OpenSim as a preliminary kinematic testing platform for the development of total knee arthroplasty implants

The design of a total knee replacement implant needs to take account the complex surfaces of the knee which it is replacing. Ensuring design performance of the implant requires in vitro testing of the implant. A considerable amount of time is required to produce components and evaluate them inside an experimental setting. Numerous adjustments in the design of an implant and testing each individual design can be time consuming and expensive. Our solution is to use the OpenSim simulation software to rapidly test multiple design configurations of implants. This study modeled a testing rig which characterized the motion and laxity of knee implants. Three different knee implant designs were used to test and validate the accuracy of the simulation: symmetrical, asymmetric, and anatomic. Kinematics were described as distances measured from the center of each femoral condyle to a plane intersecting the most posterior points of the tibial condyles between 0 and 135 degrees of flexion with 15 degrees increments. Excluding the initial flexion measurement (similar to 0 degrees) results, the absolute differences between all experimental and simulation results (neutral path, anterior-posterior shear, internal-external torque) for the symmetric, asymmetric, and anatomical designs were 1.98 mm +/- 1,15, 1.17 mm +/- 0.89, and 1.24 mm +/- 0.97, respectively. Considering all designs, the accuracy of the simulation across all tests was 1.46 mm +/- 1.07. It was concluded that the results of the simulation were an acceptable representation of the testing rig and hence applicable as a design tool for new total knees. (C) 2018 Elsevier Ltd. All rights reserved.