Ivarsson B Johan, Manaswi Abhijit, Genovese Daniel, Crandall Jeff R, Hurwitz Shepard R, Burke Christine, Fakhry Samir
University of Virginia, Center for Applied Biomechanics, 1011 Linden Avenue, Charlottesville, VA 22902, USA.
Forensic Sci Int. 2008 Mar 5;175(2-3):186-92. doi: 10.1016/j.forsciint.2007.06.019. Epub 2007 Sep 7.
The location, type, and local mechanism of tibial shaft fracture were determined for 66 drivers injured in frontal automobile crashes. The results from the analyses showed that the distal third is the most common fracture location (p<0.05) and that bending is responsible for the majority of these fractures regardless of the fracture site. These findings indicate that the current injury criterion for predicting the occurrence of tibial shaft fracture in crash tests with anthropometric test devices is appropriate in terms of accounting for the primary mechanism of fracture but that increased protective effectiveness could be achieved by redefining the criterion for the distal third shaft section instead of the currently specified mid-shaft section of the tibia.
对66名在汽车正面碰撞事故中受伤的驾驶员，确定了胫骨干骨折的部位、类型及局部机制。分析结果表明，远端三分之一是最常见的骨折部位（p<0.05），并且无论骨折部位如何，弯曲是这些骨折的主要原因。这些发现表明，目前在使用人体测量试验装置进行的碰撞试验中预测胫骨干骨折发生的损伤标准，在考虑骨折的主要机制方面是合适的，但通过重新定义胫骨干远端三分之一段而非目前规定的胫骨干中段的标准，可以提高保护效果。
