using experimental data from six patients with instrumented total knee arthroplasty (TKA), this study customized a lower limb musculoskeletal model to consider the positioning and the geometry of the implant at knee level. Static optimization was performed to estimate tibiofemoral contact forces and contact moments as well as musculotendinous forces. Predictions from both a generic and a customized model were compared to the instrumented implant measurements. Both models accurately predict superior–inferior (SI) force and abduction–adduction (AA) moment. Notably, the customization improves prediction of medial–lateral (ML) force and flexion–extension (FE) moments. However, there is subject-dependent variability in the prediction of anterior–posterior (AP) force. The customized models presented here predict loads on all joint axes and in most cases improve prediction. Unexpectedly, this improvement was more limited for patients with more rotated implants, suggesting a need for further model adaptations such as muscle wrap** or redefinition of hip and ankle joint centers and axes.

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Acknowledgements

This study was partially financed by Région Auvergne Rhône Alpes (PAI 2021). We thank Marjorie Sweetko for English language editing.

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Authors and Affiliations

  1. Univ Lyon, Univ Claude Bernard Lyon 1, Univ Gustave Eiffel, LBMC UMR_T 9406, 69622, Lyon, France

    Sacha Guitteny & Raphael Dumas

  2. Laboratoire de Recherche en Imagerie Et Orthopédie (LIO), Département Génie des Systèmes, Ecole de Technologie Supérieure, Montréal, Canada

    Rachid Aissaoui

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  1. Sacha Guitteny
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Correspondence to Raphael Dumas.

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Guitteny, S., Aissaoui, R. & Dumas, R. Can a Musculoskeletal Model Adapted to Knee Implant Geometry Improve Prediction of 3D Contact Forces and Moments?. Ann Biomed Eng 51, 1872–1883 (2023). https://doi.org/10.1007/s10439-023-03216-y

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