Femur bone shape in OpenSim (just like other bones) is too coarse and doesn't match a patient-specific CT-based bone model, in detail even when it is scaled.
Muscle Force Direction plugin gives you muscle attachment points and lines of action for scaled osim model while neither bone geometry nor muscle attachment points may necessarily be the same among osim model and CT-based FE model,
so how would you recruit this plugin to get accurate results?
Regards.