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    Abaqus Knee Simulator

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    Table of Content

    Introduction

    Installation and conventions

    Knee parts

    Test suites

    Workflows

    Appendix

    References

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    What is the knee simulator?

    Abaqus Knee Simulator (AKS) is an automatedmodeling tool for building

    advancedknee implant simulations based on a validatedframework

    Abaqus Knee Simulator includes five workflowswhich cover various aspects

    of knee implant design evaluation:

    Contact mechanics

    Implant constraint

    TibioFemoral (TF) constraint

    Wear simulator

    Basic Total Knee Replacement (TKR) loading

    Introduction

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    Introduction

    Step by Step Import geometries

    Build test suite

    Set-up each workflow

    Check for interference

    Adjust positioning

    Define output requests

    Set simulation options

    Run analysis and monitor

    progress

    Visualize results

    Import

    partsCreate

    test suite Check for

    interference

    Adjust

    positioning

    Define output

    requests

    Set simulation

    options

    Run analysis and

    monitor progress

    Visualize

    results

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    GUI Overview

    AKS panel includes the Knee Partstab and the Test Suites tab

    Introduction

    AKS panel

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    Knee implant components are imported into AKS using

    the Knee Partstab

    Test suites which are repositories of workflows are

    created using the Test Suites tab

    Introduction

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    Designerand Analystmodes

    The simulator has two interface modes

    The designer mode provides a streamlined interface for performing knee

    implant simulation

    The analyst mode extends the designer mode by providing full accesses to

    features of Abaqus/CAE

    Introduction

    Designer mode Analyst mode

    Switches between the two modes

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    For both modes, everything you need to build a simulation is

    collected in a single panel where you specify

    output requests

    simulation options

    result visualization options

    Introduction

    Output request Simulation options Result visualization

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    Here are the steps:

    1. Install Abaqus/CAE on Windows

    platform

    2. Install license file with Abaqus Knee

    Simulator feature enabled

    3. Open command line window

    4. Enter: abaqus kneeapp

    Installation and Conventions

    Installation and execution

    Abaqus Knee Simulator comes with

    all Abaqus/CAE installation on

    Windows platform

    Special license is required to enable

    AKS

    Enter the following command in a

    command line window to start

    Abaqus Knee Simulator

    abaqus kneeapp

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    Platform

    AKS GUI is only supported for Window platform including win32 and win64

    The analysis generated by AKS can be solved using other platforms

    supported by Abaqus/Explicit except for the wear simulator which requires

    compiled user subroutine library for the specific platform

    Please contact our local office for the l ibrary file

    Unit system

    As AKS provides a set of human knee geometry and material properties, itrequires user input and geometries to use the same consistent unit system:

    length: mm | force: N | pressure: MPa

    Installation and Conventions

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    Sources of implant geometries

    From neutral geometry files exported

    from CAD

    SAT, IGES, STEP, etc.

    From associative CAD interfaces

    Pro/E, SolidWorks, CATIA V5, NX

    Note the associative interface license need to be acquired separately

    From existing CAE model

    The user can copy existing CAE parts into the KneeSim-Parts model to be used by

    AKS

    Knee Parts

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    Knee type

    The knee anatomy (bones, soft tissues)

    provided in the simulator belongs to a right

    knee

    The user can import either right knee or a leftknee implants

    If left knee implants are imported, they will be

    mirrored to right knee implants to be consistent

    with the anatomy

    Knee Parts

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    Implant geometry landmarks

    Femur component

    A plane parallel to the frontal plane of the body

    Dwell (lowest) point for medial and lateral condyle

    surface

    Knee Parts

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    Implant geometry landmarks

    Tibia component

    A plane parallel to the transverse plane of

    the body

    Dwell (lowest) point for medial and lateral

    condyle surface

    Knee Parts

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    Implant geometry landmarks

    Patella component

    A plane parallel to the frontal plane

    A point on the medial side

    A point on the posterior side

    Knee Parts

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    Dwell points

    If a mistake is made to the dwell point, you have

    the option to either edit or swap the dwell points

    by right-mouse-click on the imported part

    Sets and surfaces

    Sets and surfaces can also be created for output

    purposes

    Sets and surfaces created in Knee Parts tab will

    be available to all test suites created afterwards

    Knee Parts

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    Meshing

    The femur and patellar button components are mesh automatically upon

    import

    Femur component as rigid triangle elements

    Patellar button as 2nd

    order tetrahedron elements

    The parts are seeded with a default element size calculated based on the

    geometry landmarks

    Knee Parts

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    Meshing

    Two elliptical partitions with user-specified major and minor radii of the

    ellipses are created on the tibial insert to provide automated hexahedral

    mesh for the area in contact with the femur component

    Knee Parts

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    Here are the steps:

    1. Single click on Add Test Suite

    2. Give a suite name

    3. Select parts to be included in the test

    suite

    4. Select material model for each part

    5. Select workflows

    6. Select modeling space (only

    applicable for TF constraint and basic

    TKR loading workflows

    7. Select bundle type (only applicable forbasic TKR loading workflow

    Test Suites

    Build a test suite

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    Here are the steps:

    1. Right-mouse-click on the workflow to

    access inference check

    2. Surfaces with interference will be

    highlighted

    3. Right-mouse-click on Parts to accesspositioning options

    4. Repeat step 1-3 until there is no

    interference between the parts

    Note: interference between anatomy and

    implants can be ignored

    Test Suites

    Set up workflows

    Remove interference between

    implant parts

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    Here are the steps:

    1. Select sets for outputs

    a. Sets can be created on-the-fly

    2. Select surfaces for outputs

    a. Surfaces can be created on-

    the-fly

    3. Pick output variables

    a. Specific sets/surfaces can be

    selected

    The variables may be different from oneworkflow to another

    Test Suites

    Set up workflows

    Set output request

    T S i

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    Here are the steps:

    1. Choose deformable or rigid insert

    a. Rigid insert could be used for

    kinematic and contact forcesevaluation with significant

    computational savings and little

    compromise on accuracy

    2. Select platform type

    3. Input joint load

    4. Enter knee flexion angle

    5. Set workflow-specific options which is

    discussed in details later on

    6. Set job submission options, write

    input and submit job

    Test Suites

    Set up workflows

    Set simulation options

    T t S it

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    Here are the steps:

    1. Retrieve AKS results

    2. Select results variable to be visualized

    3. Select location of the variable

    4. Choose X axis quantity to be time or

    flexion angle

    5. Select analysis step

    6. Pick specific flexion angel

    7. Visualize with various options

    Note: Results output as a function of flexion

    angle need to be exported as a text f ile

    and graphically visualized externally

    Test Suites

    Set up workflows

    Visualize results

    W kfl

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    Contact mechanics workflow

    Objective:predict contact mechanics and

    stresses of the components under basic

    loading conditions, and facilitate comparison

    of devices

    A constantor varyingcompressive load is

    applied to the femoral component, with a

    prescribed medial-lateral load distribution,

    to bring the implants into contact

    Workflows

    W kfl

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    Contact mechanics workflow

    The femoral component is flexedto a prescribed

    flexion angle, with choices of fixedor freedegrees-of-

    freedom for medial-lateral (M-L) translation, internal-

    external (I-E) rotation and varus-valgus (V-V) rotation

    Contact area, peak and average contact pressure, and

    stress in the components are reported throughout the

    simulation

    Workflows

    Workflows

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    Implant constraints workflow

    Objective:Evaluate the laxity for a set of femoral and

    tibial components without surrounding soft tissue

    structures

    Anterior-posterior (A-P) displacement, internal-external

    (I-E) rotation and medial-lateral (M-L) displacement

    tests available

    Workflows

    Workflows

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    Implant constraints workflow

    For a given test

    a displacement or rotation is applied in both directions

    under a prescribed compressive load

    with fixed or free options for the remaining degrees-of-

    freedom

    the force or torque generated on the insert is measured

    Workflows

    Workflows

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    Implant constraints workflow

    The tests may be preformed at a series of flexion angles

    Kinematic, force, contact mechanics and stress data is

    produced from each test

    Workflows

    Workflows

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    Tibiofemoral (TF) constraints workflow

    Objective: describe the laxity of the

    tibiofemoral joint, with physiological

    ligamentous constraint, for a specific implant

    design

    The workflow includes femur and tibia bones,

    femoral and tibial components, plus 1-D or 2-

    D representation of the primary ligaments

    crossing the tibiofemoral joint

    Workflows

    Workflows

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    Tibiofemoral (TF) constraints workflow

    Ligaments can be selectively included or omitted

    from the analysis

    to represent situations such as a posterior-stabilized

    implant (no posterior cruciate ligament)

    or to represent tibiofemoral joint with torn or weak

    ligaments

    Workflows

    Workflows

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    Tibiofemoral (TF) constraints workflow

    A compressive load is applied and a series of

    laxity tests (A-P, I-E and V-V), performed at

    prescribed flexion angles, are available

    For each test, a load (an A-P force, I-E torque or

    V-V torque) is applied to the joint, with remaining

    degrees-of-freedom selected as either fixed or

    free

    Workflows

    Workflows

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    Tibiofemoral (TF) constraints workflow

    Ligament mechanical properties (initial tension,

    linear stiffness) can be adjusted to evaluate the

    influence of variability in ligament properties, or

    to recreate specimen-specific data

    Location of femur, tibia and their associated

    ligament attachment sites can be shifted

    Six-degree-of-freedom kinematics, ligament

    forces, insert forces, stresses and contactmechanics are available as outputs

    Workflows

    Workflows

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    Wear simulator workflow

    Objective: predict wear (wear volume, maximum linear

    wear depth, and average linear wear) over a

    prescribed number of cycles

    Femoral and tibial components only (no bone or soft-

    tissue) are included in the analysis

    Mechanical restraint is provided in the anterior and

    posterior directions to simulate behavior of the

    cruciate ligaments

    Workflows

    Workflows

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    Wear simulator workflow

    A typical gait cycle, taken from ISO standards,

    including flexion profile, compressive load, A-P

    force and I-E torque is simulated

    LinearArchardsLaw or Cross-shear wear

    algorithms may be selected to predict wear on the

    insert

    Workflows

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    Basic total knee replacement (TKR) loading

    workflow

    Objective: evaluate tibiofemoral and

    patellofemoral kinematics, contact mechanics,

    component stress, ligament and muscle forces

    under physiological loading conditions for a

    variety of activities of daily living

    In addition to femoral and tibial bones and

    components, and 1-D and 2-D soft-tissue

    representation, the extensor mechanism (patella

    bone, patellar implant, patellar tendon and

    quadriceps) is also represented in the model

    Workflows

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    Basic total knee replacement (TKR) loading

    workflow

    The quadriceps could be either represented as

    a single bundle, or as multiple bundles,

    including medial and lateral longus and

    oblique structures

    A variety of activities (gait, squat, chair-rise,

    stepdown) may be simulated, with loading

    profiles dependent on the choice of activity

    Workflows

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    Basic total knee replacement (TKR) loading

    workflow

    A (activity-dependent) flexion profile is applied

    to the femur, while quadriceps force is

    distributed among the quadriceps bundles

    Appendix

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    Abbreviation Full Name

    LCL Lateral Collateral Ligament

    SMCL Medial Collateral Ligament

    ALS Anterior Lateral Structure

    PFL Popliteofibular ligament

    OPL Oblique popliteal ligament

    PCL Posterior Cruciate Ligament

    PCAPL Lateral Posterior Capsule

    PCAPM Medial Posterior Capsule

    Table 1. Reference for Cut Ligaments Abbreviation

    Abbreviation Full Name

    LCLA_SP Anterior Lateral Collateral Ligament

    LCLM_SP Medial Lateral Collateral Ligament

    LCLP_SP Posterior Lateral Collateral Ligament

    SMCLA_SP Anterior Medial Collateral Ligament

    SMCLM_SP Medial Medial Collateral Ligament

    SMCLP_SP Posterior Medial Collateral Ligament

    ALS_SP Anterior Lateral Structure

    PFL_SP Popliteofibular ligament

    OPL_SP Oblique popliteal ligament

    alPCL_SP Posterior Cruciate Ligament

    pmPCL_SP Postero-medial Posterior Cruciate Ligament

    Table 2. Reference for Ligament Properties Abbreviation

    Abbreviation Full Name

    FIBER_PL Patella Ligament

    FIBER_RF Rectus Femoris

    FIBER_VASTI Vasti

    Table 3. Reference for Muscle Properties Abbreviation

    References

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    The workflows options and corresponding tissue material properties

    are based on the following publications

    Mark A. Baldwin, Chadd W. Clary, Clare K. Fitzpatrick, James S. Deacy, Lorin P. Maletsky,

    Paul J. Rullkoetter, Dynamic finite element knee simulation for evaluation of knee

    replacement mechanics, Journal of Biomechanics, Volume 45, Issue 3, 2 February 2012,

    Pages 474-483

    Lucy A. Knight, Saikat Pal, John C. Coleman, Fred Bronson, Hani Haider, Danny L. Levine,

    Mark Taylor, Paul J. Rullkoetter, Comparison of long-term numerical and experimental total

    knee replacement wear during simulated gait loading, Journal of Biomechanics, Volume 40,Issue 7, 2007, Pages 1550-1558

    Mark A. Baldwin, Chadd Clary, Lorin P. Maletsky, Paul J. Rullkoetter, Verification of predicted

    specimen-specific natural and implanted patellofemoral kinematics during simulated deep

    knee bend, Journal of Biomechanics, Volume 42, Issue 14, 16 October 2009, Pages 2341 -

    2348

    Jason P. Halloran, Anthony J. Petrella, Paul J. Rullkoetter, Explicit finite element modeling oftotal knee replacement mechanics, Journal of Biomechanics, Volume 38, Issue 2, February

    2005, Pages 323-331

    References

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    Fitzpatrick CK, Baldwin MA, Ali AA, Laz PJ, Rullkoetter PJ. Comparison of patellar bone

    strain in the natural and implanted knee during simulated deep flexion. J Orthop Res. 2011

    Feb;29(2):232-9

    Jason P. Halloran, Sarah K. Easley, Anthony J. Petrella, and Paul J. Rullkoetter, Comparison

    of Deformable and Elastic Foundation Finite Element Simulations for Predicting Knee

    Replacement Mechanics, J. Biomech. Eng. 127, 813 (2005)

    Petrella, AJ, Armstrong, JR, Laz, PJ, Rullkoetter, PJ, A novel cross-shear metric for

    application in computer simulation of ultra-high molecular weight polyethylene wear,

    Computer Methods in Biomechanics and Biomedical Engineering, (in press).