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The International Journal of Lower Extremity Wounds
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Pretibial Injury: Key Factors and Their Use in Developing Laboratory Test Methods

R.M. Laing, MS, PhD, Dip Ed, CText FTI

Department of Clothing and Textile Sciences, University of Otago, Dunedin, r.laing{at}otago.ac.nz

D.J. Carr, BSc (Hons), PhD, CEng MIMMM

Department of Clothing and Textile Sciences, University of Otago, Dunedin

C.A. Wilson, BHSc, MCApSc, PhD, CText FTI

Department of Clothing and Textile Sciences, University of Otago, Dunedin

S.T. Tan, MBBS, FRACS, PhD

Wellington Regional Plastic, Maxillofacial, and Burns Unit, Hutt Hospital, Wellington

B.E. Niven, BSc(Hons), MSc

Centre for the Application of Statistics and Mathematics, University of Otago, Dunedin New Zealand

C. Davis, MBChB, FRACS

Wellington Regional Plastic, Maxillofacial, and Burns Unit, Hutt Hospital, Wellington

A. Bialostocki, MBChB, FRACS

Wellington Regional Plastic, Maxillofacial, and Burns Unit, Hutt Hospital, Wellington

Aims were to 1 characterize pretibial injuries and evaluate protection offered by garments/fabrics; and 2 develop a laboratory test to determine the potential protection provided by such fabrics. Most (>85%) of 75 patients treated for pretibial injury at Hutt Hospital, New Zealand sustained injury to one site and required surgery. Injuries were typically grade 3 or 4, 10-250 mm wide 30-350 mm long, and at the mid- to lower third of the tibia. The severity grade was lower when at least one fabric layer covered the site, slightly lower again with more than one layer, and when a knitted fabric/garment was worn, and a trouser type garment. Laboratory test methods and their application reflected these known variables. The force transmitted through multiple fabric layers was less then through one layer: thick pantyhouse and either denim or fabrics used in 'sweat pants' would minimize transmitted force and maximize impulse.

Key Words: pretibial • clothing • fabrics • test methods • impact

This version was published on December 1, 2008

The International Journal of Lower Extremity Wounds, Vol. 7, No. 4, 220-234 (2008)
DOI: 10.1177/1534734608326817


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