Abstract
In nonfatal passenger vehiclepedestrian accidents, the lower extremities are the most commonly injured body parts. The European Enhanced
Vehicle-safety Committee Working Group 17 (EEVC/WG17) pedestrian subsystem test method using a legform impactor has been developed
mainly for evaluation of aggressiveness of the front bumper of passenger vehicles. However, in recent years the number of sports utility
vehicles (SUV) with a high bumper has been rapidly increasing. Since the bumper height is different between a passenger vehicle and an
SUV, the type of lower extremity injury may be different. The type of lower extremity injury caused by this different bumper height should be
clarified, because the test method and vehicle safety countermeasure must take into account a certain type of injury. Furthermore, the effect
of vehicle impact velocity on the type of lower extremity injury in vehiclepedestrian accidents has not been investigated so far. Therefore,
the objective of this study is to clarify the effect of vehicle bumper height and vehicle impact velocity on the type of lower extremity injury in
vehiclepedestrian accidents. The Pedestrian Crash Data Study (PCDS), an in-depth accident database in the USA, was used for the current
analyses. The results indicate that the type of injury, i.e., to the tibia and knee ligament, could become an injury to the femur with an increase
in bumper height. Furthermore, the main injury at an impact velocity of around 2030 km/h is to the knee ligament. On the other hand, the
main injury at an impact velocity of around 40 km/h is a fracture of the lower extremities.
2005 Elsevier Ltd. All rights reserved.
Keywords: Pedestrian accident; Sport utility vehicle; Bumper aggressiveness; Lower extremity injury; PCDS
1. Introduction
Pedestrian protection is one of the key issues in the area
of vehicle safety legislation in Europe and Japan. As leg
injuries from the bumper are the most common injuries in
nonfatal pedestrian accidents (38%) (ITARDA, 2004), current investigation focuses on the accident conditions in vehicle bumper-pedestrian leg injuries. The European Enhanced
Vehicle-safety Committee (EEVC), the National Highway
Traffic Safety Administration (NHTSA), and the International Standard Organization (ISO) have discussed ways to
improve test methods for evaluating vehicle aggressiveness
against pedestrians for many years. The EEVC (WG10, 1994
and WG17, 1997) and ISO (ISO, 1996) are planning to use
a subsystem legform test setup to evaluate mainly the ag
0001-4575/$ see front matter 2005 Elsevier Ltd. All rights reserved.
doi:10.1016/j.aap.2005.03.005
634
2. Methods
2.1. Selected accident data
To analyze the effect of vehicle bumper height and vehicle
impact velocity on the type of lower extremity injury in realworld vehiclepedestrian accidents, the national accident
sampling system pedestrian crash data study (NHTSA, 1998),
an in-depth accident database in the USA (19941998), was
used. Sixty-two accident cases including information on both
the pedestrian and the vehicle involved were selected for the
present analysis. All of these accidents occurred at an impact velocity ranging from 3 to 59 km/h. The reasons for
selecting cases involving a low impact velocity in the present
study are that the information on both the pedestrian and
the vehicle at high impact velocities over 60 km/h is insufficient for present analyses and that 60 km/h corresponds to
a 1.5 times higher velocity than the 40 km/h targeted by the
EEVC/WG17 (EEVC, 1998). Pedestrians involved in these
selected accidents were either adults with an age range defined as 16 years, or older and children taller than 150 cm.
Here, the present investigator focused on three types of injuries, i.e., femur fracture, knee ligament injury and tibia
fracture scoring more than 2 on the abbreviated injury scale
(AIS) caused by front bumper contact, because the reduction
of such injuries is the aim of the bumper safety evaluation
test proposed by the EEVC/WG17 (EEVC, 1998).
The following cases of injury to the lower extremities were
excluded from the present accident case selection:
(1) cases with tibia malleolus fracture caused by friction with
the road surface;
(2) case of a pedestrian sustaining a femur shaft fracture
despite the fact that the bumper impacted the lower legs.
The injury description and data sample are listed in
Table 1. The types of injury sustained by the lower extremity
were categorized into the following three injury groups: femur fracture, knee ligament injury and tibia fracture as shown
in Fig. 1. A limitation of the present study is the small sample:
5 cases of femur fracture, and 20 and 48 cases, respectively,
of knee ligament injury and tibia fracture (Table 1).
Bumper lower height, bumper center height, and bumper
upper height were used to express bumper height as shown
in Fig. 2, because they differ for every vehicle. Moreover, to
635
Table 1
Injury description and data sample
Injury type
AIS code
Injury description
Femur fracture
851814,3
851822,3
840404,2
850810,2
850814,2
850826,2
853404,2
853406,2
853408,3
853420,2
853422,3
Knee ligament
injury
Tibia fracture
Total
3
2
6
1
2
11
20
Tibia fracture
Tibia plateau fracture
tibia plateau open/displaced/comminuted fracture
Tibia shaft fracture
Tibia shaft open/displaced/comminuted fracture
1
8
12
6
21
48
Number
(1)
3. Results
3.1. Distribution of three injury types for different
bumper lower height, normalized bumper lower height
and impact velocity
16
3
4
58
58
59
16
18
15
38.4
27.3
36.4
35.0
27.5
40.0
0.8571
0.5192
0.2941
0.9545 1.1111
0.7858 1.0417
0.7751 1.1111
0.8696
0.8085
0.7865
400
260
150
500
500
500
442
377
370
420
390
380
450
390
410
490
600
650
464
485
481
460
480
480
Femur fracture
5
Ligament injury 20
Tibia fracture
48
Injury type
Table 2
Median, mean, maximum and minimum pedestrian knee height, bumper lower height, normalized bumper lower height and vehiclepedestrian impact velocity according to three injury types
636
637
Table 3
Statistical test results for six vehicle bumper heights and impact velocity in femur fracture group and knee ligament injury group
Vehicle parameters
Unit
Number in femur
fracture group
Number in ligament
injury group
Median in femur
fracture group
Median in ligament
injury group
P-value
mm
mm
mm
5
5
5
5
5
5
5
20
20
20
20
20
20
20
420
480
560
0.8696
1.0435
1.2174
35.0
390
453
525
0.8085
0.9468
1.0978
27.5
0.026*
0.021*
0.022*
0.028*
0.017*
0.067
0.104
km/h
5% significance.
Table 4
Statistical test results for six vehicle bumper heights and impact velocity in knee ligament injury group and tibia fracture group
Vehicle parameters
Unit
Number in ligament
injury group
Number in tibia
fracture group
Median in ligament
injury group
Median in tibia
fracture group
P-value
mm
mm
mm
20
20
20
20
20
20
20
48
48
48
48
48
48
48
390
453
525
0.8085
0.9468
1.0978
27.5
380
445
510
0.7865
0.9468
1.0851
40.0
0.248
0.211
0.073
0.376
0.366
0.209
0.022*
km/h
5% significance.
Table 5
Statistical test results for six vehicle bumper heights and impact velocity in femur fracture group and tibia fracture group
Vehicle parameters
Unit
Number in femur
fracture group
Number in tibia
fracture group
Median in femur
fracture group
Median in tibia
fracture group
P-value
mm
mm
mm
5
5
5
5
5
5
5
48
48
48
48
48
48
48
420
480
560
0.8696
1.0435
1.2174
35.0
380
445
510
0.7865
0.9468
1.0851
40.0
0.003*
0.001*
0.003*
0.004*
0.004*
0.008*
0.494
km/h
1% significance.
Table 6
Statistical test results of vehicle impact velocity in two given injury groups for two regions of normalized bumper lower height
Normalized bumper lower height
Injury groups
Number
Median velocity (km/h)
P-value
5
35.0
0.061
8
20.5
48
40.0
0.022*
20
27.5
5% significance.
638
with those between the tibia fracture group and ligament injury group when below 1.111. The present analysis yielded an
impact velocity P-value of 0.061 between the femur fracture
group and the knee ligament injury group at the normalized
bumper lower height of 0.857 or above. This strongly suggests that the impact velocity can be treated as statistically
different between the femur fracture group and knee ligament
injury group. Where the bumper lower height normalized at
the knee height was below 1.111, the Wilcoxon test result
revealed a 5% significant difference (P = 0.022) in impact
velocity between the tibia fracture group and the ligament
injury group.
Table 7
Injury mechanism to lower extremity influenced by impact velocity level
Impact velocity level
High (40 km/h)
Thigh impacted by
bumper
Acknowledgements
The author is greatly indebted to Tsutomu Doi, Assistant
Professor of Ibaraki Christian College, Dr. Adam Wittek, research fellow of the University of Western Australia, Mr.
Masahiro Ito, senior researcher of the Institute for Traffic
Accident and Data Analysis (ITARDA), and to Mr. Akira
639
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