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Technical Paper

Patellofemoral Joint Fracture Load Prediction Using Physical and Pathological Parameters

1998-02-23
980358
Lower extremity (knee) injury prediction resulting from impact trauma is currently based on a bone fracture criterion derived from experiments on predominantly aged cadavers. Subsequent experimental and theoretical studies indicate that more aged, pathological specimens require higher, not lower, loads to initiate bone fracture. This suggests that a bone fracture criterion based solely on aged specimens may not be representative of the current driving population. In the current study, we sought to determine if cadaver age, physical size, sex, baseline joint pathology, or patellar geometry correlated with fracture load. An analysis was made of data from previous impact experiments conducted on fifteen isolated cadaver knees using a consistent impact protocol. The protocol consisted of sequentially increasing the impact energy with a rigid interface until gross fracture. Gross bone fractures occurred at loads of 6.9±2.0 kN (range 3.2 to 10.6 kN) using this protocol.
Technical Paper

The Effects of Subfracture Impact Loading on the Patellofemoral Joint in a Rabbit Model

1996-11-01
962422
This study showed that subfracture impact loading to a joint creates stresses in cartilage and bone which can initiate a chronic osteoarthrosis. The magnitude and location of the impact induced stresses are dependent on the orientation and the intensity of loading. Impact loading produced lesions on retro-patellar cartilage and their depths increased as the thickness of subchondral bone increased with time post-impact. Mechanical tests of cartilage indicated significant softening twelve months post-impact. These alterations are similar to those documented clinically as early OA. In vitro impacts of isolated limbs, together with mathematical models, showed that high mean stress generated during impact may help protect joint tissues from acute injury. This study and others are being used to develop stress-based tissue failure criteria for predicting an osteoarthrosis following subfracture impact loading.
Technical Paper

Nonlinear Viscoelastic Model for Head Impact Injury Hazard

1972-02-01
720963
This study explores the application of viscoelastic modeling for characterization of the response of the brain to impulsive loading with the objective of learning whether such models could exhibit the same time dependency of strain or likelihood of injury, as exhibited by the Severity Index, HIC Index, Wayne Tolerance Curve, and other similar representations of tolerance. The mathematical relationships between viscoelastic properties and the corresponding time dependency of tolerance are shown for Newtonian, Bingham plastic, and Pseudo-Bingham, as well as more general behavior. Preliminary static and dynamic tests upon small mammalian material are described with particular attention given to strain in the vicinity of the brainstem as a function of loading profile. Both the theoretical and experimental results show that the falling time dependency of the above indexes can be interpreted in terms of nonlinear viscoelastic response.
Technical Paper

The Effect of Loading Rate on the Degree of Acute Injury and Chronic Conditions in the Knee After Blunt Impact

2000-11-01
2000-01-SC20
Lower extremity injuries due to automobile accidents are often overlooked, but can have a profound societal cost. Knee injuries, for example, account for approximately 10% of the total injuries. Fracture of the knee is not only an acute issue but may also have chronic, or long term, consequences. The criterion currently used for evaluation of knee injuries in new automobiles, however, is based on experimental impact data from the 70''s using seated human cadavers. These studies involved various padded and rigid impact interfaces that slightly alter the duration of contact. Based on these data and a simple mathematical model of the femur, it appears fracture tolerance increases as contact duration shortens. In contrast, more recent studies have shown mitigation of gross fractures of the knee itself using padded interfaces. The use of padded interfaces, however, result in coincidental changes in contact duration and knee contact area.
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