Evidence map›Paper›PMID 41510888›Full record

ArticleJournal of biomechanical engineering2026

Deciphering the "Art" in Modeling and Simulation of the Knee Joint: Model Benchmarking.

Maryam Nazem, Thor E Andreassen, Nancy Kim, Kate Moyle, Thor F Besier, Jason P Halloran, Carl W Imhauser, Snehal Chokhandre, Marco T Y Schneider, Shady Elmasry and 4 more

Abstract read
In one paragraph

Article in Journal of biomechanical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Maryam NazemCenter for Orthopaedic Biomechanics, Department of Mechanical Engineering, University of Denver, Denver, CO 80210.
Thor E AndreassenCenter for Orthopaedic Biomechanics, Department of Mechanical Engineering, University of Denver, Denver, CO 80210.
Nancy KimAuckland Bioengineering Institute, University of Auckland, Auckland 1010, New Zealand;Department of Engineering Science, University of Auckland, Auckland 1010, New Zealand.
Kate MoyleAuckland Bioengineering Institute, University of Auckland, Auckland 1010, New Zealand;Department of Engineering Science, University of Auckland, Auckland 1010, New Zealand.
Thor F BesierAuckland Bioengineering Institute, University of Auckland, Auckland 1010, New Zealand;Department of Engineering Science, University of Auckland, Auckland 1010, New Zealand.ORCID 0000-0003-0818-7554
Jason P HalloranApplied Sciences Laboratory, Institute for Shock Physics, Washington State University, Spokane, WA 99202.
Carl W ImhauserDepartment of Biomechanics, Hospital for Special Surgery, New York, NY 10021.
Snehal ChokhandreDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195.
Marco T Y SchneiderAuckland Bioengineering Institute, University of Auckland, Auckland 1010, New Zealand;Department of Engineering Science, University of Auckland, Auckland 1010, New Zealand.
Shady ElmasryDepartment of Biomechanics, Hospital for Special Surgery, New York, NY 10021.
William ZaylorDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195.
Kevin B ShelburneCenter for Orthopaedic Biomechanics, Department of Mechanical Engineering, University of Denver, Denver, CO 80210.
Ahmet ErdemirDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195;Computational Biomodeling (CoBi) Core, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195.
Peter J LazCenter for Orthopaedic Biomechanics, Department of Mechanical Engineering, University of Denver, 2155 East Wesley Avenue, Denver, CO 80210.ORCID 0000-0003-1013-2077

Funding

Reproducibility in simulation-based prediction of natural knee mechanicsR01EB024573 · NIBIB · CLEVELAND CLINIC LERNER COM-CWRU · PI AHMET ERDEMIR, Jason Halloran · 2017 to 2026
$5.0M
Open Knee(s): Virtual Biomechanical Representations of the Knee JointR01GM104139 · NIGMS · CLEVELAND CLINIC LERNER COM-CWRU · PI ERDEMIR, AHMET · 2013 to 2016
$2.1M
A Multi-Scale Finite Element Musculoskeletal Modeling Framework Applied to CurrenR01EB015497 · NIBIB · UNIVERSITY OF DENVER (COLORADO SEMINARY) · PI SHELBURNE, KEVIN B · 2012 to 2015
$1.1M
NIBIB NIH HHS R01 EB015497NIBIB NIH HHS R01 EB024573NIBIB NIH HHS R01EB024573NIGMS NIH HHS R01 GM104139NIGMS NIH HHS R01GM104139
6 · The paper itself

Abstract

Given the strong ties to data sharing and the responsible use of resources, reproducibility of modeling and simulation practice is of paramount importance in science. Computational models in orthopedics provide insight into healthy and injured joint mechanics and can inform clinical decision-making. The KneeHub project investigated the influence of modelers' decisions and thus their "art" in simulation and modeling; five teams developed and calibrated knee models using the same experimental data. Model benchmarking evaluated the predictive ability of the models under loading scenarios that were not considered in the development and calibration process. The objective of this study was to evaluate the accuracy of predictions of knee-specific joint biomechanics for benchmark scenarios of simulating a resected anterior cruciate ligament (ACL) using models of one knee and a combined pivot shift loading using models of another knee. The models predicted the major trends in kinematics and kinetics; however, differences were observed in comparison to experimental data and between teams. Model-to-experiment root-mean-square (RMS) errors were up to 6.6±2.4 mm in anterior-posterior (AP) translation, 13.5±12.9 deg in internal-external (IE) rotation, and 5.3±3.4 deg in varus-valgus (VV) rotation; errors were largest in internal-external rotation, and standard deviations reflected differences between teams. While calibrated models were tuned to a similar set of conditions (albeit with different decisions), the optimized stiffness and reference length/strain of ligament structures may not fully reproduce the contributions of these structures to joint kinematics that were measured experimentally in the benchmark scenarios. As researchers often extend models beyond the conditions used to calibrate them, quantifying model accuracy and limitations with benchmarking represents a crucial step toward reproducibility and can help establish best practices for credible modeling in our community.

Indexed as

BenchmarkingComputer SimulationKnee JointMechanical PhenomenaModels, BiologicalAnterior Cruciate LigamentBiomechanical PhenomenaHumansReproducibility of Resultscomputational modelingfinite element analysisjoint mechanicsknee biomechanicsligamentreproducibilitytissue mechanicsverification and validation

Identifiers

PMID41510888
PMCPMC13154420

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.