Dipan Bose

Experiments for Establishing Pedestrian-Impact Lower Limb Injury Criteria

This paper discusses lower limb injury impacts to pedestrians. Previous lateral knee bending and shear tests have reported knee joint failure moments close to failure bending moments for the tibia and femur. Eight tibias, eight femurs and three knee joints were tested in lateral bending and two knee joints were tested in lateral shear. Seven previous studies on femur bending, five previous studies on tibia bending, two previous studies on knee joint bending, and one on shear were reviewed and compared with the current tests. All knee joint failures in the current study were either epiphysis fractures of the femur or soft tissue failures. The current study reports an average lateral failure bending moment for the knee joint (134 Nm SD 7) that is dramatically lower than that reported in the literature (284-351 Nm), that reported in the current study for the tibia (291 Nm SD 69) and for femur (382 Nm SD 103). While this research has demonstrated the importance of realistic boundary conditions, more research is necessary to determine a statistically valid impact threshold for the knee joint.

Human surrogates for injury biomechanics research

This article reviews the attributes of the human surrogates most commonly used in injury biomechanics research. In particular, the merits of human cadavers, human volunteers, animals, dummies, and computational models are assessed relative to their ability to characterize the living human response and injury in an impact environment. Although data obtained from these surrogates have enabled biomechanical engineers and designers to develop effective injury countermeasures for occupants and pedestrians involved in crashes, the magnitude of the traffic safety problem necessitates expanded efforts in research and development. This article makes the case that while there are limitations and challenges associated with any particular surrogate, each provides a critical and necessary component in the continued quest to reduce crash‐related injuries and fatalities. Clin. Anat. 24:362–371, 2011.

Influence of pre-collision occupant parameters on injury outcome in a frontal collision

Optimal performance of adaptive restraint systems in the vehicle requires an accurate assessment of occupant characteristics including physical properties and pre-collision response of the occupant. To provide a feasible framework for incorporating occupant characteristics into adaptive restraint schemes, this study evaluates the sensitivity of injury risk in frontal collisions to four occupant parameters: mass, stature, posture and bracing level. The numerical approach includes using commercial multi-body software to develop occupant models that span a range of occupant parameters representative of the real-world driver population. Coupled with a multi-body model of the vehicle interior and standard restraint system, risk of occupant injuries within specific body regions are predicted through numerical simulations in conjunction with established injury risk functions. The results show occupant posture to be the most significant parameter affecting the overall risk of injury in frontal collisions. The causal relationship as predicted using the numerical model has been compared to the traffic injury epidemiology findings, and the feasibility of an analytical methodology to provide real-time estimates of injury severity has been discussed. Preliminary estimates from the study indicate that the proposed methodology will provide a framework to optimize restraint performance and potentially reduce the risk of injuries up to 35% (based on parameter-specific optimization), using accurate information regarding the pre-collision occupant characteristics.

Vulnerability of Female Drivers Involved in Motor Vehicle Crashes: An Analysis of US Population at Risk

OBJECTIVES Motor vehicle trauma has been effectively reduced over the past decades; however, it is unclear whether the benefits are equally realized by the vehicle users of either sex. With increases in the number of female drivers involved in fatal crashes and similarity in driving patterns and risk behavior, we sought to evaluate if advances in occupant safety technology provide equal injury protection for drivers of either sex involved in a serious or fatal crash. METHODS We performed a retrospective cohort study with national crash data between 1998 and 2008 to determine the role of driver sex as a predictor of injury outcome when involved in a crash. RESULTS The odds for a belt-restrained female driver to sustain severe injuries were 47% (95% confidence interval = 28%, 70%) higher than those for a belt-restrained male driver involved in a comparable crash. CONCLUSIONS To address the sex-specific disparity demonstrated in this study, health policies and vehicle regulations must focus on effective safety designs specifically tailored toward the female population for equity in injury reduction.

Injury tolerance and moment response of the knee joint to combined valgus bending and shear loading.

Valgus bending and shearing of the knee have been identified as primary mechanisms of injuries in a lateral loading environment applicable to pedestrian-car collisions. Previous studies have reported on the structural response of the knee joint to pure valgus bending and lateral shearing, as well as the estimated injury thresholds for the knee bending angle and shear displacement based on experimental tests. However, epidemiological studies indicate that most knee injuries are due to the combined effects of bending and shear loading. Therefore, characterization of knee stiffness for combined loading and the associated injury tolerances is necessary for developing vehicle countermeasures to mitigate pedestrian injuries. Isolated knee joint specimens (n=40) from postmortem human subjects were tested in valgus bending at a loading rate representative of a pedestrian-car impact. The effect of lateral shear force combined with the bending moment on the stiffness response and the injury tolerances of the knee was concurrently evaluated. In addition to the knee moment-angle response, the bending angle and shear displacement corresponding to the first instance of primary ligament failure were determined in each test. The failure displacements were subsequently used to estimate an injury threshold function based on a simplified analytical model of the knee. The validity of the determined injury threshold function was subsequently verified using a finite element model. Post-test necropsy of the knees indicated medial collateral ligament injury consistent with the clinical injuries observed in pedestrian victims. The moment-angle response in valgus bending was determined at quasistatic and dynamic loading rates and compared to previously published test data. The peak bending moment values scaled to an average adult male showed no significant change with variation in the superimposed shear load. An injury threshold function for the knee in terms of bending angle and shear displacement was determined by performing regression analysis on the experimental data. The threshold values of the bending angle (16.2 deg) and shear displacement (25.2 mm) estimated from the injury threshold function were in agreement with previously published knee injury threshold data. The continuous knee injury function expressed in terms of bending angle and shear displacement enabled injury prediction for combined loading conditions such as those observed in pedestrian-car collisions.

Effect of seat belt pretensioners on human abdomen and thorax: Biomechanical response and risk of injuries.

BACKGROUND: A better coupling of the occupant to the car seat in the early phase of a frontal or far side impacts using pretensioner systems may reduce the likelihood of the submarining effect or increases the likelihood of seat belt engaging the shoulder, respectively. However, the high belt forces may also increase the risk of upper body injuries to the vehicle occupant (especially in abdominal region). It was hypothesized that human body characteristics, such as body mass index (BMI) influence the biomechanical response and injury outcome to the abdominal regions during static pretensioning deployment tests. METHODS: Four postmortem human specimens (PMHS), in a BMI range from 15.6 to 31.2, were positioned in production seats in a normal passenger position and were restrained using a standard three-point belt system. The pretension forces in the belts were generated at two points (retractor and right anchorage) or at all three locations (retractor, left anchorage, and right anchorage). An optical motion capture system and acceleration cubes mounted to the lumbar spine were used to measure the abdomen deformation during testing. RESULTS: The normalized deflections of the thorax recorded at the level of fourth rib were under 10% (noninjury level). Two different patterns were observed in the time histories of abdominal penetration rate in the four PMHSs associated with lower and higher BMI. Abdominal injuries (spleen lacerations) were observed only in the two PMHS with highest BMI. CONCLUSION: Based on data from this study and similar data from the literature, belt velocity and FmaxCmax were shown to be the best injury predictors for injury risk analysis for Abbreviated Injury Scale 2+ and for Abbreviated Injury Scale 3+ injuries, respectively.

Analysis of crash parameters and driver characteristics associated with lower limb injury

This study aims to investigate changes in frequency, risk, and patterns of lower limb injuries due to vehicle and occupant parameters as a function of vehicle model year. From the National Automotive Sampling System-Crashworthiness Data System, 10,988 observations were sampled and analyzed, representing 4.7 million belted drivers involved in frontal crashes for the years 1998-2010. A logistic regression model was developed to understand the association of sustaining knee and below knee lower limb injuries of moderate or greater severity with motor vehicle crash characteristics such as vehicle type and model years, toepan and instrument panel intrusions in addition to the occupants age, gender, height and weight. Toepan intrusion greater than 2cm was significantly associated with an increased likelihood of injury (odds ratio: 9.10, 95% confidence interval 1.82-45.42). Females sustained a higher likelihood of distal lower limb injuries (OR: 6.83, 1.56-29.93) as compared to males. Increased mass of the driver was also found to have a positive association with injury (OR: 1.04, 1.02-1.06), while age and height were not associated with injury likelihood. Relative to passenger cars, vans exhibited a protective effect against sustaining lower limb injury (OR: 0.24, 0.07-0.78), whereas no association was shown for light trucks (OR: 1.31, 0.69-2.49) or SUVs (OR: 0.76, 0.28-2.02). To examine whether current crash testing results are representative of real-world NASS-CDS findings, data from frontal offset crash tests performed by the Insurance Institute for Highway Safety (IIHS) were examined. IIHS data indicated a decreasing trend in vehicle foot well and toepan intrusion, foot accelerations, tibia axial forces and tibia index in relation to increasing vehicle model year between the year 1995 and 2013. Over 90% of vehicles received the highest IIHS rating, with steady improvement from the upper and lower tibia index, tibia axial force and the resultant foot acceleration considering both left and right extremities. Passenger cars received the highest rating followed by SUVs and light trucks, while vans attained the lowest rating. These results demonstrate that while there has been steady improvement in vehicle crash test performance, below-knee lower extremity injuries remain the most common AIS 2+ injury in real-world frontal crashes.

Increased risk of driver fatality due to unrestrained rear-seat passengers in severe frontal crashes.

While belt usage among rear-seat passengers is disproportionately lower than their front-seat counterpart, this may have serious consequences in the event of a crash not only for the unbelted rear-seat passenger but also for the front-seat passengers as well. To quantify that effect, the objective of the study is to evaluate the increased likelihood of driver fatality in the presence of unrestrained rear-seat passengers in a severe frontal collision. U.S.-based census data from 2001 to 2009 fatal motor vehicle crashes was used to enroll frontal crashes which involved 1998 or later year vehicle models with belted drivers and at least one adult passenger in the rear left seat behind the driver. Results using multivariate logistic regression analysis indicated that the odds of a belt restrained driver sustaining a fatal injury was 137% (95% CI=95%, 189%) higher when the passenger behind the driver was unbelted in comparison to a belted case while the effects of driver age, sex, speed limit, vehicle body type, airbag deployment and driver ejection were controlled in the model. The likelihood of driver fatality due to an unrestrained rear left passenger increased further (119-197%) in the presence of additional unrestrained rear seat passengers in the rear middle or right seats. The results from the study highlight the fact that future advances to front row passive safety systems (e.g. multi-stage airbag deployment) must be adapted to take into account the effect of unrestrained rear-seat passengers.

Biofidelity Improvements to the Polar-II Pedestrian Dummy Lower Extremity

This paper is from the SAE World Congress & Exhibition, held in April 2007 in Detroit, Michigan, USA. Part of the Pedestrian Safety session, this paper reports on a study of pedestrian kinematics with the Polar-II Finite Element Model, used to evaluate the biofidelity of the lower extremity components of the pedestrian dummy. The authors evaluated this biofidelity in lateral impact loading corresponding to a 40 km/h pedestrian-car collision. The authors focused on the bending moment-angle response from a newly developed knee joint, dynamically loaded in four-point valgus bending; this joint was compared against previously published postmortem human subject (PMHS) response values. In addition to the stiffness characteristics of the knee joint, individual ligament forces were also recorded during the bending tests. In another component of the study, lower extremity long bones developed for improved anthropometrical accuracy and deformability were dynamically loaded in latero-medial three-point bending. The final part of the study used a biofidelity rating system to evaluate the modified Polar-II lower extremity components. The authors conclude that the Polar-II Finite Element model accurately replicates the PMHS response under loading conditions similar to a pedestrian-car collision.

Epidemiology of moderate-to-severe injury patterns observed in rollover crashes

BACKGROUND Previous epidemiological studies have highlighted the high risk of injury to the head, thorax, and cervical spine in rollover crashes. However, such results provide limited information on whole-body injury distribution and multiple region injury patterns necessary for the improvement and prioritization of rollover-focused injury countermeasures. METHODS Sampled cases representing approximately 133,000 U.S. adult occupants involved in rollover crashes (between 1995 and 2013) sustaining moderate-to-severe injuries were selected from the National Automotive Sampling System Crashworthiness Data System database. A retrospective cohort study, based on a survey of population-based data, was used to identify relevant whole body injury patterns. RESULTS Among belted occupants injured in rollover crashes, 79.2% sustained injuries to only one body region. The three most frequently injured (AIS2+) body regions were head (42.1%), upper extremity (28.0%), and thorax (27.1%). The most frequent multi-region injury pattern involved the head and upper extremity, but this pattern only accounted for 2.3% of all of occupants with moderate or worse injuries. CONCLUSIONS The results indicated that for rollover-dominated crashes, the frequently observed injury patterns involved isolated body regions. In contrast, multi-region injury patterns are more frequently observed in rollovers with significant planar impacts. Identification of region-specific injury patterns in pure rollover crashes is essential for clarifying injury mitigation targets and developing whole-body injury metrics specifically applicable to rollovers.