Abstract
The spleen is a frequently injured abdominal organ in road accidents, with an injury frequency close to 30 %. The splenic avulsion exhibit a significant ratio of morbidity. It is clinically described as the complete failure of the pancreatico-splenic ligament (PSL) which is composed of splenic vessels and connective tissues. What are the biomechanical mechanisms involved with spleen avulsion? Is it possible to quantify tolerance levels of PSL structure? The current work combines both experimental and finite element (FE) investigations to determine the splenic avulsion process. Tensile tests on 13 PSL samples were performed up to failure. The experimental results provide reference data for model validation and showed a failure process starting at a peak force of 70 ± 34 N combined with a peak strain of 105 ± 26 %. In an attempt to identify possible vessel ruptures within the PSL, a FE model of the PSL was developed including both vessels and connective tissues. The vessel wall behaviour up to failure was reproduced using an Ogden law and calibrated by inverse analysis according to literature data. The connective tissues function was modelled by a cohesion-loss interface. Once model correlation to experimental results was achieved, numerical simulation revealed that haemorrhage could occur even before the maximum peak is reached. Indeed, the first vessel ruptures were recorded at a strain of 92 % at the upper lobe vein.
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Ankarath S, Giannoudis PV, Barlow I, Bellamy MC, Matthews SJ, Smith RM (2002) Injury patterns associated with mortality following motorcycle crashes. Injury 33:473–477
Augenstein J, Bowen J, Perdeck E, Singer M, Stratton J, Horton T, Rao A, Digges K, Malliaris A, Steps J (2000) Injury patterns in near-side collisions. In: SAE 2000 world congress, Society of Automotive Engineers, Detroit, ETATS-UNIS
Barclay AE (1932) The mobility of the abdominal viscera. Q J Med 1:257–276
Carew TE, Vaishnav RN, Patel DJ (1968) Compressibility of the arterial wall. Circ Res 23:61–68
Conte C, Masson C, Arnoux P-J (2011) Inverse analysis and robustness evaluation for biological structure behaviour in finite element simulation: application to the liver. Comput Methods Biomech Biomed Eng 15:993–999
Cook DD, Nauman E, Mongeau L (2008) Reducing the number of vocal fold mechanical tissue properties: evaluation of the incompressibility and planar displacement assumptions. J Acoust Soc Am 124:3888–3896
Elhagediab AM, Rouhana SW (1998) Patterns of abdominal injury in frontal automotive crashes. In: NHTSA, proceedings of the 16th international technical conference on experimental safety vehicles, pp 327–337
Eppinger R (1976) Prediction of thoracic injury using measurable experimental parameters. In: Sixth international conference on experimental safety vehicles, Washington, DC, pp 770–779
Fung YC (1993) Biomechanics: mechanical properties of living tissues. Springer, New York
Labé A, Arnoux P-J, Behr M, Kayvantash K, Brunet C (2006) Advanced finite element model to simulate pelvic failure process. In: 7th international symposium on computer methods in biomechanics, Nice, France
Lally C, Reid AJ, Prendergast PJ (2004) Elastic behavior of porcine coronary artery tissue under uniaxial and equibiaxial tension. Ann Biomed Eng 32:1355–1364
Liu DL, Xia S, Xu W, Ye Q, Gao Y, Qian J (1996) Anatomy of vasculature of 850 spleen specimens and its application in partial splenectomy. Surgery 119:27–33
Marine PM, Stabin MG, Fernald MJ, Brill AB (2010) Changes in radiation dose with variations in human anatomy: larger and smaller normal-stature adults. J Nucl Med 51:806–811
Martin J, Van Kampen B, Perez C (2006) Pendant final report, deliverable d9 wp3—data analysis. Editor European Commission, Association pour le Registre des Victimes d’Accidents de la Circulation dans le Département du Rhône (ARVAC), SWOV Institute for Road Safety Research, INRETS, pp 103
Mavrilas D, Tsapikouni T, Mikroulis D, Bitzikas G, Didilis V, Tsakiridis K, Konstantinou F, Bougioukas G (2002) Dynamic mechanical properties of arterial and venous grafts used in coronary bypass surgery. In: 12th international conference on mechanics in medicine and biology, Lemnos, Greece
Mazza E, Bauer M, Bajka M, Holzapfel GA (2007) Characterizing the mechanical response of soft human tissue for medical applications. In: Owen DRJ, Suárez B (eds) Computational plasticity IX. Fundamentals and applications, CIMNE Barcelona, Spain, pp 244–247
Mohan D, Melvin JW (1982) Failure properties of passive human aortic tissue. I—uniaxial tension tests. J Biomech 15:887–902
Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR (1995) Organ injury scaling: spleen and liver (1994 revision). J Trauma Acute Care Surg 38:323–324
Ndiaye A, Chambost M, Chiron M (2009) The fatal injuries of car drivers. Forensic Sci Int 184:21–27
Nickerson JL, Drazic M, Johnson R, Udesen H, Turner K (1967) A study of internal movements of the body occurring on impact. In: SAE, 11th stapp car crash conference, SAE, Anaheim, United States, p 26
Ogden RW (1984) Non-linear elastic deformations. Ellis Horwood Limited, Chichester, p 532
Park JB, Lakes RS (2007) Biomaterials: an introduction. Springer, New York
Peitzman AB, Ford HR, Harbrecht BG, Potoka DA, Townsend RN (2001) Injury to the spleen. Curr Probl Surg 38:932–1008
Schmitt KU, Snedeker JG (2006) Kidney injury: an experimental investigation of blunt renal trauma. J Trauma 60:880–884
Shah CS (2007) Investigation of traumatic rupture of the aorta by obtaining aorta material and failure properties and simulating real-world aortic injury crashes using the whole-body finite element human model. Wayne State University, Detroit
Silver FH, Freeman JW, DeVore D (2001) Viscoelastic properties of human skin and processed dermis. Skin Res Technol 7:18–23
Snedeker JG, Barbezat M, Niederer P, Schmidlin FR, Farshad M (2005) Strain energy density as a rupture criterion for the kidney: impact tests on porcine organs, finite element simulation, and a baseline comparison between human and porcine tissues. J Biomech 38:993–1001
Stemper BD, Yoganandan N, Pintar FA (2005) Methodology to study intimal failure mechanics in human internal carotid arteries. J Biomech 38:2491–2496
Stemper BD, Yoganandan N, Sinson GP, Gennarelli TA, Stineman MR, Pintar FA (2007) Biomechanical characterization of internal layer subfailure in blunt arterial injury. Ann Biomed Eng 35:285–291
Tseders ÉÉ, Purinya BA (1975) The mechanical properties of human blood vessels relative to their location. Mech Compos Mater 11:271–275
Viano DC (1989) Biomechanical responses and injuries in blunt lateral impact. In: SAE, 31st stapp car crash conference, SAE, NY, United States, pp 205–224
Wang G, Aitchison P, Dong Z (2001) Adaptive response surface method—a global optimization scheme for computation-intensive design problems. Eng Optimiz 33:707–734
Winckler G (1974) Manuel d’anatomie topographique et fonctionnelle, 2nd edn. Masson, Paris 525
Yamada H (1970) Strength of biological materials. In: Gaynor Evans F (ed) The Williams & Wilkins Company, Baltimore
Yasuhara H, Naka S, Kuroda T, Wada N (2000) Blunt thoracic and abdominal vascular trauma and organ injury caused by road traffic accident. Eur J Vasc Endovasc Surg 20:517–522
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Chebil, O., Behr, M., Auriault, F. et al. Biomechanical analysis of the splenic avulsion mechanism. Med Biol Eng Comput 52, 629–637 (2014). https://doi.org/10.1007/s11517-014-1166-6
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DOI: https://doi.org/10.1007/s11517-014-1166-6