TY - CHAP A1 - Galibarov, Pavel E. A1 - Al-Munajjed, Amir Andreas A1 - Dendorfer, Sebastian A1 - Christensen, Soeren Toerholm A1 - Rasmussen, John T1 - The effect of varying the stiffness of spinal fusion devices on the adjacent levels using multibody dynamics simulation T2 - Orthopaedic Proceedings N2 - INTRODUCTION Several clinical studies demonstrated long-term adjacent-level effects after implantation of spinal fusion devices[1]. These effects have been reported as adjacent joint degeneration and the development of new symptoms correlating with adjacent segment degeneration[2] and the trend has therefore gone to motion preservation devices; however, these effects have not been understood very well and have not been investigated thoroughly[3]. The aim of this study is to investigate the effect of varying the stiffness of spinal fusion devices on the adjacent vertebral levels. Disc forces, moments and facet joint forces were analyzed. METHODS The AnyBody Modeling System was used to compute the in-vivo muscle and joint reaction forces of a musculoskeletal model. The full body model used in this study consists of 188 muscle fascicles in the lumbar spine and more than 1000 individual muscle branches in total. The model has been proposed by de Zee et al.[3], validated by Rasmussen et al.[4] and by Galibarov et al.[5]. The new model[5] determines the individual motions between vertebrae based on the equilibrium between forces acting on the vertebrae from muscles and joints and the passive stiffness in disks and ligaments, figure 1a. An adult of 1.75 m and 75 kg with a spinal implant in L4L5 was modeled. This model was subjected to a flexion-extension motion using different elastic moduli to analyze and compare to a non-implanted scenario. The analyzed variables were vertebral motion, the disc reaction forces and moments, as well as facet joint forces in the treated and the adjacent levels: L2L3, L3L4, L4L5 and L5-Sacrum. RESULTS When introducing a spinal fusion device in the L4L5 joint the reaction forces and moments decreased in this joint with stiffer devices leading to lower joint loads. However, in the adjacent joints, L3L4 and L5Sacrum, an increase was observed when implanting stiffer devices. Similar trends could be found for the L2L3 joint. The loads in the facet joints showed the same trends. While introducing a spinal fusion device reduced the facet joint forces in the treated joint, the loads in the adjacent facet joints were increased according to the stiffness of the implanted device, figure 1b. DISCUSSION While the treated disc joint showed reduced motion and loads, the adjacent levels demonstrated a significant increase. In particular, the increased facet joint forces in the adjacent levels can lead to adjacent level facet pain or accelerated facet joint degeneration. Introducing a device resulted in preventing facet contact and therefore facet joint loads, even using the device with the lowest stiffness. CONCLUSION The presented model shows that clinical complications such as facet joint degeneration in adjacent levels after implantation of spinal fusion device are consistent with the change in the mechanical-stimulus distribution in the system. Y1 - 2011 VL - 94-B IS - SUPP_XL01 Sep 2012 SP - 2 ER - TY - CHAP A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian A1 - Christensen, Soeren Toerholm T1 - On modelling spine curvature dependent on muscular and external forces in multibody dynamics system T2 - International Society of Biomechanics (ISB), 13th congress, 2011, Brussels, Belgium N2 - This paper presents a computational approach for investigating effect of muscular and external forces on curvature of the lumbar spine. Multibody dynamics system is used to compute the lumbar spine curvature using a force-dependent kinematics facility, e.g. this method allows releasing some degrees of freedom in order to be computed based on the current load configuration. Y1 - 2011 UR - https://paperpile.com/shared/63VCBY/download/2608c6d1-adef-0330-86f8-7996e623c627 SP - 2 ER - TY - CHAP A1 - Rasmussen, John A1 - Bichler, R. A1 - Christensen, Soeren Toerholm A1 - Wirix-Speetjens, Roel A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias T1 - Subject-specific Musculoskeletal Simulation of Hip Dislocation Risk in Activities of Daily Living T2 - Proceedings of the 2011 ORS Annual Meeting, Long Beach, CA. Y1 - 2011 UR - http://www.ors.org/Transactions/57/0306.pdf IS - Paper No. 306 ER - TY - CHAP A1 - Robie, Bruce A1 - Dendorfer, Sebastian A1 - Rasmussen, John A1 - Christensen, Soeren Toerholm T1 - Axial Rotation Requires Greatest Load in Multifidus Muscle – Potential Association with Low Back Pain? T2 - Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves, 2011, Phoenix, Arizona Y1 - 2011 UR - https://paperpile.com/shared/o0LQEG ER - TY - CHAP A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian A1 - Rasmussen, John T1 - Two Computational Models of the Lumbar Spine: BT - Comparison and Validation T2 - Proceedings of the 2011 ORS Annual Meeting, Long Beach, CA, vol. Marie Curie Initial Training Network "SpineFX" Y1 - 2011 UR - http://www.ors.org/Transactions/57/0786.pdf ER - TY - CHAP A1 - Jungtäubl, Dominik A1 - Schmitz, Paul A1 - Gross, Simon A1 - Dendorfer, Sebastian ED - Badnjevic, Almir T1 - FEA of the transiliacal internal fixator as an osteosynthesis of pelvic ring fractures T2 - CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017 N2 - Common Schanz screw systems can be used to stabilize pelvic ring fractures. In order to accommodate for different patient’s requirements, implants can be placed in cranio-caudal direction into the os ilium (T1), or into the supraacetabular bone canal, and thus, in dorso-ventral direction (T2). Whereas both techniques are currently used, no data of the biomechanical behavior is available up to this date. The aim of this study is to analyze, whether T2 shows biomechanical advantages with respect to tissue and implant stresses due to the enlarged bone-implant interface. Forces acting on the pelvis were analyzed using motion capture data of a gait cycle obtained by the utilization of a musculoskeletal simulation program. A three dimensional finite element (FE) model of the pelvis with grayscale-based material properties was generated. The muscle and joint reaction forces at toe-off were applied to the FE model and instable pelvis fractures were implemented. The osteosynthesis systems were positioned within the model in order to enable the comparison between the two different surgical techniques. Stresses and displacements were analyzed for bone tissue, fracture zone and implant. T2 lead to approx. 30% larger displacements in the fracture zone. Von-Mises stresses were larger for T2 in the implant (80 MPa vs. 227 MPa), whereas T1 leads to larger stresses in the bone tissue (200 MPa vs. 140 MPa). Both implantation techniques showed a good biomechanical behavior. Differences could be found with respect to tissue strains and deformations in the fracture zone. If bone quality or fracture healing are of concern, T2 or T1 should be used, respectively. However, both techniques seem to be applicable for cases with no special requirements. Further analyses aim to investigate the behavior under cyclic loading. KW - Finite element analysis KW - Musculoskeletal simulation KW - Internal fixator KW - Pelvic ring fracture KW - Beckenbruch KW - Operationstechnik KW - Finite-Elemente-Methode KW - Biomechanik KW - Simulation Y1 - 2017 SN - 978-981-10-4165-5 U6 - https://doi.org/10.1007/978-981-10-4166-2_32 SP - 212 EP - 217 PB - Springer CY - Singapore ER - TY - JOUR A1 - Benditz, Achim A1 - Auer, Simon A1 - Spörrer, J.F. A1 - Wolkerstorfer, S. A1 - Grifka, Joachim A1 - Süß, Franz A1 - Dendorfer, Sebastian T1 - Regarding loads after spinal fusion, every level should be seen separately: a musculoskeletal analysis JF - European Spine Journal N2 - The number of spinal fusion surgeries is steadily increasing and biomechanical consequences are still in debate. The aim of this study is to provide biomechanical insights into the sagittal balance of the spine and to compare spinal load before and after spinal fusion. METHOD: The joint reaction forces of 52 patients were analyzed in proximo-distal and antero-posterior direction from the levels T12-L1 to L5-S1 using musculoskeletal simulations. RESULTS: In 104 simulations, pre-surgical forces were equal to post-surgical. The levels L4-L5 and T12-L1, however, showed increased spinal forces compression forces with higher sagittal displacement. Improved restauration of sagittal balance was accompanied by lower spinal load. AP shear stress, interestingly decreased with sagittal imbalance. CONCLUSION: Imbalanced spines have a risk of increased compression forces at Th12-L1. L4-L5 always has increased spinal loads. These slides can be retrieved under Electronic Supplementary Material. KW - AnyBody Modeling System KW - Musculoskeletal analysis KW - Sagittal balance KW - Spinal fusion KW - Spine biomechanics KW - Biomechanische Analyse KW - Wirbelsäulenversteifung KW - Vergleichende Anatomie Y1 - 2018 U6 - https://doi.org/10.1007/s00586-018-5476-5 VL - 27 IS - 8 SP - 1905 EP - 1910 PB - Springer-Verlag ER - TY - JOUR A1 - Scheer, Clara A1 - Kubowitsch, Simone A1 - Dendorfer, Sebastian A1 - Jansen, Petra T1 - Happy Enough to Relax? How Positive and Negative Emotions Activate Different Muscular Regions in the Back - an Explorative Study JF - Frontiers in Psychology N2 - Embodiment theories have proposed a reciprocal relationship between emotional state and bodily reactions. Besides large body postures, recent studies have found emotions to affect rather subtle bodily expressions, such as slumped or upright sitting posture. This study investigated back muscle activity as an indication of an effect of positive and negative emotions on the sitting position. The electromyography (EMG) activity of six back muscles was recorded in 31 healthy subjects during exposure to positive and negative affective pictures. A resting period was used as a control condition. Increased muscle activity patterns in the back were found during the exposure to negative emotional stimuli, which was mainly measured in the lumbar and thorax regions. The positive emotion condition caused no elevated activity. The findings show that negative emotions lead to increased differential muscle activity in the back and thus corroborate those of previous research that emotion affects subtle bodily expressions. KW - electromyography KW - muscle activity KW - emotion KW - sadness KW - happiness KW - embodiment Y1 - 2021 U6 - https://doi.org/10.3389/fpsyg.2021.511746 SN - 1664-1078 VL - Volume 12 IS - May 2021 PB - Frontiers Media ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Kubowitsch, Simone A1 - Süß, Franz T1 - How to determine the effect of working conditions on the human body T2 - 11th International Scientific Conference on Production Engineering DEVELOPMENT AND MODERNIZATION OF PRODUCTION (RIM 2017), Sarajevo, Bosnia and Herzegovina N2 - Work places and conditions strains the human body, both psychologically and biomechanically. In order to analyse working conditions and in the following to improve them, detailed knowledge about the effect of the different stressors on the body is needed. This manuscript discusses methods on how to evaluate biomechanical and mental loading and its effect on the musculoskeletal system. A possible workflow for the analysis is presented. KW - Arbeitsbedingungen KW - Körper KW - Mensch Y1 - 2017 UR - https://tfb.ba/repozitorij/2/RIM/RIM2017/01A-Sebastian%20Dendorfer,%20Simone%20Kubowitsch,%20Franz%20S%C3%BC%C3%9F-HOW%20TO%20DETERMINE%20THE%20EFFECT%20OF%20WORKING%20CONDITIONS%20ON%20THE%20HUMAN%20BODY.pdf ER - TY - CHAP A1 - Weber, Tim A. A1 - Dendorfer, Sebastian A1 - Dullien, Silvia A1 - Grifka, Joachim A1 - Verkerke, Gijsbertus Jacob A1 - Renkawitz, Tobias T1 - Measuring functional outcome after total hip replacement with subject-specific hip joint loading T2 - Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine N2 - Total hip replacement is an often-performed orthopedic surgical procedure; the amount of procedures undertaken will increase since our life expectancy is growing. In order to optimize function, hip biomechanics should be restored to as near normal as possible. The goal of this pilot study was to determine whether or not it is feasible to compute the vectorial hip reaction force pathways on the head of the prosthesis and the force angles relative to the cup of the prosthesis that occur during gait in total hip replacement patients, serving as an objective measurement of the functional outcome following hip replacement. A three-dimensional gait analysis, measuring ground reaction forces and kinematics, was performed. The data retrieved from the gait analysis was used as the input for the musculoskeletal model to compute vectorial joint reaction forces for data processing. To evaluate the position and orientation of the joint reaction forces, the force path, as well as the force angles for the operated and non-operated joint, has been calculated during the stance phase of the specific leg. The force path for subject 2 on the non-operated side is only located in the posterior-lateral quarter, as is the force path for subject 1. In contrast to this subject, the force path for subject 2 at the operated hip joint can be found only within the anterior quarter of the head of the implant, where it is nearly equally distributed in the medio-lateral half of the prosthesis head. The force-inclination angles on the cup of subject 1, with respect to the plane of the socket face, indicates that the force vector is mainly positioned in the same quadrant when compared with subject 2 (in a cup-fixed coordinate system). The force-anteversion angle behaves similarly to the force-inclination angle, even when the effects are not as pronounced. The proposed methods in this article are aiming to define two functional outcomes of total hip replacement that are related to wear and rim loading. It is accepted that wear is not only a function of time, but a function of use. Owing to the methods listed in this article, we are able to determine a) the applied force and b) the sliding distance (force pathway) in a subject-specific manner. The computed hip-reaction force angles and the distance to the rim cup are a measurement for cup or rim loading, and occurs in the so-called safe-zones. This method may well give us insight into the biomechanical situation during gait, after receiving total hip replacement, that we need to fully understand the mechanisms acting on a hip joint and to prove a possible increase of functional outcome after receiving total hip replacement. KW - total hip replacement KW - subject-specific musculoskeletal modeling KW - functional outcome KW - force pathways KW - force angles KW - critical hip joint loading KW - rim loading KW - cup loading KW - Hüftgelenkprothese KW - Biomechanik KW - Lastverteilung KW - Ganganalyse KW - Simulation Y1 - 2012 U6 - https://doi.org/10.1177/0954411912447728 VL - 226 IS - 12 SP - 939 EP - 946 ER - TY - JOUR A1 - Weber, Tim A1 - Al-Munajjed, Amir Andreas A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias T1 - Influence of minimally invasive total hip replacement on hip reaction forces and their orientations JF - Journal of Orthopaedic Research N2 - Minimally invasive surgery (MIS) is becoming increasingly popular. Supporters claim that the main advantages of MIS total hip replacement (THR) are less pain and a faster rehabilitation and recovery. Critics claim that safety and efficacy of MIS are yet to be determined. We focused on a biomechanical comparison between surgical standard and MIS approaches for THR during the early recovery of patients. A validated, parameterized musculoskeletal model was set to perform a squat of a 50th percentile healthy European male. A bilateral motion was chosen to investigate effects on the contralateral side. Surgical approaches were simulated by excluding the incised muscles from the computations. Resulting hip reaction forces and their symmetry and orientation were analyzed. MIS THR seemed less influential on the symmetry index of hip reaction forces between the operated and nonoperated leg when compared to the standard lateral approach. Hip reaction forces at peak loads of the standard transgluteal approach were 24% higher on the contralateral side when compared to MIS approaches. Our results suggest that MIS THR contributes to a greater symmetry of hip reaction forces in absolute value as well as force-orientation following THR. KW - THA KW - THR KW - Biomechanics KW - Conventional surgery KW - Early recovery KW - Hüftgelenkprothese KW - Minimal-invasive Chirurgie KW - Biomechanik Y1 - 2014 U6 - https://doi.org/10.1002/jor.22710 VL - 32 IS - 12 SP - 1680 EP - 1687 ER - TY - JOUR A1 - Penzkofer, Rainer A1 - Barnsteiner, K. A1 - Dendorfer, Sebastian T1 - The influence of age, shoe type and kicking direction on the severity of head trauma JF - Journal of Forensic Biomechanics N2 - In the last few years, increasingly kicks to the head were observed as a criminal offense. This study examined the influence of age, shoe type and kicking direction on the severity of head trauma. Male test persons were divided into two groups “Old” and “Young”. Both groups were equipped with light sneakers and combat boots. A standard laboratory crash dummy was used to simulate the victim’s body. First, the dummy’s head, free floating above the ground, was kicked vertically. Second, the dummy’s head was kicked horizontally. Established injury criteria were used to quantify the injury risk. No influence concerning the type of foot wear and no difference between the groups “Old” and “Young” could be found. For all analyses, kicking vertically generally lead to a higher risk for the subject compared to kicking horizontally. In this study, only the integral effect of the kicks could be analyzed. A detailed injury pattern cannot directly be derived from the data. Nevertheless, the presented data show the massive potential of injuries associated with head kicks. KW - Head trauma KW - Biomechanics KW - Kicks KW - Kopfverletzung KW - Schädel-Hirn-Trauma KW - Einflussgröße Y1 - 2014 UR - https://www.longdom.org/open-access/the-influence-of-age-shoe-type-and-kicking-direction-on-the-severity-of-head-trauma-2090-2697-1000116.pdf U6 - https://doi.org/10.4172/2090-2697.1000116 VL - 5 IS - 1 ER - TY - JOUR A1 - Dendorfer, Sebastian A1 - Weber, Tim A1 - Kennedy, O. T1 - Musculoskeletal modeling for hip replacement outcome analyses and other applications JF - The Journal of the American Academy of Orthopaedic Surgeons KW - Hüftgelenkprothese KW - Bewegungsapparat KW - Simulation Y1 - 2014 U6 - https://doi.org/10.5435/JAAOS-22-04-268 VL - 22 IS - 4 SP - 268 EP - 269 ER - TY - JOUR A1 - Lazarev, I.A. A1 - Ryabokon, P.V. A1 - Haller, M. A1 - Dendorfer, Sebastian T1 - Effect of the fractured calcaneus's peripheral fragment displacement on the triceps surae function JF - ЖУРНАЛ «ТРАВМА» Ukrainian Trauma Journal Y1 - 2015 VL - 2, TOM 16 ER - TY - CHAP A1 - Aurbach, Maximilian A1 - Wagner, Kilian A1 - Süß, Franz A1 - Dendorfer, Sebastian ED - Badnjevic, Almir T1 - Implementation and Validation of Human Kinematics Measured Using IMUs for Musculoskeletal Simulations by the Evaluation of Joint Reaction Forces T2 - CMBEBIH 2017, Proceedings of the International Conference on Medical and Biological Engineering 2017, Sarajevo, Bosnia and Herzegovina N2 - The gold standard for the analysis of human kinematics and kinetics is a camera-based motion capture system in combination with force measurement platforms. Alternatively, inertial measurement units can be utilized to obtain human kinematics, while ground reaction forces are computed from full body dynamics. This setup represents a system independent from the spatial confinement of a gait laboratory. The aim of this study is the comparison of the two methods by the investigation of lower limb kinematics and the resulting joint reaction forces within the ankle-, knee- and hip joints. For this purpose, human motion during gait was captured simultaneously by both measurement techniques. 13 trials from 8 different test subjects were evaluated in total. IMU data was processed with a quaternion based Kalman Filter. The data sets were implemented into a musculoskeletal simulation program in order to drive a virtual human body model. Each sensor was aligned to the gravitational and magnetic field vectors of the earth. The angles of flexions, extensions and rotations were analyzed to determine kinematic differences. Joint reaction forces defined kinetic dissimilarities. The overall kinematic differences of both models yielded root mean square errors of 7.62°, 6.02°, 4.95°, 2.79°, 2.38° and 3.56° for ankle flexion, subtalar eversion, knee flexion, hip external rotation, hip abduction and hip flexion, respectively. The proximo-distal differences in force peaks between the models yielded overall for the ankle, 57.33 %Bodyweight(BW) ± 46.86 %BW (16.66 %(Maximum peak to peak) ± 13.62 %) for the knee 37.09 %BW ± 29.33 %BW (17.65 % ± 15.44 %) and 32.03 %BW ± 24.33 %BW (15.6 % ± 12.54 %) for the hip. The overall outcome of this work investigated an approach independent of the common setup of the gait laboratory, thus enabling a cheaper and more flexible technology as an alternative. However, kinematic and thus kinetic differences remain rather large. Future work aims to improve the contact criterion for the calculation of the ground reaction forces and the implementation of a full-body calibration algorithm for the IMU system in order to counteract magnetic field disturbances. KW - Inertial Measurement Units KW - Multibody Simulation KW - Musculoskeletal Simulation KW - AnyBody KW - Motion Capture KW - Bewegungsapparat KW - Biomechanik KW - Motion Capturing KW - Mehrkörpersimulation KW - Ground Reaction Force Prediction KW - Gait KW - IMU KW - Joint Reaction Forces Y1 - 2017 U6 - https://doi.org/10.1007/978-981-10-4166-2_31 VL - Vol. 62 SP - 205 EP - 211 PB - Springer CY - Singapore ER - TY - JOUR A1 - De Pieri, Enrico A1 - Atzori, Federica A1 - Ferguson, Stephen J. A1 - Dendorfer, Sebastian A1 - Leunig, Michael A1 - Aepli, Martin T1 - Contact force path in total hip arthroplasty: effect of cup medialisation in a whole-body simulation JF - HIP International N2 - Background: Cup medialisation down to the true acetabular floor in total hip arthroplasty with a compensatory femoral offset increase seems to be mechanically advantageous for the abductor muscles due to the relocation of the lever arms (body weight lever arm decreased, abductor lever arm increased). However, limited information is currently available about the effects of this reconstruction type at the head cup interface, compared to an anatomical reconstruction that maintains the natural lever arms. Through a whole-body simulation analysis, we compared medialised versus anatomical reconstruction in THA to analyse the effects on: (1) contact force magnitude at the head cup interface; (2) contact force path in the cup; and (3) abductor activity. Methods: Musculoskeletal simulations were performed to calculate the above-mentioned parameters using inverse dynamics analysis. The differences between the virtually implanted THAs were calculated to compare the medialised versus anatomical reconstruction. Results: Cup medialisation with compensatory femoral offset increase led to: (1) a reduction in contact force magnitude at the head cup interface up to 6.6%; (2) a similar contact force path in the cup in terms of sliding distance and aspect ratio; and (3) a reduction in abductor activity up to 17.2% (gluteus medius). Conclusions: In our opinion, these potential biomechanical gains do not generally justify a fully medialised reconstruction, especially in younger patients that are more likely to undergo revision surgery in their lifetime. Cup medialisation should be performed until sufficient press fit and bony coverage of a properly sized and oriented cup can be achieved. KW - Cup medialisation KW - femoral offset KW - hip contact force KW - total hip anthroplasty KW - total hip replacement KW - Hüftgelenkprothese KW - Kontaktkraft KW - Biomechanische Analyse KW - Simulation Y1 - 2020 U6 - https://doi.org/10.1177/1120700020917321 VL - 31 IS - 5 SP - 624 EP - 631 PB - Sage ER - TY - JOUR A1 - Renkawitz, Tobias A1 - Dendorfer, Sebastian T1 - Orthopedic navigation technology and biomechanical evaluation for total hip replacement JF - Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine KW - Hüftgelenkprothese KW - Orthopädische Chirurgie KW - Computerunterstütztes Verfahren KW - Biomechanische Analyse Y1 - 2012 U6 - https://doi.org/10.1177/0954411912458746 VL - 226 IS - 12 SP - 897 EP - 898 ER - TY - CHAP A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias A1 - Dullien, Silvia A1 - Grifka, Joachim T1 - Clinical gait analysis combined with musculoskeletal modelling – coding a new generation of evaluation instruments T2 - Deutsche Gesellschaft für Biomechanik, Murnau, 2011 Y1 - 2011 ER - TY - CHAP A1 - Pilling, A. A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Dendorfer, Sebastian T1 - Experimental workflow for determining psychological stress from physiological biosignals T2 - Jahrestagung der BIOMEDIZINISCHEN TECHNIK und Dreiländertagung der MEDIZINISCHEN PHYSIK, Dresden, Germany, 2017 Y1 - 2017 ER - TY - CHAP A1 - Weber, Tim A1 - Renkawitz, Tobias A1 - Grifka, Joachim A1 - Bulstra, Sjoerd K. A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - The musculoskeletal load scenario of computer-assisted Femur-First THR up to one year after surgery T2 - VI International Conference on Computational Bioengineering, Barcelona, Sept. 2015 Y1 - 2015 UR - https://www.researchgate.net/publication/281745827_The_musculoskeletal_load_scenario_of_computer-assisted_Femur-First_THR_up_to_one_year_after_surgery ER -