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Periprosthetic fractures refer to the fractures that occur in the vicinity of the implants of joint replacement arthroplasty. Most of the fractures during an automotive frontal collision involve the long bones of the lower limbs (femur and tibia). Since the prevalence of persons living with lower limb joint prostheses is increasing, periprosthetic fractures that occur during vehicular accidents are likely to become a considerable burden on health care systems. It is estimated that approximately 4.0 million adults in the U.S. currently live with Total Knee Replacement (TKR) implants. Therefore, it is essential to study the injury patterns that occur in the long bone of a lower limb containing a total knee prosthesis. The aim of the present study is to develop an advanced finite element model that simulates the possible fracture patterns that are likely during vehicular accidents involving occupants who have knee joint prostheses in situ.

In order to provide an improved countermeasure for occupant protection, a new type of active reversible preload seatbelt (ARPS) is presented in this paper. The ARPS is capable of protecting occupants by reducing injuries during frontal collisions. ARPS retracts seatbelt webbing by activating an electric motor attached to the seatbelt retractor. FCW (Forward Collision Warning) and LDW (Lane Departure Warning) provide signals as a trigger to activate the electric motor to retract the seatbelt webbing, thus making the occupant restraint system work more effectively in a crash. It also helps reduce occupant’s forward movement during impact process via braking. Four important factors such as preload force, preload velocity and the length and timing of webbing retraction play influential roles in performance of the ARPS. This paper focuses on studying preload performance of ARPS under various test conditions to investigate effects of the aforementioned factors.

The seatbelt system, originally designed for protecting occupants in frontal crashes, has been reported to be inadequate for preventing occupant head-to-roof contact during rollover crashes. To improve the effectiveness of seatbelt systems in rollovers, in this study, we reviewed previous literature and proposed vertical head excursion corridors during static inversion and dynamic rolling tests for human and Hybrid III dummy. Finite element models of a human and a dummy were integrated with restraint system models and validated against the proposed test corridors. Simulations were then conducted to investigate the effects of varying design factors for a three-point seatbelt on vertical head excursions of the occupant during rollovers. It was found that there were two contributing parts of vertical head excursions during dynamic rolling conditions.