TY - CONF A1 - Haasper, Carl A1 - Otte, Dietmar A1 - Knolbloch, Karsten A1 - Probst, Christian A1 - Krettek, Christian A1 - Richter, M. T1 - A medical and technical analysis of knee injuries focusing vulnerable road users and restrained car drivers in road traffic N2 - Description of road traffic related knee injuries in published investigations is very heterogeneous. The purpose of this study was to estimate the risk of knee injuries in real world car impacts in Germany focusing vulnerable road users (pedestrians, bicyclists and motorcyclists) and restrained car drivers. The accident research unit analyses technical and medical data collected shortly after the accident at scene. Two different periods (years 1985-1993 and 1995-2003) were compared focusing on knee injuries (Abbreviated Injury Scale (AISKnee) 2/3). In order to determine the influences type of collision, direction and speed as well as the injury pattern and different injury scores (AIS, MAIS, ISS) were examined. 1.794 pedestrians, 742 motorcyclists, 2.728 bicyclists and 1.116 car drivers were extracted. 2% had serious ligamentous or bony injuries in relation to all injured. The risk of injury is higher for twowheelers than for pedestrians, but knee injury severity is higher for the latter group. Overall the current knee injury risk is low and significant reduced comparing both time periods (27%, p<0,0001). Severe injuries (AISKnee 2/3) were below 1%). Improved aerodynamic design of car fronts reduced the risk for severe knee injuries significantly (p=0,0015). Highest risk of injury is for motorcycle followed by pedestrians, respectively. Knee protectors could prevent injuries by reducing local forces. The classically described dashboard injury was rarely identified. The overall injury risk for knee injuries in road traffic is lower than estimated and reduced comparing both periods. The aerodynamic shape of current cars compared to older types reduced the incidence and severity of knee injuries. Further modification and optimization of the interior and exterior design could be a proper measurement. Classic described injury mechanisms were rarely identified. It seems that the AIS is still underestimating extremity injuries and their long term results. KW - Fahrer KW - Fußgänger KW - Fahrzeug KW - Fahrzeuginnenraum KW - Knie (menschl) KW - Konferenz KW - Motorradfahrer KW - Radfahrer KW - Risiko KW - Schweregrad (Unfall, Verletzung) KW - Unfallrekonstruktion KW - Sicherheitsgurt KW - Unfall KW - Vorn KW - Zusammenstoß KW - Accident KW - Collision KW - Conference KW - Cyclist KW - Driver KW - Front KW - Interior (veh) KW - Injury KW - Knee (human) KW - Motorcyclist KW - Pedestrian KW - Reconstruction (accid) KW - Risk KW - Safety belt KW - Severity (accid, injury) KW - injury) KW - Vehicle KW - Verletzung Y1 - 2007 UR - https://bast.opus.hbz-nrw.de/frontdoor/index/index/docId/393 UR - https://nbn-resolving.org/urn:nbn:de:hbz:opus-bast-3932 ER -