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Injuries to the lower extremities are common during car accidents because the lower extremity is typically the first point of contact between the occupant and the car interior. While injuries to the knee, ankle and hip are usually not life threatening, they can represent a large societal burden through treatment costs, lost work days and a reduced quality of life. The aim of the current study was to specifically study injuries associated with the knee and to propose a methodology which could be used to prevent future knee injuries. To understand the scope of this problem, a study was designed to identify injury trends in car crashes for the years 1979-1995. The NASS (National Accident Sampling System) showed that 10% of all injuries were to the knee, second only to head and neck injuries. Most knee injuries resulted from knee-to-instrument panel contact. Subfracture injuries were most common (contusions, abrasions, lacerations) followed by gross fracture injuries.

Prior experimental and field studies have demonstrated an increased risk of upper extremity fracture due the deployment of frontal airbags. The experimental studies provide valuable insight as to likely injury mechanisms; namely, increasing proximity increases the risk of forearm fracture. Still, field data is needed to validate these experimental findings. The available field data has largely been derived from direct case study analysis or a review of government accident statistics. In both cases, the datasets were comprised solely of pre-1995 era vehicles. Such data represents early generation airbag designs and there has been little additional study in this area. In addition, there has been an absence of fracture pattern analyses as a function of airbag deployment and non-deployment. Such an analysis would help elucidate the role of the deploying airbag on upper extremity fracture in the current fleet.

Numerous studies have documented that lower extremity injury is second only to the head and face in automotive accidents. Such injuries are common because the lower extremity is typically the first point of contact between the occupant and the car interior. Of all lower extremity injuries, the knee is the most common site of trauma. This typically results from high speed contact with the instrument panel which can produce fracture and subfracture (contusions, lacerations, abrasions) level injuries. Current Federal safety guidelines use a bone fracture criterion which is based solely on a peak load. The criterion states that loads exceeding 10 kN will likely result in gross bone fracture. However, cadaver experiments have shown that increased contact area (via padding) over the knee can significantly increase the amount of load that can be tolerated before fracture or subfracture injury.

Previous experimental and theoretical studies on isolated human knees have shown that increasing the contact area over the knee during blunt impact can prevent serious knee injury (i.e. joint fracture). Because large contact areas are typically associated with lower stiffness impact interfaces, this suggests that instrument panels could provide some protection to the knee during a car accident. Further, the knee-to-IP contact is one of the first contact events which occur during a head-on crash, thus, one optimal scenario might be to dissipate as much energy as possible at the knee without causing serious knee injury. This would help minimize the kinetic energy in the upper body, possibly reducing the need for more aggressive countermeasures (i.e. air bags) later in the impact event. Our objective in the current study was to determine how different car interior geometries and crash pulses would affect specific occupant responses during a head-on car crash.