Failure Tolerance of Male and Female Lower Extremities under Pure Bending and Combined Loading Modes

Lower extremity injuries remain common in frontal motor vehicle crashes, with evidence suggesting increased vulnerability among female occupants. While prior research has established failure tolerances of midsize male lower extremities under bending and combined loading conditions, limited data exist for small female specimens. This study aimed to characterize and compare the failure tolerance of small female and midsize male postmortem human subject lower leg specimens under combined axial compression and posterior–anterior (PA) bending using consistent boundary conditions. Twenty-four lower leg specimens, including the tibia, fibula, and surrounding soft tissue, were obtained from 50th percentile male (n = 12) and 5th percentile female (n = 12) donors. Dynamic tests to failure were conducted at 1.5 m/s using a test apparatus designed to apply three-point bending in the PA direction with varying levels of superimposed axial compression (0, 2, 4, and 6 kN). When paired left and right legs from the same donor were available, they were assigned to different loading conditions to assess the influence of axial compression magnitude. Fracture timing was determined using force, strain, acoustic emission data, high-speed video, and post-test CT imaging. Results indicated that 18 specimens fractured at the tibial shaft, 5 near the potting interface, and 1 did not fracture. Under pure bending, mean failure moments were 255 ± 57 Nm for males and 156 ± 15 Nm for females. At 6 kN axial compression, failure moments decreased to 195 Nm and 72 Nm for male and female specimens, respectively. Among matched pairs, increasing axial load resulted in an average 21% reduction in bending moment at failure. These findings demonstrate reduced failure tolerance with increasing axial compression and highlight sex-based differences. The data provide a foundation for developing improved injury risk functions and scaling methodologies for diverse occupant populations as well as informing anthropometric test devices and human body models.