“…If the patient complains about TKA performance and only standard clinical follow-up is executed, painful knees often show "normal" kinematics [6,44], even during a fluoroscopic examination [3]. For this reason, new motion analysis approaches [18,19,31] aim to correlate knee pain with joint kinematics during daily activities, but so far no significant correlations have been found. Also, numerical 3D computer simulation as finite element models is nowadays used to predict joints mechanics, but only few of them are validated [9,23,24,37,42,43] and they have not been used so far to find correlations with patients' bad performance or pain.…”