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Ziel dieser Arbeit war die Entwicklung eines numerischen Modells des menschlichen knöchernen Thorax, das insbesondere altersabhängige geometrische Faktoren berücksichtigt. Dieses Modell soll sowohl die männliche als auch die weibliche Population der über 64-Jährigen repräsentieren und eine an diese Altersgruppe angepasste Verletzungssimulation ermöglichen. Die vorliegende Studie identifiziert zunächst an Hand eines Kollektivs aus 126 postmortem und 40 klinischen computertomografischen Schnittbildaufnahmen eine ganze Reihe geometrischer Parameter, die sich mit dem Alter verändern. Zu den untersuchten Parametern gehören sowohl Winkel der Rippen im Raum und innerhalb des Rippenbogens, eine detaillierte Erfassung von Parametern der einzelnen Rippe (Querschnittsfläche, Krümmung, Longitudinale Verdrillung), Parameter der Wirbelsäule als Ganzes (Skoliose, Kyphose, Rotation) und einzelner Wirbel sowie des Brustbeins. Weiterhin wurden die Grundmasse des ganzen Thorax (Thoraxtiefe, Thoraxbreite) untersucht. Die hier gefundenen Altersabhängigkeiten dienten als Eingabeparameter zur Erstellung von insgesamt neun aus dem Menschmodell THUMS 3 gemorphter alter und junger Finite-Elemente Thoraxmodelle. Implementiert wurden hierbei sowohl Durchschnittsmaße als auch extreme Maße. Die Ergebnisse zeigen mehrere sich im Alter signifikant verändernde Parameter. Als wichtigste unter ihnen sind eine Zunahme der Thoraxtiefe und Thoraxbreite im Alter, die signifikante Veränderung einiger Rippenwinkel im Raum sowie der Krümmung der sechsten und siebten Rippe zu nennen. Zudem wird die Wirbelsäulenform kyphotischer und das Sternum am Übergang zwischen Manubrium und Corpus sternii gewinkelter. Die Menschmodelle THUMS 3, THUMS 4 und HUMOS 2 sind weder als typisch alt, noch typisch jung einzuordnen, dies unterscheidet sich teils von Parameter zu Parameter. Die auf Basis der Geometrie-Inputdaten durchgeführten Finite-Elemente Simulationen zeigen einen deutlichen Einfluss der zunehmenden Thoraxtiefe im Alter auf die posteriore Kraft an der Auflagefläche der Rippen sowie die Spannungsverteilung entlang der Rippen. Sie wirkt sich jedoch entgegen der Erwartungen protektiv aus und dominiert andere Faktoren wie die unterschiedlichen Rippenwinkel. Abschließend betrachtet wird ein Menschmodell, welches das 75. Perzentil der alten Bevölkerung repräsentiert, als ausreichend aussagekräftig hinsichtlich der im Alter veränderten Geometrie klassifiziert und gleichzeitig als mit angemessenem Aufwand realisierbar angesehen. Es wird daher für die Bewertung von Sicherheitssystemen empfohlen.
Real world accident reconstruction with the Total Human Model for Safety (THUMS) in Pam-Crash
(2013)
Further improvement of vehicle safety needs detailed analysis of real world accidents. According to GIDAS (German In-Depth Accident Study) most car to car front accidents occur at mid-crash severity. In this range thoracic injuries already occur. In this study a real world frontal crash with mid-crash severity out of the AARU database was reconstructed. The selected car to car accident was reconstructed by AARU by means of pc-crash software in order to get the initial dynamic accident conditions. These initial conditions were used to reconstruct the complete accident in more detail using FE models for the car structure and the occupants. Occupant simulations were performed with FE HIII-dummy models and the THUMS using Pam-Crash code. An initial THUMS validation was performed in order to verify the model-´s biofidelity by means of table-top test simulations. THUMS bone stiffness values were modified to match the real word occupant age. A comparison between driver and passenger restraint system loading was done, as well as an injury prediction comparison between the HIII-dummy model and THUMS response for both cases. Detailed comparison between the HIII-dummy models and THUMS regarding thoracic loading are discussed.
During the last 5 years, the number of cars fitted with side airbags has dramatically increased. They are now standard equipment, even on many smaller cars or less luxurious vehicles. While some side airbags offer thoracic protection alone, there are those that combine thoracic and head protection (of which most deploy from the seat). Other systems employ separate airbags for head and thorax protection, which are designed to be effective noticeably in a crash against a pole. This paper proposes an evaluation of the effectiveness of side airbags in preventing thoracic injuries to passenger car occupants involved in side crashes. First, the target population (who can take benefit of side airbag deployment and in what circumstances) is defined. Side airbags can be especially effective in cases of impacts on the door with intrusion at a certain impact speed. Then, an example case of a side impact with side airbag deployment is given were side airbag deployment is thought to have had a positive effect on injury outcome. A further case is presented where the impact configuration is likely to have reduced the effect of side airbag deployment on injury outcome. Finally, the estimation of side airbag effectiveness (in terms of additional occupant protection brought exclusively by the airbag) is proposed by comparing injury risk sustained by occupants in (more or less) similar cars (fitted or non fitted with airbags) because, during these years, car structure, and side airbag conception have considerably evolved. In-depth accident data from France, the UK and Germany has been collected. Out of 2,035 side impact accident cases available in the databases, we selected 435 occupants of passenger cars (built from 1998 onwards) involved in an injury accident between year 1998 and year 2004 for EES (Energy Equivalent Speed) values between 20km/h and 50km/h. The occupants, belted or not, were sat on the struck side, whatever the obstacle and type of accidents (intersection, loss of control, etc.). For multiple impact crashes, the side impact is assumed to be the more severe one. Passenger cars were fitted with (96) or without (339) side airbags. Most of the potential risk explanatory variables were correctly and reliably reported in the databases (velocity " impact zone " impact angle " occupant characteristics, etc.). The analysis compared injury risks for different levels of EES and different types of side airbags. A logistic regression model was also computed with injury variables (such as thoracic AIS 2+ or AIS 3+) as the dependant variable and other variables (including airbag type and EES) as explanatory injury risk factors. Results revealed statistically non-significant reductions in thoracic AIS 2+ and AIS 3+ injury risk in side airbag equipped cars in the impact violence range selected (odds ratio between 0.84 and 0.98 depending on types of airbags). The results are discussed. The non-significance is assumed to be due to a low number of cases. Statistical analysis for head injuries was not possible due to the low number of accident cases with passenger cars fitted with head airbags in the databases. Moreover, the discrepancies between the data coming from different countries (especially calculation of EES) might have introduced instability in the analysis.
This study aims to analyze spine injuries in motor vehicle accidents. Between 1985 and 2004 the Hannover accident research unit documented 18353 accidents. We identified 161 front passengers (0.53%) with cervical spine injuries, 84 (0.28%) with thoracic and 95 (0.31%) with lumbar injuries. Technical and medical data was reviewed. Patients" records were retrieved. X-rays were evaluated and fractures were classified according to the Magerl classification. 68% and 57% of thoracic and lumbar fractures occurred in accidents with multiple impacts. Delta-v was 50, 40 and 40 kph in passengers with cervical, thoracic and lumbar spine, resp. Passengers with spinal fractures frequently showed numerous concomitant injuries, e.g. additional vertebral fractures. The influence of seat belts and airbags is discussed. Patient work-up has to include a thorough investigation for additional injuries.
The following paper presents the nature and mechanism of injuries sustained in frontal impacts, focusing on car to car impacts. It was found that the body regions most frequently sustaining severe to fatal injuries were the legs and the thorax. The nature and mechanism of the injury sustained was investigated only for the thorax injuries, due to their potentially life threatening nature. The analysis revealed that the most frequent cause of the injury recorded was the seatbelt for low severity injuries and the front structure of the vehicle for higher severity injuries. An analysis of the effect of load limiter technology in the restraint system showed that the proportion of occupants who sustained "no thorax injury" did not increase when a load limiter was fitted to the restraint system. However, a decrease in the "organ" and "organ and skeletal" injuries was observed in the load limiter sample. Sample size and variation mean that these findings are not conclusive.
The incidence and treatment of sternal fractures among traffic accidents are of increasing importance to ensure best possible outcomes. Analysis of technical indicators of the collision, preclinical and clinical data of patients with sterna fractures from 1985-2004 among 42,055 injured patients were assessed by an Accident Research Unit. Two time groups were categorized: 1985-1994 (A) vs. 1995-2004 (B). 267/42,055 patients (0.64%) suffered a sterna fracture. Regarding the vehicle type, the majority occurred after car accidents in 0.81% (251/31,183 pts), followed by 0.19% (5/2,633pts) driving motorbike, and 0.11% (4/3,258pts) driving a truck. 91% wore a safety belt. Only 13% of all passengers suffering a sternal fracture had an airbag on board (33/255 car/trucks), with an airbag malfunction in 18%. The steering column was deformed in 39%, the steering wheel in 36%. Cars in the recent years were significantly older (7.67-±5 years (B) vs. 5.88-±5 years (A), p=0.003). Cervical spine injuries are frequent (23% vs. 22%), followed by multiple rib fractures (14% vs. 12%) and lung injuries (12% vs. 11%). We found 9/146 (6%) and 3/121 patients (3%) with heart contusion among the 267 sternal fractures. MAIS was 2.56-±1.3 vs. 2.62-±1.3 (A vs. B, p=0.349). 18% of patients were polytraumatized, with 11.2% dying at the scene, 2.3% in the hospital. Sternal fractures occur most often in old cars to seat-belted drivers often without any airbag. Severe multiple rib fractures and lung contusion are concomitant injuries in more than 10% each indicating the severity of the crash. Over a twentyyear period, the injury severity encountered was not different with 18% polytrauma patients suffering sternal fractures.
Streuung von Schutzkriterien in kontrollierten Aufprallversuchen gegen die starre 30 Grad-Barriere
(1983)
Gegenstand der Arbeit ist die Ermittlung von Streubreiten von Fahrzeug- und Dummy-Messwerten in Aufprallversuchen bei Geschwindigkeiten von 50 km/h gegen eine starre 30-°-Barriere. Zu den fahrzeugseitigen Messwerten gehörten die Deformation der Frontstruktur, die maximale Fahrzeugverzögerung, die mittlere Fahrzeugverzögerung und Anforderungen der ECE-Regelung 33. Die gemessenen Standardabweichungen der Einzelwerte lagen mit zwei bis sieben Prozent deutlich unter zehn Prozent. Höhere Standardabweichungen der Messwerte wurden dann beobachtet, wenn Aufpralle nach den Mustern Kopf-Lenkrad (Fahrer), Brust-Lenkrad (Fahrer) und Knie-Armaturentafel (Fahrer und Beifahrer) nicht in allen Versuchen zu beobachten sind. Hohe Streubreiten für die Kopfbeschleunigung bzw. die Beschleunigung der Brust des Dummy auf dem Fahrersitz wurden dadurch verursacht, dass in einem Versuch eine unübliche Vorverlagerung des Dummys infolge mangelhafter Gurtwirkung mit nachfolgendem Brust-Lenkrad-Kontakt zu beobachten war.
Still correlated with high mortality rates in traffic accidents traumatic aortic ruptures were frequently detected in unprotected car occupants in the early years. This biomechanical analysis investigates the different kinds of injury mechanisms leading to traumatic aortic injuries in todays traffic accidents and how the way of traffic participation affects the frequency of those injuries over the years. Based on GIDAS reported traffic accidents from 1973 to 2014 are analyzed. Results show that traumatic aortic injuries are mainly observed in high-speed accidents with high body deceleration and direct load force to the chest. Mostly chest compression is responsible for the load direction to the cardiac vessels. The main observed load vector is from caudal-ventral and from ventral solely, but also force impact from left and right side and in roll-over events with chest compression lead to traumatic aortic injuries. Classically, the injury appeares at the junction between the well-fixed aortic arch and the pars decendens following a kind of a scoop mechanism, a few cases with a hyperflexion mechanism are also described. In our analysis the deceleration effect alone never led to an aortic rupture. Comparing the past 40 years aortic injuries shift from unprotected car occupants to today's unprotected vulnerable road users like pedestrians, cyclists and motorcyclists. Still the accident characteristics are linked with chest compression force under high speed impact, no seatbelt and direct body impact.
Ruptures and dissections of the thoracic and abdominal aortic vessel caused by traffic accidents are rare but potentially life-threatening injuries. They can occur by blunt trauma via seat belt or dashboard injury. The study aimed at evaluating the overall mortality, morbidity, neurological disorders, and differences in operative procedures of open repair and stenting. It shows that, with a change and improvement in diagnostic tools and surgical approach, mortality and morbidity of blunt aortic injuries were significantly reduced. Still an immediate life-threatening injury early diagnosis via multiple-slice and scans and surgical repair with minimally invasive stents showed excellent short-time results for selected patients.
The aim of this study is to investigate the differences in car occupant injury severity recorded in AIS 2005 compared to AIS 1990 and to outline the likely effects on future data analysis findings. Occupant injury data in the UK Cooperative Crash Injury Study Database (CCIS) were coded for the period February 2006 to November 2007 using both AIS 1990 and AIS 2005. Data for 1,994 occupants with over 6000 coded injuries were reviewed at the AIS and MAIS level of severities and body regions to determine changes between the two coding methodologies. Overall there was an apparent general trend for fewer injuries to be coded at the AIS 4+ severity and more injuries to be coded at the AIS 2 severity. When these injury trends were reviewed in more detail it was found that the body regions which contributed the most to these changes in severity were the head, thorax and extremities. This is one of the first studies to examine the implications for large databases when changing to an updated method for coding injuries.