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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.
The following paper presents the nature and mechanism of injuries sustained in frontal impacts, focusing on car to car impacts. It was found that the body regions most frequently sustaining severe to fatal injuries were the legs and the thorax. The nature and mechanism of the injury sustained was investigated only for the thorax injuries, due to their potentially life threatening nature. The analysis revealed that the most frequent cause of the injury recorded was the seatbelt for low severity injuries and the front structure of the vehicle for higher severity injuries. An analysis of the effect of load limiter technology in the restraint system showed that the proportion of occupants who sustained "no thorax injury" did not increase when a load limiter was fitted to the restraint system. However, a decrease in the "organ" and "organ and skeletal" injuries was observed in the load limiter sample. Sample size and variation mean that these findings are not conclusive.
Although the statistics show a decreasing rate of child injuries and fatalities in German road accidents more efforts can be made to protect children in cars e.g. by developing appropriate child restraint systems. An important part in of this work can be achieved with the help of crash tests using child dummies. However these crash tests cannot completely reflect the situation of real world crashes as factors like children moving out of the optimal position or children incorrectly fastened by their parents are difficult to predict. Therefore this study gives an overview over the current accident and injury situation of child occupants in cars in German road accidents.
Die Berücksichtigung privater Nutzen und Kosten bei der Bewertung von Verkehrssicherheitsmaßnahmen
(1988)
In der Untersuchung wird eine Verbindung zwischen der Theorie der öffentlichen Güter und der Praxis der Bewertung von Verkehrssicherheitsmaßnahmen hergestellt. Die Arbeit besteht aus zwei Teilen. Im ersten Teil wird aus der Theorie der öffentlichen Güter und der Theorie der Mischgüter ein Bewertungsverfahren abgeleitet. Im zweiten Teil wird an vier Beispielen die Anwendbarkeit und Praktikabilität des Verwertungsverfahrens untersucht. Bei den Beispielen handelt es sich um den Sicherheitsgurt, das Autonotfunk-System, den Kinder-Verkehrs-Club sowie Verkehrsberuhigungsmaßnahmen.
Die Zielsetzung dieser Analyse bestand darin, Einblick in jene Faktoren zu gewinnen, die maßgeblich zur Entstehung und Folgenschwere von "Disco-Unfällen" beitragen, um Erkenntnisse für die Entwicklung von Maßnahmenkonzepten zur Reduktion dieser Unfälle zu gewinnen. Die Analysedaten basieren auf einer dreimonatigen bundesweiten Totalerhebung aller Unfälle mit Personenschaden, die sich auf Fahrten zu, auf Rückfahrten von oder auf Pendelfahrten zwischen Diskotheken ereignet haben. Innerhalb des dreimonatigen Erhebungszeitraumes waren 216 Disco-Unfälle zu verzeichnen, bei denen 64 junge Leute getötet und 484 schwerverletzt wurden. Unfallursachen: 61 Prozent der Unfallfahrer hatten eine zu hohe Blutalkoholkonzentration. Der Anteil alkoholisierter Fahrer war in städtischen Ballungsgebieten wesentlich höher als in ländlichen Regionen. Linkskurven mit einem großen Kurvenradius waren der häufigste Unfallort. Infolge von Überlastung in Verbindung mit mangelnden fahrphysikalischen Kenntnissen der jungen Fahrerereigneten sich mehr als ein Fünftel Unfälle in solchen Kurven. Die Folgenschwere von Disco-Unfällen resultiert unter anderem aus der hohen Nichtanlegequote von Sicherheitsgurten - insbesondere auf den Rücksitzen. Unter differentiellen Gesichtpunkten wurde eine überproportional häufige Unfallbeteiligung von Angehörigen der Berufsgruppen, Metall, Baugewerbe und Militär festgestellt. Die Risikobereitschaft der jungen männlichen Fahrer konnte durch den "Führerschein auf Probe" noch nicht angemessen reduziert werden. Als unfallreduzierende Maßnahmen wurden vorgeschlagen: - öffentliche Fahrtangebote während Abend- und Nachtstunden des Wochenendes (zum Beispiel Disco-Busse), - Aufklärungskampagnen und Verbesserung der Ausbildung und Nachschulung, - gezielte polizeiliche Überwachung zur Bekämpfung der Alkoholproblematik, - Übernahme der in Großbritannien erprobten Aktion des "Designated Driver".
Das Ziel der Untersuchung war, die Grenzen der Belastbarkeit eines Rollstuhl- und Personenrückhaltesystems mit Kraftknoten nach DIN 75078-2 zu ermitteln. Dazu wurden dynamische Schlittenversuche durchgeführt, bei denen die Verzögerungspulse sowie das Gesamtgewicht von Rollstuhl und Prüfpuppe variiert wurden. Für die Untersuchungen kamen ein Prüfrollstuhl, definiert nach ISO 10542, und Rückhaltesysteme mit Kraftknoten gemäß DIN 75078-2 zum Einsatz. Das Rückhaltesystem bestand aus einem Rollstuhl- und einem Personenrückhaltesystem, wobei das Rollstuhlrückhaltesystem (RRS) mit vier bzw. sechs Gurten und entsprechenden Retraktoren an einem dynamischen Schlittenaufbau befestigt wurde. Das Personenrückhaltesystem (PRS) bestand aus einem am Rollstuhl integrierten Beckengurt sowie einem Schulterschräggurt, der am Beckengurt und am Schlittenaufbau befestigt wurde. Ferner wurden bei den Versuchen Prüfpuppen verschiedener Alters- und Gewichtsklassen (P6, HIII 5 %, HIII 50 % und HIII 95 %) eingesetzt Die Belastungsanforderungen für das Rückhaltesystem wurden sukzessiv erweitert, indem einerseits das Gesamtgewicht (Rollstuhl und Prüfpuppe) und andererseits auch die Verzögerungspulse bis zur Versagensgrenze erhöht wurden. Das Vier-Gurt-Rückhaltesystem konnte bei einem Verzögerungspuls von 10 g einem Gesamtgewicht von bis zu 221 kg standhalten. Bei einem Verzögerungspuls von 20 g und einem Gesamtgewicht von 134 kg wurde das Vier-Gurt-System bis über die Grenzen belastet. Das Sechs-Gurt-Rückhaltesystem hat Belastungen bis 221 kg standgehalten. Infolgedessen ist bei einer Erhöhung der Verzögerungspulse auf 20 g und einem Gesamtgewicht von mehr als 109 kg ein Sechs-Gurt-System zu empfehlen.
Providing effective occupant protection in rollover crashes requires supplying the occupant with a restraint system proven effective in the dynamic rollover accident mode. Preventing ejection and providing restraint sufficient to prevent potentially injurious contacts with both interior and exterior vehicle components is paramount for effective rollover occupant protection. Research has shown that the injury potential can be decreased by closely coupling the occupant to the seat. This paper focuses on the effect of restraint system slack and its relationship to occupant excursion and ejection potential during rollover. Various restraint system configurations are evaluated in rollover-type test environments. A review of prior research is presented prior to presenting new quasi-static vehicle inversion studies conducted with live surrogate occupants. Additionally, dynamic rollover testing utilizing anthropometric test devices (ATDs) is presented. The influence of belt looseness and effects of various restraint designs on the belted occupants' injury potential are discussed.
In-depth road traffic accident research in Spain is a fairly recent activity. In the past, only accident data that had been retrospectively processed by the national and regional traffic police forces was available. In 1999 Applus+IDIADA set up a permanent accident research unit to carry out indepth analysis of road accidents in Spain. Since then accidents involving cars, motorcycles, coaches and vulnerable road users have been thoroughly studied. The Applus+IDIADA accident research team has carried out work for the various traffic polices in Spain and it is currently involved in several research projects in which accidentology is one of the main tasks. The working methodology of the team is presented in the first part of the paper. In the framework of the European research project "Rollover" (GRD2-2001-50086), Applus+IDIADA has collected data, inspected scenarios and performed virtual reconstructions of twenty-six of the total seventy-six rollover accidents studied. The second half of the paper describes how these accident investigations were used to develop a test procedure for identifying possible improvements to the vehicle structure which augment occupant protection in a rollover scenario. In particular, a proposal for a new drop test for rollover assessment is presented. The cases were analysed for severity, in terms of injury to the occupants and damage to the vehicle, and taking into account whether a seatbelt was worn or not. The worst possible cases were identified as those that had severe occupant injuries and sizable damage to the occupant compartment when seatbelts had been worn. The most severe cases were then analysed further for impact position (roll and pitch angles) and the impact velocity. With these parameters taken into account, the most representative combinations could be found. This resulted in a series of configurations for possible drop tests. The results of the tests indicate where passenger vehicle structures need to be improved in order to increase occupant safety in the event of a rollover crash.
Sedan type vehicles in which adult rear seat passengers were present and which were involved in frontal collisions were investigated, and the influence of unbelted rear seat passengers on the injuries of front seat occupants was studied. Unbelted rear seat passengers move forward during impact. It was observed that there were not only cases in which front seat occupants sustained injuries caused by direct contact with rear seat passengers, but also cases where front seat occupants received severe injuries due to additional force from rear seat passengers, either impacting directly or indirectly as a result of deformation of the front seat. Severe injuries of front seat occupants were observed in the latter cases. This research validates the importance of seat-belt use for rear seat passengers, not only to protect themselves but also to mitigate injuries of front seat occupants.
Detailed anthropometric data of pregnant women have been collected and used in the development of a computational model of the pregnant occupant model "Expecting". The model is complete with a finite element uterus and multi-body fetus, which is a novel feature in the models of this kind. The computational pregnant occupant model has been validated and used to simulate a range of impacts. The strains developed in the utero-placental interface are used as the main criteria for fetus safety. Stress distributions due to inertial loading of the fetus on the utero-placental interface play a role on the strain levels. Inclusion of fetus model is shown to significantly affect the strain levels in the utero-placental interface. This series of studies has led to the design of seatbelt features specifically for the pregnant women to enable them use the seatbelt correctly and comfortably.