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Vehicle front-end geometry and stiffness characteristics have been shown to influence pedestrian lower extremity response and injury patterns. The goal of this study is to compare the lower extremity response and injuries of post mortem human surrogates (PMHS) tested in full-scale vehicle-pedestrian impact experiments with a small sedan and a large sport utility vehicle (SUV). The pelves and lower limbs of six PMHS were instrumented with six-degree-of-freedom instrumentation packages. The PMHS were then positioned laterally in mid-stance gait and subjected to vehicle impact at 40 km/h with either a small sedan (n=3) or a large SUV (n=3). Detailed descriptions of the pelvic and lower extremity injuries are presented in conjunction with global and local kinematics data and high speed video images. Injured PMHS knee joints reached peak lateral bending angles between 25 and 85 degrees (exceeding published injury criteria) at bending rates between 1.1 deg/ms and 3.7 deg/ms.

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).

The structural properties of the four major human knee ligaments were investigated at different loading rates. Bone-ligament-bone specimens of the medial and lateral collateral ligaments and the anterior and posterior cruciate ligaments, obtained from post-mortem human donors, were tested in knee distraction loading in displacement control. All ligaments were tested in the anatomical position corresponding to a fully extended knee. The rate dependence of the structural response of the knee ligaments was investigated by applying loading-unloading cycles at a range of distraction rates. Ramps to failure were applied at knee distraction rates of 0.016 mm/s, 1.6 mm/s, or 1,600 mm/s. Averages and corridors were constructed for the force response and the failure point of the different ligaments and loading rates. The structural response of the knee ligaments was found to depend on the deformation rate, being both stiffer and more linear at high loading rates.