Coupling lateral bending and shearing mechanisms to define knee injury criteria for pedestrian safety

Autor: Fuhao Mo, Catherine Masson, Pierre Jean Arnoux, Dominique Cesari
Přispěvatelé: Laboratoire de Biomécanique Appliquée (LBA UMR T24), Aix Marseille Université (AMU)-Université Gustave Eiffel, Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR)
Rok vydání: 2013
Předmět:
musculoskeletal diseases
Male
Models
Anatomic

COURBURE
RECONSTITUTION (ACCID)
Knee Joint
0206 medical engineering
Finite Element Analysis
Poison control
BLESSURE)
02 engineering and technology
Kinematics
Knee Injuries
Walking
PIETON
0502 economics and business
Medicine
Humans
Tibia
GENOU
[PHYS.MECA.BIOM]Physics [physics]/Mechanics [physics]/Biomechanics [physics.med-ph]
ELEMENTS FINIS (METHODE)
Shearing (physics)
050210 logistics & transportation
Trauma Severity Indices
business.industry
05 social sciences
Public Health
Environmental and Occupational Health

Biomechanics
Accidents
Traffic

[SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph]
Structural engineering
GRAVITE (ACCID
020601 biomedical engineering
Biomechanical Phenomena
Diaphysis
medicine.anatomical_structure
METHODE DES ELEMENTS FINIS
Pure bending
[SDV.IB]Life Sciences [q-bio]/Bioengineering
Safety
business
Safety Research
human activities
Zdroj: Traffic Injury Prevention
Traffic Injury Prevention, Taylor & Francis, 2013, 14 (4), pp.378-386. ⟨10.1080/15389588.2012.721146⟩
ISSN: 1538-957X
1538-9588
DOI: 10.1080/15389588.2012.721146⟩
Popis: In car-pedestrian accidents, lateral bending and shearing kinematics have been identified as principal injury mechanisms causing permanent disabilities and impairments to the knee joint. Regarding the combined lateral bending and shearing contributions of knee joint kinematics, developing a coupled knee injury criterion is necessary for improving vehicle countermeasures to mitigate pedestrian knee injuries.The advantages of both experimental tests and finite element (FE) simulations were combined to determine the reliable injury tolerances of the knee joint. First, 7 isolated lower limb tests from postmortem human subjects (PMHS) were reported, with dynamic loading at a velocity of 20 km/h. With the intention of replicating relevant injury mechanisms of vehicle-pedestrian impacts, the experimental tests were categorized into 3 groups by the impact locations on the tibia: the distal end to prioritize pure bending, the middle diaphysis to have combined bending and shearing effects, and the proximal end to acquire pure shearing. Then, the corresponding FE model was employed to provide an additional way to determine exact injury occurrences and develop a robust knee injury criterion by the variation in both the lateral bending and shearing contributions through a sensitivity analysis of impact locations.Considering the experimental test results and the subsequent sensitivity analysis of FE simulations, both the tolerances and patterns of knee joint injuries were determined to be influenced by impact locations due to various combined contributions of lateral bending and shearing. Both medial collateral ligament and cruciate ligament failures were noted as the onsets of knee injuries, namely, initial injuries. Finally, a new injury criterion categorized by initial injury patterns of knee joint was proposed by coupling lateral bending and shearing levels.The developed injury criterion correlated the combined joint kinematics to initial knee injuries based on subsegment tests and FE simulations conducted with a biofidelic lower limb model. This provides a valuable way of predicting the risk of knee injury associated with vehicle-pedestrian crashes and thereby represents a further step to promote the design of vehicle countermeasures for pedestrian safety.
Databáze: OpenAIRE