Medical engineering & physics
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Ground reaction forces and moments (GRFs and GRMs) measured from force plates in a gait laboratory are usually used as the input conditions to predict the knee joint forces and moments via musculoskeletal (MSK) multibody dynamics (MBD) model. However, the measurements of the GRFs and GRMs data rely on force plates and sometimes are limited by the difficulty in some patient's gait patterns (e.g. treadmill gait). In addition, the force plate calibration error may influence the prediction accuracy of the MSK model. ⋯ Meanwhile, the medial, lateral and total tibiofemoral (TF) contact forces were predicted by the developed MSK model with RMSEs of 0.025-0.032 BW, 0.018-0.022 BW, and 0.089-0.132 BW, respectively. The accuracy of the predicted medial TF contact force was improved by 12% using the present method. The proposed method can extend the application of the MSK model of TKA and is valuable for understanding the in vivo knee biomechanics and tribological conditions without the force plate data.