Publications by authors named "Kwong Ming Tse"

Structural advancements in underwater vehicle design necessitate lightweight materials, driving interest in Fiber Metal Laminates (FMLs), known for their high specific strength, stiffness, and corrosion resistance. This study investigates the vibration response of FMLs through combined experimental and numerical analyses, specifically evaluating the novel effects of layerwise acoustic impedance matching on vibration damping within the 0-500 Hz frequency range, which aligns with ocean current frequencies. Various FML stackup sequences were characterized through ASTM E756-05 compliant experiments and ANSYS Harmonic Response simulations.

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Dehiscence is a common complication of corneal transplant surgery involving separating the graft from the host eye. The present article aims to investigate fundamental insights into the mechanical and structural aspects of the graft-host junction (GHJ) of a graft that survived in a patient for 13 years after penetrating keratoplasty (PK). Additionally, it adopts the sutur retention strength (SRS) test procedure defined in ISO:7198-2016 and aims to provide a comprehensive test protocol to study the biomechanics of the GHJ in extracted PK buttons.

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Biomechanical modeling of spinal load during lifting in OpenSim has the potential for rehabilitation and clinical assessment. In the literature, several spinal models have been developed and validated with movement data from healthy individuals. Although these models are valid for predicting spinal load in healthy individuals, it is unknown whether these models are applicable for people with chronic low back pain (CLBP).

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Fracture toughness of the human cornea is one of the critical parameters in suture-involved corneal surgeries and the development of bioengineered mimetics of the human cornea. The present article systematically studied the fracture characteristics of the human cornea to evaluate its resistance to tear in the opening (Mode-I) and trouser tear mode (Mode-III). Tear experiments reveal the dependency of the fracture behavior on the notch size and its location created in the corneal specimens.

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The aim of this review article is to appraise the design and functionality of above-knee prosthetic legs. So far, various transfemoral prosthetic legs are found to offer a stable gait to amputees but are limited to laboratories. The commercially available prosthetic legs are not reliable and comfortable enough to satisfy amputees.

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The use of light for therapeutic applications requires light-absorption by cellular chromophores at the target tissues and the subsequent photobiomodulation (PBM) of cellular biochemical processes. For transdermal deep tissue light therapy (tDTLT) to be clinically effective, a sufficiently large number of photons must reach and be absorbed at the targeted deep tissue sites. Thus, delivering safe and effective tDTLT requires understanding the physics of light propagation in tissue.

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Computational modelling of damage and rupture of non-connective and connective soft tissues due to pathological and supra-physiological mechanisms is vital in the fundamental understanding of failures. Recent advancements in soft tissue damage models play an essential role in developing artificial tissues, medical devices/implants, and surgical intervention practices. The current article reviews the recently developed damage models and rupture models that considered the microstructure of the tissues.

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In this study, a novel expandable bicycle helmet, which integrates an airbag system into the conventional helmet design, was proposed to explore the potential synergetic effect of an expandable airbag and a standard commuter-type EPS helmet. The traumatic brain injury mitigation performance of the proposed expandable helmet was evaluated against that of a typical traditional bicycle helmet. A series of dynamic impact simulations on both a helmeted headform and a representative human head with different configurations were carried out in accordance with the widely recognised international bicycle helmet test standards.

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Artificial intelligence (AI) and machine learning (ML) are fascinating interdisciplinary scientific domains where machines are provided with an approximation of human intelligence. The conjecture is that machines are able to learn from existing examples, and employ this accumulated knowledge to fulfil challenging tasks such as regression analysis, pattern classification, and prediction. The horse biomechanical models have been identified as an alternative tool to investigate the effects of mechanical loading and induced deformations on the tissues and structures in humans.

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Underbody blast attacks of military vehicles by improvised explosives have resulted in high incidence of lumbar spine fractures below the thorocolumbar junction in military combatants. Fracture risk curves related to vertical loading at individual lumbar spinal levels can be used to assess the protective ability of new injury mitigation equipment. The objectives of this study were to derive fracture risk curves for the lumbar spine under high rate compression and identify how specimen-specific attributes and lumbar spinal level may influence fracture risk.

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Background Context: While burst fracture is a well-known cause of spinal canal occlusion with dynamic, axial spinal compression, it is unclear how such loading mechanisms might cause occlusion without fracture.

Purpose: To determine how spinal canal occlusion during dynamic compression of the lumbar spine is differentially caused by fracture or mechanisms without fracture and to examine the influence of spinal level on occlusion.

Study Design: A cadaveric biomechanical study.

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Underbody blast (UBB) attacks on military vehicles can result in severe pelvic injuries to the vehicle occupants. The aim of this study was to evaluate the biomechanical responses of the pelvis to UBB-like vertical loading in different seated postures. High-rate axial loading were performed on six defleshed human cadaveric pelves, whilst a three-dimensional finite element model of a human pelvis was created and used to simulate the high-rate loading with the model responses validated against experimental measurements.

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Background: Osseointegrated implants for transfemoral amputees facilitate direct load transfer between the prosthetic limb and femur; however, implant loosening is a common complication, and the associated implant-bone loads remain poorly understood. This case study aimed to use patient-specific computational modeling to evaluate bone-implant interface loading during standing and walking in a transfemoral amputee with an osseointegrated implant prior to prosthesis loosening and revision surgery.

Methods: One male transfemoral amputee with an osseointegrated implant was recruited (age: 59-yrs, weight: 83 kg) and computed tomography (CT) performed on the residual limb approximately 3 months prior to implant failure.

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The ability to rapidly detect localised fractures of cortical and/or trabecular bone sustained by the vertebral body would enhance the analysis of vertebral fracture initiation and propagation during dynamic loading. In this study, high rate axial compression tests were performed on twenty sets of three-vertebra lumbar spine specimens. Acoustic Emission (AE) sensor measurements of sound wave pressure were used to classify isolated trabecular fractures and severe compressive fractures of vertebral body cortical and trabecular bone.

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In the present study, the free fall impact test in accordance with the EN1078 standard for certification of bicycle helmets is replicated using numerical simulations. The impact scenario is simulated using an experimentally validated, patient-specific head model equipped with and without a bicycle helmet. Head accelerations and intracranial biomechanical injury metrics during the impacts are recorded.

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Rotator cuff tears are known to affect clinical outcome of reverse total shoulder arthroplasty (RSA). This study aimed to use computational modelling to quantify the effect of rotator cuff tear severity on muscle and joint forces after RSA, as well as stresses at the glenosphere, base-plate, fixation screws, scapula, and humeral components. A multi-body musculoskeletal model of the glenohumeral joint was developed comprising the scapula, humerus and nine major upper limb muscles.

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Article Synopsis
  • The Nuss procedure is a minimally invasive surgery for correcting pectus excavatum (PE) by using a flexible pectus bar to lift the chest wall, though it comes with risks like postoperative pain and surgical uncertainties.
  • A study used finite element method (FEM) to simulate this procedure on a patient's thorax model, comparing the predictions with actual postoperative CT scans, showing small discrepancies in elevation and deviations.
  • FEM proved to be a reliable method for predicting surgical outcomes and understanding stress distributions in the ribs, aiding in the development of better surgical planning tools for PE management.
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Blast-induced traumatic brain injury has been on the rise in recent years because of the increasing use of improvised explosive devices in conflict zones. Our study investigates the response of a helmeted human head subjected to a blast of 1 atm peak overpressure, for cases with and without a standard polycarbonate (PC) face shield and for face shields comprising of composite PC and aerogel materials and with lateral edge extension. The novel introduction of aerogel into the laminate face shield is explored and its wave-structure interaction mechanics and performance in blast mitigation is analysed.

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Article Synopsis
  • The study compares two helmet designs (strap-netting and Oregon Aero foam-padding) to see how they protect against ballistic impact in different directions (frontal, lateral, rear, and top).
  • Ballistic simulations on a detailed head model measured potential head injuries, showing that top impacts led to high skull stress, while lateral and rear impacts resulted in the most significant risks for intracranial injuries.
  • Results suggested that the Oregon Aero foam-padding reduced impact forces and indicated that utilizing smaller padding inserts might offer improved protection for future helmet designs.
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This study proposes that the bony anatomy of the human nose and masonry structure of the Gothic cathedral are geometrically similar, and have common fracture patterns. We also aim to correlate the fracture patterns observed in patients' midface structures with those seen in the Gothic cathedral using computational approach. CT scans of 33 patients with facial fractures were examined and compared with computer simulations of both the Gothic cathedral and human nose.

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In spite of anatomic proximity of the facial skeleton and cranium, there is lack of information in the literature regarding the relationship between facial and brain injuries. This study aims to correlate brain injuries with facial injuries using finite element method (FEM). Nine common impact scenarios of facial injuries are simulated with their individual stress wave propagation paths in the facial skeleton and the intracranial brain.

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This study is aimed at developing a high quality, validated finite element (FE) human head model for traumatic brain injuries (TBI) prediction and prevention during vehicle collisions. The geometry of the FE model was based on computed tomography (CT) and magnetic resonance imaging (MRI) scans of a volunteer close to the anthropometry of a 50th percentile male. The material and structural properties were selected based on a synthesis of current knowledge of the constitutive models for each tissue.

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Article Synopsis
  • Limited research exists on head injuries from complex blasts, which involve multiple blast sources affecting the head at once or in succession, potentially causing more severe injuries than single blasts due to longer exposure to pressure waves.
  • A study utilized a head-helmet model in Abaqus™ to analyze blast impacts, finding that the skull transmits high intracranial pressures (ICPs) and recommends enhanced helmet protection on the sides and rear.
  • Results indicated that consecutive frontal blasts lead to higher ICPs and increased severity of brain injuries compared to single blasts, with peak ICPs exceeding safety thresholds, suggesting the complexity of blast impacts significantly influences injury outcomes.
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Article Synopsis
  • Head injuries are a significant health issue leading to death or disability and have considerable socioeconomic impacts.
  • The study developed two finite element models (FEMs) of the human head: one without soft tissue and one with soft tissue and differentiated brain matter, validated against cadaver test data.
  • Results showed both models provided similar predictions for intracranial pressure (ICP) and brain displacement, indicating that enhancing surface details may not significantly improve injury prediction capabilities.
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Article Synopsis
  • The study uses both traditional and complex modal analyses on a finite element model of the human head-neck system to examine resonant frequencies and mode shapes, revealing results consistent with existing literature.
  • It highlights specific modal responses, including higher frequency brain modes and unique responses like the 'mastication' mode of the mandible, emphasizing the need for detailed modeling to capture all frequencies.
  • Findings indicate that a damping factor above 0.2 can reduce higher frequency modes while also lowering peak biomechanical responses, underlining the significance of determining the optimal damping factor for accurate assessments.
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