Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities

Background and Objective. Knee joint collision injuries occur frequently in military and civilian scenarios, but there are few studies assessing longitudinal impacts on knee joints. In this study, the mechanical responses and damage characteristics of knee longitudinal collisions were investigated b...

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Main Authors: Yan Xiong, Xueliang Zhao, Hongyi Xiang, Yunjiao Wang, Zhikang Liao, Xiyan Zhu, Hui Zhao
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.1155/2018/1407345
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author Yan Xiong
Xueliang Zhao
Hongyi Xiang
Yunjiao Wang
Zhikang Liao
Xiyan Zhu
Hui Zhao
author_facet Yan Xiong
Xueliang Zhao
Hongyi Xiang
Yunjiao Wang
Zhikang Liao
Xiyan Zhu
Hui Zhao
author_sort Yan Xiong
collection DOAJ
description Background and Objective. Knee joint collision injuries occur frequently in military and civilian scenarios, but there are few studies assessing longitudinal impacts on knee joints. In this study, the mechanical responses and damage characteristics of knee longitudinal collisions were investigated by finite element analysis and human knee impact tests. Materials and methods. Based on a biocollision test plateau, longitudinal impact experiments were performed on 4 human knee joints (2 in the left knee and 2 in the right knee) to measure the impact force and stress response of the bone. And then a finite element model of knee joint was established from the Chinese Visible Human (CVH), with which longitudinal impacts to the knee joint were simulated, in which the stress response was determined. The injury response of the knee joint-sustained longitudinal impacts was analyzed from both the experimental model and finite element analysis. Results. The impact experiments and finite element simulation found that low-speed impact mainly led to medial injuries and high-speed impact led to both medial and lateral injuries. In the knee joint impact experiment, the peak flexion angles were 13.8° ± 1.2, 30.2° ± 5.1, and 92.9° ± 5.45 and the angular velocities were 344.2 ± 30.8 rad/s, 1510.8 ± 252.5 rad/s, and 9290 ± 545 rad/s at impact velocities 2.5 km/h, 5 km/h, and 8 km/h, respectively. When the impact velocity was 8 km/h, 1 knee had a femoral condylar fracture and 3 knees had medial tibial plateau fractures or collapse fractures. The finite element simulation of knee joints found that medial cortical bone stress appeared earlier than the lateral peak and that the medial bone stress concentration was more obvious when the knee was longitudinally impacted. Conclusion. Both the experiment and FE model confirmed that the biomechanical characteristics of the injured femur and medial tibia are likely to be damaged in a longitudinal impact, which is of great significance for the prevention and treatment of longitudinal impact injuries of the knee joint.
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spelling doaj-art-870f3e4533b044628073e6e10b10be402025-02-03T01:26:38ZengWileyApplied Bionics and Biomechanics1176-23221754-21032018-01-01201810.1155/2018/14073451407345Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different VelocitiesYan Xiong0Xueliang Zhao1Hongyi Xiang2Yunjiao Wang3Zhikang Liao4Xiyan Zhu5Hui Zhao6Department of Orthopedics, Daping Hospital and the Research Institute of Surgery, Third Military Medical University, Chongqing 400042, ChinaDepartment of Orthopedics, Daping Hospital and the Research Institute of Surgery, Third Military Medical University, Chongqing 400042, ChinaInstitute for Traffic Medicine, State Key Laboratory of Trauma, Burns & Combined Wound, Third Military Medical University, Chongqing 400042, ChinaDepartment of Orthopedics, Daping Hospital and the Research Institute of Surgery, Third Military Medical University, Chongqing 400042, ChinaInstitute for Traffic Medicine, State Key Laboratory of Trauma, Burns & Combined Wound, Third Military Medical University, Chongqing 400042, ChinaInstitute for Traffic Medicine, State Key Laboratory of Trauma, Burns & Combined Wound, Third Military Medical University, Chongqing 400042, ChinaInstitute for Traffic Medicine, State Key Laboratory of Trauma, Burns & Combined Wound, Third Military Medical University, Chongqing 400042, ChinaBackground and Objective. Knee joint collision injuries occur frequently in military and civilian scenarios, but there are few studies assessing longitudinal impacts on knee joints. In this study, the mechanical responses and damage characteristics of knee longitudinal collisions were investigated by finite element analysis and human knee impact tests. Materials and methods. Based on a biocollision test plateau, longitudinal impact experiments were performed on 4 human knee joints (2 in the left knee and 2 in the right knee) to measure the impact force and stress response of the bone. And then a finite element model of knee joint was established from the Chinese Visible Human (CVH), with which longitudinal impacts to the knee joint were simulated, in which the stress response was determined. The injury response of the knee joint-sustained longitudinal impacts was analyzed from both the experimental model and finite element analysis. Results. The impact experiments and finite element simulation found that low-speed impact mainly led to medial injuries and high-speed impact led to both medial and lateral injuries. In the knee joint impact experiment, the peak flexion angles were 13.8° ± 1.2, 30.2° ± 5.1, and 92.9° ± 5.45 and the angular velocities were 344.2 ± 30.8 rad/s, 1510.8 ± 252.5 rad/s, and 9290 ± 545 rad/s at impact velocities 2.5 km/h, 5 km/h, and 8 km/h, respectively. When the impact velocity was 8 km/h, 1 knee had a femoral condylar fracture and 3 knees had medial tibial plateau fractures or collapse fractures. The finite element simulation of knee joints found that medial cortical bone stress appeared earlier than the lateral peak and that the medial bone stress concentration was more obvious when the knee was longitudinally impacted. Conclusion. Both the experiment and FE model confirmed that the biomechanical characteristics of the injured femur and medial tibia are likely to be damaged in a longitudinal impact, which is of great significance for the prevention and treatment of longitudinal impact injuries of the knee joint.http://dx.doi.org/10.1155/2018/1407345
spellingShingle Yan Xiong
Xueliang Zhao
Hongyi Xiang
Yunjiao Wang
Zhikang Liao
Xiyan Zhu
Hui Zhao
Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
Applied Bionics and Biomechanics
title Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
title_full Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
title_fullStr Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
title_full_unstemmed Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
title_short Biomechanical Responses and Injury Characteristics of Knee Joints under Longitudinal Impacts of Different Velocities
title_sort biomechanical responses and injury characteristics of knee joints under longitudinal impacts of different velocities
url http://dx.doi.org/10.1155/2018/1407345
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