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Numerous studies have documented the implantation of a 6-axis load cell in series with the tibial shaft and a limited number of studies have instrumented the femur for uniaxial load transduction. We are unaware of a single study seeking to instrument both anatomical segments. In addition, while the instrumentation processes have been described in textural and graphical detail, the dimensions and material choices for preparation jigs, potting cups, etc. are typically not given. In the current study, we have reviewed the available literature and have developed a modified preparation and implantation methodology. We also include complete designs appropriate for a reproduction of our process or modification of the methodology by the reader. The robustness of our technique was verified in a companion study in which whole, unembalmed cadavers were subjected to a HYGE frontal sled test without compromise of the instrumentation.

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.