基于有限元方法的行人交通事故颅脑损伤机制参数分析

IF 1.8 4区 医学 Q2 ORTHOPEDICS Chinese Journal of Traumatology Pub Date : 2024-07-01 DOI:10.1016/j.cjtee.2024.03.010
Jin-Ming Wang , Zheng-Dong Li , Chang-Sheng Cai , Ying Fan , Xin-Biao Liao , Fu Zhang , Jian-Hua Zhang , Dong-Hua Zou
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引用次数: 0

摘要

目的 行人交通事故鉴定的最大挑战在于确定伤害方式。方法基于全人类安全模型(THUMS)及其增强型人体模型 THUMS-空心结构,对 3 种伤害方式、不同加载方向和加载速度进行了 84 次模拟。采用 Von Mises 应力、颅内压、最大主应变、累积应变损伤度量、剪切应力和颅骨应变来分析大脑所有区域的损伤响应。为了研究损伤条件与损伤后果之间的关联,采用了相关分析、主成分分析、线性回归和逐步线性回归等方法。结果观察到颅骨的各项标准与脑损伤之间存在显著的相关性(所有皮尔逊相关分析结果的 p 均为 0.01)。随着撞击速度的增加,颅脑应力和应变呈两阶段增加。在高速撞击(> 40 km/h)中,颅骨上的 Von Mises 应力极有可能超过颅骨骨折的临界值(100 MPa)。摔倒时,颞部和枕部与地面接触,与其他情况下的接触相比,撞击区域的另一侧经历更高频率的应力集中。碾压伤往往会造成更全面的颅脑损伤,由于动能传导更充分,整体变形更大。碾压状态下脑部最大主应变和颅骨 Von Mises 应力的平均值分别为 1.39 和 403.8 兆帕,而撞击和坠落状态下脑部最大主应变和颅骨 Von Mises 应力的平均值分别为 1.31、94.11 兆帕和 0.64、120.5 兆帕。冲击速度在冲击和跌倒加载条件下对颅脑损伤也有显著影响(所有 F 检验的 p 均为 0.05)。结论 该研究区分了不同方式造成的颅脑损伤,阐明了颅脑损伤的生物力学机制,为法律背景下的颅脑损伤鉴定提供了生物力学基础。
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Parametric analysis of craniocerebral injury mechanism in pedestrian traffic accidents based on finite element methods

Purpose

The toughest challenge in pedestrian traffic accident identification lies in ascertaining injury manners. This study aimed to systematically simulate and parameterize 3 types of craniocerebral injury including impact injury, fall injury, and run-over injury, to compare the injury response outcomes of different injury manners.

Methods

Based on the total human model for safety (THUMS) and its enhanced human model THUMS-hollow structures, a total of 84 simulations with 3 injury manners, different loading directions, and loading velocities were conducted. Von Mises stress, intracranial pressure, maximum principal strain, cumulative strain damage measure, shear stress, and cranial strain were employed to analyze the injury response of all areas of the brain. To examine the association between injury conditions and injury consequences, correlation analysis, principal component analysis, linear regression, and stepwise linear regression were utilized.

Results

There is a significant correlation observed between each criterion of skull and brain injury (p < 0.01 in all Pearson correlation analysis results). A 2-phase increase of cranio-cerebral stress and strain as impact speed increases. In high-speed impact (> 40 km/h), the Von Mises stress on the skull was with a high possibility exceed the threshold for skull fracture (100 MPa). When falling and making temporal and occipital contact with the ground, the opposite side of the impacted area experiences higher frequency stress concentration than contact at other conditions. Run-over injuries tend to have a more comprehensive craniocerebral injury, with greater overall deformation due to more adequate kinetic energy conduction. The mean value of maximum principal strain of brain and Von Mises stress of cranium at run-over condition are 1.39 and 403.8 MPa, while they were 1.31, 94.11 MPa and 0.64, 120.5 MPa for the impact and fall conditions, respectively. The impact velocity also plays a significant role in craniocerebral injury in impact and fall loading conditions (the p of all F-test < 0.05). A regression equation of the craniocerebral injury manners in pedestrian accidents was established.

Conclusion

The study distinguished the craniocerebral injuries caused in different manners, elucidated the biomechanical mechanisms of craniocerebral injury, and provided a biomechanical foundation for the identification of craniocerebral injury in legal contexts.

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来源期刊
CiteScore
3.80
自引率
4.80%
发文量
1707
审稿时长
28 weeks
期刊介绍: Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
期刊最新文献
Celebrating the life of Professor Wang Zhengguo. In Memory of Academician Wang Zhengguo - Founder of the ChineseJournal of Traumatology. Application of the distraction support in intramedullary nailing treatment for tibial shaft fracture. Multidetector computed tomography angiography for diagnosis of traumatic aneurysms associated with penetrating head injuries. The endovascular treatment strategies of cerebrovascular injuries in traumatic brain injury.
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