PMID: 15345980Sep 4, 2004Paper

Restraint use and lower extremity fractures in frontal motor vehicle collisions

The Journal of Trauma
Lance S EstradaLoring W Rue

Abstract

Seat belts and air bags have been shown to significantly reduce morbidity and mortality following MVCs. Research suggests that restraint use does not protect against lower extremity fracture; however, no population-based studies of this association exist. The purpose of this study is to compare the effectiveness of combined seat belt and airbag restraint systems with airbag alone, seat belt alone, and no restraints with respect to incidence and location of lower extremity fractures. A retrospective analysis of front seat occupants involved in police-reported, tow-away frontal MVCs was conducted using data from the 1995 through 2000 National Automotive Sampling System (NASS). Incidence and relative risk (RR) of fracture to specific bony regions were measured according to seat belt use and airbag deployment. Compared with unrestrained occupants, occupants restrained with airbag only had significantly higher risk for all types of lower extremity fractures whereas those occupants restrained with either seat belt only or seat belt and airbag had lower risk of fracture. The greatest difference was seen with tibia/fibula fractures in airbag only (RR, 2.14) but this trend continued to be significant with femur and pelvic fractures (RR,...Continue Reading

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Citations

Dec 19, 2009·Current Opinion in Rheumatology·Smita RaoHoward Hillstrom
Jan 14, 2016·Traffic Injury Prevention·Aaron WynkoopTheresa Atkinson
Oct 23, 2009·Advances in Surgery·Regan F Williams, Martin A Croce
May 13, 2008·Journal of the American College of Surgeons·Regan F WilliamsMartin A Croce
Apr 4, 2008·The Journal of Emergency Medicine·David FrancisEileen M Bulger
Jan 28, 2006·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Sally Bragg
Oct 14, 2014·Traffic Injury Prevention·Narayan YoganandanAniko Szabo
Nov 4, 2017·Traffic Injury Prevention·Greg ShawJeff Crandall
Jun 13, 2015·Archives of Trauma Research·Hayat Ahmad Khan
Jan 17, 2015·Archives of Trauma Research·Babak Haghpanah

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