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Biomechanical Mechanisms for Damage: Retrieval Analysis and Computational Wear Predictions in Total Knee Replacements
M. K. Harman, S. A. Banks, B. J. Fregly, W. G. Sawyer, & W. A. Hodge
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Damage patterns on the articular surface of the proximal tibia, including cartilage
degeneration in osteoarthritic knees and damage of polyethylene knee prostheses after total
knee replacement, provide information related to knee joint biomechanics and damage
mechanisms at the articular surface. This study reports articular damage patterns and
knee kinematics assessed in the knees of older subjects, before and after total knee
replacement. The damage patterns are used to evaluate computational dynamic contact
and tribological models that predict polyethylene damage in a patient-specific total knee
replacement model.
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