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Injury to the lower extremity during an automotive crash is a significant problem. While the introduction of safety features (i.e. seat belts, air bags) has significantly reduced fatalities, lower extremity injury now occurs more frequently, probably for a variety of reasons. Lower extremity trauma is currently based on a bone fracture criterion derived from human cadaver impact experiments. These impact experiments, conducted in the 1960's and 70's, typically used a rigid impact interface to deliver a blunt insult to the 90° flexed knee. The resulting criterion states that 10 kN is the maximum load allowed at the knee during an automotive crash when certifying new automobiles using anthropomorphic dummies. However, clinical studies suggest that subfracture loading can cause osteochondral microdamage which can progress to a chronic and debilitating joint disease.

Lower extremity (knee) injury prediction resulting from impact trauma is currently based on a bone fracture criterion derived from experiments on predominantly aged cadavers. Subsequent experimental and theoretical studies indicate that more aged, pathological specimens require higher, not lower, loads to initiate bone fracture. This suggests that a bone fracture criterion based solely on aged specimens may not be representative of the current driving population. In the current study, we sought to determine if cadaver age, physical size, sex, baseline joint pathology, or patellar geometry correlated with fracture load. An analysis was made of data from previous impact experiments conducted on fifteen isolated cadaver knees using a consistent impact protocol. The protocol consisted of sequentially increasing the impact energy with a rigid interface until gross fracture. Gross bone fractures occurred at loads of 6.9±2.0 kN (range 3.2 to 10.6 kN) using this protocol.

In a frontal automotive crash, the driver's foot is usually stepping on the brake pedal as an instinctive response to avoid a collision. The tensile force generated in the Achilles tendon produces a compressive preload on the tibia. If there is intrusion of the toe board after the crash, an additional external force is applied to the driver's foot. A series of dynamic impact tests using human cadaveric specimens was conducted to investigate the combined effect of muscle preloading and external force. A constant tendon force was applied to the calcaneus while an external impact force was applied to the forefoot by a rigid pendulum. Preloading the tibia significantly increased the tibial axial force and the combination of these forces resulted in five tibial pylon fractures out of sixteen specimens.

A finite element human model has been developed to simulate occupant behavior and to estimate injuries in real-world car crashes. The model represents an average adult male of the US population in a driving posture. Physical geometry, mechanical characteristics and joint structures were replicated as precise as possible. The total number of nodes and materials is around 67,000 and 1,000 respectively. Each part of the model was not only validated against human test data in the literature but also for realistic loading conditions. Additional tests were newly conducted to reproduce realistic loading to human subjects. A data set obtained in human volunteer tests was used for validating the neck part. The head-neck kinematics and responses in low-speed rear impacts were compared between the measured and calculated results. The validity of the lower extremity part was examined by comparing the tibia force in a foot impact between the test data and simulation results.

Incompatibility between two colliding cars is becoming an important issue in passive safety engineering. Among various phenomena, indicating signs of incompatibility, over-riding and under-riding are likely caused by geometrical incompatibility in vertical direction. The issue of over-riding and under-riding is, therefore, not only a problem for partner-protection but also a possible disadvantage in self-protection. One of the possible solutions of this dual contradictory problem is to have a good structural interaction between the front-ends of two cars. Studies have been done to develop a test protocol for assessment of this interaction and to define criteria for evaluation but mostly in terms of aggressivity, which is a term describing incompatibility of a relatively stronger car. In this study, it was hypothesized that homogeneous front-end could be a possible better solution for good structural interaction.

A finite element model of the human lower extremity has been developed in this study to simulate lower extremity behavior in frontal car crashes. Precise geometry of the human lower extremity and material properties of the hard and soft tissues were introduced to the model. The performance of the model was evaluated by comparing with dynamic loading test data using post mortem human subjects (PMHS). The comparison proved its ability to estimate dynamic responses of the human lower extremity. A study was conducted using the model to investigate possible factors of loading to the ankle and tibia. Force and moment were calculated with different time history profiles of footwell intrusion and pelvis motion. The results suggested that timing of maximum intrusion was important as well as its magnitude. It was also found that loading to the tibia could be affected not only by intrusion but also by pelvis motion.

When considering a CTC (car to car) frontal crash between a small light car and a large heavy car, it is necessary to evaluate the stiffness and strength of each vehicle body. As interactive force at the contact surface cannot be measured directly in a car to car crash test, a simplified practical method has been developed to estimate the interactive force based on the vehicle deceleration. The adequacy and consistency of the proposed method was verified by using the principle of conservation of energy. The calculated force-deformation curves revealed that the interactive force reached the maximum designed strength of the small light car based on the ODB (Offset Deformable Barrier) test for crash protection, while the force level was far below the corresponding design limit of the large heavy car. It was observed that the relatively lower stiffness of the small light car resulted in absorbing a larger share of the total input energy of the system when crashed into the large heavy car.

This paper analyzed the mechanisms of injury in high speed, right-lateral impacts of stock car auto racing, and interaction of the occupant and the seat system for the purpose of reducing the risk of injury, primarily rib fractures. Many safety improvements have been made to stock car racing recently, including the Head and Neck Support devices (HANS®), the 6-point restraint harnesses, and the implementation of the SAFER Barrier. These improvements have contributed greatly to mitigating injury during the race crash event. However, there is still potential to improve the seat structure and the understanding of the interaction between the driver and the seat in the continuation of making racing safety improvements. This is particularly true in the case of right-lateral impacts where the primary interaction is between the seat supports and the driver and where the chest is the primary region of injury.

Lower extremity (knee) trauma is currently based on a bone fracture criterion derived from impacts of aged specimens. Recent clinical studies, however, indicate that a chronic disease (post-traumatic osteoarthritis), may be precipitated after mechanical insult without obvious bone fracture(1). It is hypothesized this is due to microcracking of subchondral bone under cartilage. This hard tissue layer is known to change with age and pathology. Ten ‘aged’ (71 years) and ten ‘young’ (47 years) cadaver knee joints were impacted to study the influence of age and pathology on the fracture load, and incidents of occult injury. Our results indicate that fracture load, per se, was independent of specimen age. On the other hand, severely pathological specimens required significantly higher loads to fracture bone. Occult microcraking was also observed in subfracture experiments, however, fewer incidents were recorded for the ‘aged’ specimens.

The mechanisms of knee fracture were studied experimentally using cadaveric knees and analytically by computer simulation. Ten 90 degree flexed knees were impacted frontally by a 20 kg pendulum with a rigid surface, a 450 psi (3.103 MPa) crush strength and a 100 psi (0.689 MPa) crush strength aluminum honeycomb padding and a 50 psi (0.345 MPa) crush strength paper honeycomb padding at a velocity of about five m/s. During rigid surface impact, a patella fracture and a split condylar fracture were observed. The split condylar fracture was generated by the patella pushing the condyles apart, based on a finite element model using the maximum principal stress as the injury criterion. In the case of the 450 psi aluminum honeycomb padding, the split condylar fracture still occurred, but no patella fractures were observed because the honeycomb provided a more uniform distribution of patella load. No bony fractures in the knee area occurred for impacts with a 50 psi paper honeycomb padding.

Spinal kinematics and kinetics of human cadaveric specimens subjected to -Gx acceleration are reported along with an attempt to design a surrogate spine for use in an anthropomorphic test device (ATD). There were a total of 30 runs on 9 embalmed and 2 unembalmed cadavers which were heavily instrumented. External photographic targets were attached to T1, T12, and the pelvis to record spinal kinematics. The subjects were restrained by upper and lower leg clamps attached to an impact seat equipped with a six-axis load cell. A rigid link 486 mm long and pinned at both ends was proposed for use in an ATD as a surrogate spine. An optimization method was used to obtain the location and length of a linkage which followed the least squares path of Tl relative to the pelvis.

A series of volunteer and dummy impact experiments was performed on a Hyge-type (accelerator) sled to study the relative motion between the upper torso restraint and the torso surface. Kinematic measurements were made using a three-dimensional photogrammetric analysis of high-speed film data. Belt slip was found to be in the range of approximately 10 to 30 mm with more slip experienced by volunteers than the dummy. The dummy showed a slight change in amount of slip with acceleration level and all slip takes place within the first 80 ms of belt loading.

The biodynamic response of the femur during passively restrained -Gx impact acceleration is reported in this paper. Eleven unembalmed cadavers, ranging in age from 21 to 65 and weighing from 50 to 96 kg, were tested in a VW Rabbit seat with a passive belt and knee restraint. Sectioned parts of the VW knee bolster were placed about 130 mm away from the patella at the initiation of the tests. The height of the knee bolsters was adjusted individually in the eleven tests. Ten were set for loading directly through the patella. In one run, the impact was below the knee joint. The sectioned bolsters were mounted on a rigid frame and instrumented with triaxial load cells. A six-axis load cell was installed in the right femur. Photo targets were attached directly to the femur and tibia. Sled runs were made at 22 and 35 g. Only one cadaver sustained bilateral femoral fractures at 35 g.

Head-to-knee interaction of the right front passenger dummy can occur in some 30-35 MPH crash barrier tests. The biofidelity and significance of these interactions as related to predicting human response was addressed in this study. In a series of laboratory experiments an instrumented headform was dropped on the dummy knee to simulate the barrier interactions. These test results were then related to the human by dropping the same headform on the cadaver leg. The instrumented headform was dropped from three heights to impact the Part 572 dummy knee at three velocities. Two impact sites and two impact angles were used. These test parameters bracketed the barrier conditions. Measurements from headform accelerometers permitted calculation of HIC value for comparison to barrier values. Comparable experiments were subsequently performed with three unembalmed cadaver subjects using the same headform and test procedures.

This study explores the application of viscoelastic modeling for characterization of the response of the brain to impulsive loading with the objective of learning whether such models could exhibit the same time dependency of strain or likelihood of injury, as exhibited by the Severity Index, HIC Index, Wayne Tolerance Curve, and other similar representations of tolerance. The mathematical relationships between viscoelastic properties and the corresponding time dependency of tolerance are shown for Newtonian, Bingham plastic, and Pseudo-Bingham, as well as more general behavior. Preliminary static and dynamic tests upon small mammalian material are described with particular attention given to strain in the vicinity of the brainstem as a function of loading profile. Both the theoretical and experimental results show that the falling time dependency of the above indexes can be interpreted in terms of nonlinear viscoelastic response.

Knee bolsters on the lower instrument panel have been designed to control occupant kinematics during sudden deceleration. However, a wide variability in car occupant anthropometry and choice of seating posture indicates that lower-extremity contacts with the impingement bolster could predominantly load the flexed leg through the knee (acting through the femur) or through the tibia (acting through the knee joint). Potential injuries associated with these types of primary loading may vary significantly and an understanding of potential trauma mechanisms is important for proper occupant restraint.

Finite element models of human body segments have been developed in recent years. Numerical simulation could be helpful when understanding injury mechanisms and to make injury assessments. In the lower leg injury research in NISSAN, a finite element model of the human ankle/foot is under development. The mesh for the bony part was taken from the original model developed by Beaugonin et al., but was revised by adding soft tissue to reproduce realistic responses. Damping effect in a high speed contact was taken into account by modeling skin and fat in the sole of the foot. The plantar aponeurosis tendon was modeled by nonlinear bar elements connecting the phalanges to the calcaneus. The rigid body connection, which was defined at the toe in the original model for simplicity, was removed and the transverse ligaments were added instead in order to bind the metatarsals and the phalanges. These tendons and ligaments were expected to reproduce a realistic response in compression.

Lower extremity injuries due to automobile accidents are often overlooked, but can have a profound societal cost. Knee injuries, for example, account for approximately 10% of the total injuries. Fracture of the knee is not only an acute issue but may also have chronic, or long term, consequences. The criterion currently used for evaluation of knee injuries in new automobiles, however, is based on experimental impact data from the 70''s using seated human cadavers. These studies involved various padded and rigid impact interfaces that slightly alter the duration of contact. Based on these data and a simple mathematical model of the femur, it appears fracture tolerance increases as contact duration shortens. In contrast, more recent studies have shown mitigation of gross fractures of the knee itself using padded interfaces. The use of padded interfaces, however, result in coincidental changes in contact duration and knee contact area.

According to the National Accident Sampling System (NASS), 10% of all automobile accident injuries involve the knee. These injuries involve bone fracture and/or “soft tissue” injury. Previous investigators have determined the tibial-femoral (TF) joint failure load for an experimentally constrained human knee at 90° flexion. In these experiments bone fractures have been documented. During TF joint compression, however, anterior motion of the tibia has been noted by others. It was therefore the objectives of this study to document effects of flexion angle and anterior-posterior joint constraint on the nature and severity of knee injury during TF compression loading via axial loads in the tibia. The effect of flexion angle was examined using 10 unconstrained human knees from 5 cadavers aged 73.2±9.4 years.

Lower extremity injuries are a frequent outcome of automotive accidents. While the lower extremity injury criterion is based on fracture of bone, most injuries are of less severity. Recent studies suggest microscopic, occult fractures that have been shown to be precursors of gross bone fractures, may occur in the kneecap (patella) for impacts with rigid and deformable interfaces due to excessive levels of patello-femoral contact pressure. One method of reducing this contact pressure for a 90° flexed knee is to provide a parallel pathway for knee impact loads into the tibial tuberosity. Yet, blunt loads onto the tibial tuberosity can cause posterior drawer motion of the tibia, leading to injury or rupture of the posterior cruciate ligament (PCL). Recently studies have shown that axial loads in the tibia, which are measured during blunt loading on the knee in typical automobile crashes, can induce anterior drawer motion of the tibia and possibly help unload the PCL.