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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.

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.