MECHANISMS OF LOWER EXTREMITY INJURIES TO FRONT SEAT CAR OCCUPANTS: AN IN DEPTH ACCIDENT ANALYSIS

An in-depth analysis of 194 fractures of the lower extremity has been performed using the United Kingdom Co-operative Crash Injury Study (CCIS). The principal aims of the study described were to determine the incidence and mechanisms of lower extremity injuries to front seat car occupants in frontal impacts, and to resolve the question of which injuries are a priority for prevention based on their potential for causing long term impairment and disability using new injury severity and impairment scales. The majority of the most severe and impairing below knee injuries were considered to be caused by footwell intrusion. Although pedals were implicated as the cause of over one fifth of below knee injuries, the majority of pedal related injuries were of low severity and not a source of long term impairment. For the covering abstract of the conference see ITRD E203597.

[1]  R. Protzman,et al.  Femoral-neck fractures in young adults. , 1976, The Journal of bone and joint surgery. American volume.

[2]  N. LAUGE-HANSEN Fractures of the ankle. V. Pronation-dorsiflexion fracture. , 1953, A.M.A. archives of surgery.

[3]  J. Kennedy,et al.  Experimental tibial-plateau fractures. Studies of the mechanism and a classification. , 1968, The Journal of bone and joint surgery. American volume.

[4]  Pete Thomas,et al.  The nature and cause of lower limb injuries in car crashes , 1991 .

[5]  J P Waddell,et al.  Pelvic disruption: assessment and classification. , 1980, Clinical orthopaedics and related research.

[6]  Jennie P. Psihogios,et al.  Fracture patterns of human cadaver long bones , 1995 .

[7]  F. R. Ober FRACTURE OF THE PATELLA , 1932 .

[8]  N. Lauge Fractures of the ankle; analytic historic survey as the basis of new experimental, roentgenologic and clinical investigations. , 1948, Archives of surgery.

[9]  R. Johner,et al.  Classification of tibial shaft fractures and correlation with results after rigid internal fixation. , 1983, Clinical orthopaedics and related research.

[10]  N. LAUGE-HANSEN,et al.  Fractures of the ankle. II. Combined experimental-surgical and experimental-roentgenologic investigations. , 1950, Archives of surgery.

[11]  J. Yde The Lauge Hansen classification of malleolar fractures. , 1980, Acta orthopaedica Scandinavica.

[12]  Patricia C. Dischinger,et al.  Lower extremity fractures in motor vehicle collisions: influence of direction of impact and seatbelt use , 1992 .

[13]  N. LAUGE-HANSEN Fractures of the ankle. IV. Clinical use of genetic roentgen diagnosis and genetic reduction. , 1952, A.M.A. archives of surgery.

[14]  J. Wiley The mechanism of tarso-metatarsal joint injuries. , 1971, The Journal of bone and joint surgery. British volume.

[15]  A. P. Aitken,et al.  Dislocations of the tarsometatarsal joint. , 1963, The Journal of bone and joint surgery. American volume.

[16]  J. Nummi Fracture of the patella. A clinical study of 707 patellar fractures. , 1971, Annales chirurgiae et gynaecologiae Fenniae. Supplementum.

[17]  N. Jouriles Pelvic fractures: Value of plain radiography in early assessment and management , 1987 .