Arnoux P J, Cesari D, Behr M, Thollon L, Brunet C
Laboratoire de Biomécanique Appliquée, Université de la Méditerranée, Marseille, France.
Traffic Inj Prev. 2005 Sep;6(3):288-97. doi: 10.1080/15389580590969463.
In pedestrian traumas, lower limb injuries occur under lateral shearing and bending at the knee joint level. One way to improve injury mechanisms description and consequently knee joint safety is to evaluate the ultimate shearing and bending levels at which ligaments start being injured.
As such data cannot easily and accurately be recorded clinically or during experiments, we show in this article how numerical simulation can be used to estimate such thresholds. This work was performed with the Lower Limb Model for Safety (LLMS) in pure lateral bending and shearing conditions, with an extended range of impact velocities.
One result concerns the ultimate knee lateral bending angle and shearing displacement measurements for potential failure of ligaments (posterior cruciate, medial collateral, anterior cruciates and tibial collateral). They were evaluated to be close to 16 degrees and 15 mm, respectively.
The lower leg model used in this study is an advanced FE model of the lower limb, validated under various situations. Its accurate anatomical description allows a wide range of applications. According to the validity domain of the model, it offered a valuable tool for the numerical evaluation of potential injuries and the definition of injury risk criterion for knee joint.
在行人创伤中,膝关节水平的下肢损伤发生于外侧剪切和弯曲作用下。改善损伤机制描述并进而提高膝关节安全性的一种方法是评估韧带开始受伤时的极限剪切和弯曲水平。
由于此类数据难以在临床或实验过程中轻松且准确地记录,我们在本文中展示了如何利用数值模拟来估算此类阈值。这项工作是在纯外侧弯曲和剪切条件下,使用安全下肢模型(LLMS)并在扩展的冲击速度范围内开展的。
一个结果涉及韧带(后交叉韧带、内侧副韧带、前交叉韧带和胫侧副韧带)潜在失效时的极限膝关节外侧弯曲角度和剪切位移测量值。经评估,它们分别接近16度和15毫米。
本研究中使用的小腿模型是一种先进的下肢有限元模型,已在各种情况下得到验证。其精确的解剖学描述允许进行广泛的应用。根据该模型的有效性范围,它为潜在损伤的数值评估以及膝关节损伤风险标准的定义提供了一个有价值的工具。