Defence Research and Development Canada Recherche et développement pour la défense Canada Assessment of Lower Leg Injury from Land Mine Blast – Phase 2 Follow up Tests with a Modified Frangible Surrogate Lower Leg and Comparison with Cadaver Test Data D.M. Bergeron, G.G. Coley, and R.W. Fall DRDC Suffield I.B. Anderson Canadian Forces Medical Group Terms of release: The information contained herein is proprietary to Her Majesty and is provided to the recipient on the understanding that it will be used for information and evaluation purposes only. Any commercial use including use for manufacture is prohibited. Release to third parties of this publication or information contained herein is prohibited without the prior written consent of Defence R&D Canada. Technical Report DRDC Suffield TR 2007-070 March 2007 Assessment of Lower Leg Injury from Land Mine Blast – Phase 2 Follow up Tests with a Modified Frangible Surrogate Lower Leg and Comparison with Cadaver Test Data D. M. Bergeron, G. G. Coley, R. W. Fall DRDC Suffield I. B. Anderson Canadian Forces Medical Group Terms of release: The information contained herein is proprietary to Her Majesty and is provided to the recipient on the understanding that it will be used for information and evaluation purposes only. Any commercial use including use for manufacture is prohibited. Release to third parties of this publication or information contained herein is prohibited without the prior written consent of Defence R&D Canada. Defence R&D Canada – Suffield Technical Report DRDC Suffield TR 2007-070 March 2007 Principal Author Dr. Denis M. Bergeron Approved by Dr. Chris Weickert Head Military Engineering Section/Director, Canadian Centre for Mine Action Technologies Approved for release by Dr. Paul D’Agostino Chair, DRDC Suffield Document Review Panel © Her Majesty the Queen in Right of Canada as represented by the Minister of National Defence, 2007 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2007 Abstract In 1999, the Canadian Centre for Mine Action Technologies (CCMAT) evaluated the suitability of a frangible leg model to assess the performance of mine-protective footwear. The model performance was satisfactory, but the strength of some bones needed to be adjusted. Furthermore, M14 mines could not be obtained in time for these tests which made it difficult to compare the results against those from cadaver tests done in the United States. In 2001, the same frangible leg model, now having improved bones, was evaluated in a second test series using M14 mines. This report presents the results from the 2001 test series. The improved model performed notably better than the previous model. The results compared well against the cadaver test results, although some further improvements could be made to increase its realism. However, the frangible leg model can be used, as is, to assess the performance of protective footwear against anti-personnel mines, provided the user accounts for the strengths and weaknesses of the model. Résumé En 1999, le Centre canadien de technologies de déminage (CCTD) a évalué la pertinence d’un modèle de jambe frangible visant à évaluer le rendement d’une chaussure de protection contre les mines. Le rendement du modèle était satisfaisant mais la force sur certains os a dû être ajustée. De plus, les mines M14 n’avaient pas pu être obtenues pour ces essais et il a été difficile de comparer les résultats avec ceux des essais sur les cadavres effectués au ÉtatsUnis. En 2001, le même modèle de jambe frangible, ayant maintenant des os améliorés, a été évalué durant une seconde série d’essais, en utilisant des mines M14. Ce rapport présente les résultats de la série de tests de 2001. Le modèle amélioré a eu un bien meilleur rendement que le modèle précédent. Ces résultats étaient comparables aux résultats des essais effectués avec des cadavres bien que d’autres améliorations permettraient d’en augmenter le réalisme. Le modèle de la jambe frangible peut cependant être utilisé tel quel pour évaluer le rendement des chaussures de protection contre les mines antipersonnel, dans la mesure où l’utilisateur tient compte des forces et des faiblesses de ce modèle. DRDC Suffield TR 2007-070 i This page intentionally left blank. ii DRDC Suffield TR 2007-070 Executive summary Assessment of Lower Leg Injury from Land Mine Blast – Phase 2 D. M. Bergeron, G. G. Coley, R. W. Fall, I. B. Anderson; DRDC Suffield TR 2007-070; Defence R&D Canada – Suffield; March 2007. In 1999, the Canadian Centre for Mine Action Technologies (CCMAT) assessed a frangible surrogate leg (FSL) to evaluate the performance of mine-protective footwear. The main recommendations from the these tests were to decrease the strength of the calcaneus and talus bones of the FSL, use only the lower segment of the FSL since the damage was concentrated in the distal leg, acquire M14 mines, and then repeat the assessment. Other recommendations included using only the Mine Trauma Score (MTS) during the post-test medical examination, and improving the flash x-ray setup to obtain more information about the evolution of the damage. By early 2001, these recommendations had been implemented and CCMAT purchased twelve frangible surrogate lower leg (FSLL) specimens. Eight FSLLs had softer calcaneus and talus bones, while the other four had the original hard version of these bones. The FSLL tests were performed over a three-day period in March 2001. Ten tests were performed against the M14 mine and the remaining two tests were against the PMA-2 mine. These tests and results are described in this report. Flash radiography was used to quantify the process of early damage to the distal leg. The M14 mine caused significant destruction to the FSLL when it was used with a regular combat boot. The main damage process was one of total disruption due to overpressure. When the same mine was used against an FSLL ’protected’ by a blast boot with an overboot, a different damage process resulted. The impingement of detonation products destroyed the sole of the overboot and accelerated its metal blast deflector to a velocity around 120 m/s. The lower deflector impacted the sole of the blast boot and transferred part of its vertical momentum to the blast deflector contained in the sole of the blast boot, which reached a peak velocity of around 65 m/s. The blast boot was not breached, indicating that the damage process was one of blunt trauma due to the impact by the blast deflectors. When the FSLL with blast boot and overboot was tested against a PMA-2 mine, the greater explosive mass accelerated the blast deflector of the overboot to a velocity of 240 m/s. The following impact with the blast deflector of the blast boot accelerated the latter to a velocity of at least 90 m/s, since this blast deflector was still accelerating at the longest x-ray time of 500 µs. The larger impact velocity caused a large overpressure in the distal leg, which burst from the inside out. The M14 test results against a blast boot with overboot revealed that the soft and hard calcaneus and talus bones produced different responses. The hard bones resulted in three salvageable injuries out of four tests. The soft bones produced the opposite result with only one out of four tests producing a salvageable injury, while each of the other tests would have led to an amputations. DRDC Suffield TR 2007-070 iii A comparison of the FSLL bone damage with the bone damage recorded during LEAP revealed that more tuning of the calcaneus and, perhaps, of the talus is required to increase the level of bio-fidelity of the FSLL. The tibia results indicated that the FSLL tibia clearly requires further work. During LEAP, transverse fractures of the tibia were never observed when exposed to the M14 while using the blast boot with an overboot. The FSLL produced a single or multiple transverse fracture of the tibia each time. It is suspected that this problem has its roots in the high strain rate behaviour of the FSLL material. Fortunately, this weakness of the tibia should not prevent the use of the FSLL as a diagnostic tool. Such breaks can simply be ignored during the damage analysis. The authors estimate that the damage to the calcaneus and talus is more important. Since the goal of any protective system is to prevent the loss of these two bones, failure of the calcaneus and talus indicates that the protective system failed. The flash x-rays and the load cell results demonstrated the importance of maintaining very tight control over geometry. Placement of the mine below the foot appears to have a strong influence on loading and, therefore, on the resulting injuries. iv DRDC Suffield TR 2007-070 Sommaire Assessment of Lower Leg Injury from Land Mine Blast – Phase 2 D. M. Bergeron, G. G. Coley, R. W. Fall, I. B. Anderson; DRDC Suffield TR 2007-070; R & D pour la défense Canada – Suffield; mars 2007. En 1999, le Centre canadien de technologies de déminage (CCTD) a évalué un modèle de jambe de remplacement frangible (FSL) visant à évaluer le rendement d’une chaussure de protection contre les mines. Les recommandations principales résultant de ces essais consistaient à diminuer la force du calcanéum et du talus de la jambe frangible, de n’utiliser que le segment inférieur de la jambe frangible puisque le dommage est concentré sur la jambe distale, de faire l’acquisition de mines M14 et de répéter ainsi l’évaluation. D’autres recommandations consistaient à n’inclure que le Score du trauma causé par les mines durant l’examen médical du post-test et d’améliorer la configuration de la radiographie éclair pour obtenir plus de renseignements au sujet de l’évolution du dommage. Ces recommandations ont été implémentées au début de 2001 et le CCTD a acheté douze spécimens de jambes inférieures frangibles de remplacement. Huit de ces jambes frangibles avaient un calcanéum et un talus plus mou alors que les quatre autres avaient la version originale de ces os. Les essais sur les jambes frangibles ont été effectués durant une période de trois jours en mai 2001. Dix essais ont été effectués avec des mines M14 et les deux autres avec des mines PMA-2. Ces essais et leurs résultats sont décrits dans ce rapport. On a utilisé la radiographie éclair pour quantifier le processus des premiers dommages infligés à la jambe distale. La mine M14 causait une destruction importante de la jambe frangible quand elle était utilisée avec une botte de combat normale. Le processus principal du dommage consistait en une disruption totale causée par la surpression. Quand la même mine était utilisée contre une jambe frangible « protégée » par une botte de protection contre le souffle ayant un couvre-chaussure, il en a résulté un processus de dommage différent. La collision des produits de détonation a détruit la semelle du couvre-chaussure et a accéléré le déflecteur de souffle métallique à une vélocité d’environ 120 m/s. Le déflecteur inférieur a impacté la semelle de la botte de protection contre le souffle et a transféré une partie de sa quantité de mouvement vertical au déflecteur de souffle contenu dans la semelle de la botte de protection contre le souffle qui a atteint une vélocité de crête d’environ 65m/s. La botte de protection contre le souffle n’a pas été trouée ce qui indique que le processus du dommage consistait en un traumatisme contondant causé par l’impact des déflecteurs de souffle. Quand la jambe inférieure frangible de remplacement portant la botte de protection contre le souffle ayant un couvre-chaussure a été testée à nouveau contre une mine PMA-2, la masse explosive plus importante a accéléré le déflecteur de souffle du couvre-chaussure à une vélocité de 240 m/s. L’impact suivant avec le déflecteur du souffle de la botte de protection contre le souffle a accéléré cette dernière à une vélocité d’au moins 90 m/s, puisque le déflecteur de souffle accélérait encore à la vitesse la plus haute de 500 µs. Cette vélocité plus importante de l’impact a causé une surpression dans la jambe distale qui a éclaté de l’intérieur vers l’extérieur. DRDC Suffield TR 2007-070 v Les résultats des essais M14 avec la botte de protection contre le souffle ont révélé que les os du calcanéum et talus produisaient des réponses différentes. Les os durs ont résulté en trois blessures récupérables sur les quatre essais. Les os mous ont produit des résultats opposés puisqu’un seul des quatre essais a produit une blessure récupérable, alors que les autres essais auraient abouti en amputations. Une comparaison des dommages des os sur la jambe frangible FSLL, ayant des dommages aux os enregistrés durant LEAP, a révélé que d’autres réglages du calcanéum et peut-être aussi du talus sont requis pour augmenter le niveau de bio-fidélité de la jambe inférieure frangible de remplacement. Les résultats du tibia indiquent clairement que le tibia de la jambe inférieure frangible de remplacement exige des améliorations. Durant LEAP, on n’a jamais observé de fractures transversales du tibia quand celui-ci était exposé à la mine M14 avec la botte de protection contre le souffle ayant un couvre-chaussure. La jambe inférieure frangible de remplacement a produit une fracture simple ou des fractures multiples sur le tibia à chaque fois. On suspecte que ce problème provient du comportement de haute vitesse de déformation des matériaux de la jambe. Heureusement, cette faiblesse dans le tibia ne devrait pas empêcher l’utilisation de la jambe inférieure frangible de remplacement comme outil de diagnostic. De telles brisures ne peuvent pas simplement être ignorées durant l’analyse des dommages. Les auteurs estiment que les dommages au calcanéum et talus sont plus importants. Le but de tout système de protection étant d’éviter la perte de ces deux os, les dommages infligés au calcanéum et talus indiquent que le système de protection a échoué. La radiographie éclair et les résultats du dynamomètre piézoélectrique indiquent l’importance de maintenir un contrôle très étroit de la géométrie. Le placement de la mine sous le pied semble influencer fortement la charge et par conséquent les blessures qui en résultent. vi DRDC Suffield TR 2007-070 Table of contents Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Résumé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Executive summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Sommaire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Table of contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii List of figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix List of tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii 1 2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1 Main Conclusions from the First FSL Tests . . . . . . . . . . . . . . . . . . 2 1.2 Recommendations from the First FSL Tests . . . . . . . . . . . . . . . . . 4 Test Objectives and Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 2.1 Description of the FSLL and its Preparation . . . . . . . . . . . . . . . . . 7 2.2 Experimental Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2.2.1 Soil and Explosive Charges . . . . . . . . . . . . . . . . . . . . . . 14 Experimental Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2.3.1 Mine and FSLL Placement . . . . . . . . . . . . . . . . . . . . . . 16 2.3.2 Post-Test Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2.3.3 Post-Test Medical Assessments . . . . . . . . . . . . . . . . . . . . 16 Physical and Medical Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 3.1 Analysis of the Flash X-Ray Imagery . . . . . . . . . . . . . . . . . . . . . 19 3.2 Summary of Boot Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 3.2.1 Damage to an Unprotected Combat Boot . . . . . . . . . . . . . . 28 3.2.2 Damage to a Blast Boot with an Overboot . . . . . . . . . . . . . 29 2.3 3 DRDC Suffield TR 2007-070 vii 3.3 MTS Scores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 3.4 Bone Damage Scores . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 3.4.1 Unprotected Combat Boot against the M14 Mine . . . . . . . . . . 35 3.4.2 Blast Boot with Overboot against the PMA-2 Mine . . . . . . . . 35 3.4.3 Blast Boot with Overboot against the M14 Mine . . . . . . . . . . 35 Load Cell Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 CONCLUSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 List of symbols/abbreviations/acronyms/initialisms . . . . . . . . . . . . . . . . . . 43 Annex A: Detailed Boot Damage Assessments . . . . . . . . . . . . . . . . . . . . . 45 Annex B: Detailed Medical Assessments . . . . . . . . . . . . . . . . . . . . . . . . 71 3.5 4 Annex C: Data Records from the Load Cells . . . . . . . . . . . . . . . . . . . . . . 111 viii DRDC Suffield TR 2007-070 List of figures Figure 1: Frangible Surrogate Lower Leg with soft core inserts (shown at the bottom of the picture) in the calcaneus and talus bones (photo courtesy of DSTO, Australia) 8 Series of operations required to prepare the FSLL for testing. From upper left to lower right: a) alignment rigs; b) gluing the counterweight plate; c) fixing the counterweight to the FSLL; d) preparation of FSLL for gelatine pouring; e) trimming of FSLL for total mass; f) painting on the nylon skin . . . . . . . . 9 Figure 3: Experimental set-up used for the second test series . . . . . . . . . . . . . . . 11 Figure 4: Flash x-ray arrangement used during the second test series to obtain two images per shot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 The specimens were examined by a qualified surgeon in a veterinary operating room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Flash x-ray images of an M14 mine explosion under a combat boot; timings from upper left to lower right are: 50.0 µs, 102.0 µs, 155.5 µs and 256.1 µs . . 20 Flash x-ray images of an M14 mine explosion under a blast boot with overboot; timings from upper left to lower right are: 102.0 µs, 152.6 µs, 255.4 µs and 506.4 µs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Flash x-ray images of a PMA-2 mine explosion under a blast boot with overboot; timings from upper left to lower rigt are: 105.3 µs, 152.6 µs, 255.4 µs and 505.2 µs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Eight reference points used to extract data from the flash x-ray images . . . . 24 Figure 10: Upper surface trajectory for the lower and upper blast deflectors versus time and mine type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Figure 11: Trajectory for the average y values of the calcaneus for the three test conditions 25 Figure 12: Trajectory for the average y values of the tibia for the three test conditions . . 26 Figure 13: Average bone scores for the M14 mine against the Blast Boot with Overboot . 36 Figure 2: Figure 5: Figure 6: Figure 7: Figure 8: Figure 9: Figure 14: Flash x-rays of an M14 mine explosion under the blast boot with overboot at 206 µs (left) and 706 µs into the event. The same overlays were drawn over the calcaneus and tibia to highlight changes. . . . . . . . . . . . . . . . . . . . . 37 Figure 15: The off-axis location of the load vector relative to the long axis of the tibia generates a positive moment at the centre of the this bone . . . . . . . . . . . 39 DRDC Suffield TR 2007-070 ix Figure A.1: Canadian Army Combat Boot. The same nomenclature applies to the US Army Combat Boot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Figure A.2: Blast Boot (above) and attenuator plate (below). . . . . . . . . . . . . . . . 47 Figure A.3: Overboot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Figure A.4: Damage to boots for shot 701/M01072D . . . . . . . . . . . . . . . . . . . . 49 Figure A.5: Damage to boots for shot 702/M01071C . . . . . . . . . . . . . . . . . . . . 51 Figure A.6: Damage to boots for shot 703/M01071A . . . . . . . . . . . . . . . . . . . . 53 Figure A.7: Damage to boots for shot 704/M01072A . . . . . . . . . . . . . . . . . . . . 55 Figure A.8: Damage to boots for shot 705/M01071B . . . . . . . . . . . . . . . . . . . . 56 Figure A.9: Damage to boots for shot 706/M01072E . . . . . . . . . . . . . . . . . . . . 58 Figure A.10:Damage to boots for shot 707/M01072B . . . . . . . . . . . . . . . . . . . . 60 Figure A.11:Damage to boots for shot 708/M01072C . . . . . . . . . . . . . . . . . . . . 61 Figure A.12:Damage to boots for shot 709/M01072F . . . . . . . . . . . . . . . . . . . . 63 Figure A.13:Damage to boots for shot 710/M01073A . . . . . . . . . . . . . . . . . . . . 64 Figure A.14:Damage to boots for shot 711/M01073B . . . . . . . . . . . . . . . . . . . . 66 Figure A.15:Damage to boots for shot 712/M01073C . . . . . . . . . . . . . . . . . . . . 69 Figure C.1: Coordinate system for the load cell measurements. . . . . . . . . . . . . . . . 112 Figure C.2: Fx record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Figure C.3: Fy record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Figure C.4: Fz record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Figure C.5: Mx record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Figure C.6: My record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 x DRDC Suffield TR 2007-070 Figure C.7: Mz record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Figure C.8: Fx record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Figure C.9: Fy record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Figure C.10:Fz record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Figure C.11:Mx record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123 Figure C.12:My record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Figure C.13:Fx record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Figure C.14:Fy record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Figure C.15:Fz record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Figure C.16:Mx record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Figure C.17:My record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Figure C.18:Mz record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 Figure C.19:Fx record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Figure C.20:Fy record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132 Figure C.21:Fz record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 Figure C.22:Mx record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134 DRDC Suffield TR 2007-070 xi Figure C.23:My record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 List of tables Table 1: Test matrix for the March 2001 FSLL test series. . . . . . . . . . . . . . . . 6 Table 2: Jig and mass properties for each FSLL specimen . . . . . . . . . . . . . . . . 12 Table 3: Flash x-ray timings for this second test series . . . . . . . . . . . . . . . . . 15 Table 4: Vertical velocity estimates from curve fits to the upper surface position of the blast deflectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Vertical velocity estimates from linear fits to the calcaneus and distal tibia position data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Table 5: Table 6: Weight of boots and overboots before and after each test . . . . . . . . . . . 29 Table 7: Summary of the MTS scores assigned to each FSLL; the data is ordered by protection type and then by increasing explosive mass . . . . . . . . . . . . . 31 Table 8: Summary of relevant MTS scores obtained during LEAP . . . . . . . . . . . 32 Table 9: Crude scoring system used to compare the level of bone damage between LEAP and FSLL tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Table 10: Summary of damage to some of the bones of the FSLL specimens . . . . . . . 33 Table 11: Summary of relevant bone damage during the LEAP study, deduced from [3] . 34 Table A.1: Table of Contents Annex A . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Table B.1: Table of Contents Annex B . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Table C.1: Table of Contents Annex C . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Table C.2: Summary of minimum and maximum values of the records . . . . . . . . . . 112 Table C.3: Key parameters for the normal force and its integrated values at different times 113 xii DRDC Suffield TR 2007-070 Acknowledgements A project needs the contributions from many individuals to be successful. Unfortunately, only a few names appear on a report and, too often, essential contributions from individuals working in the background are forgotten soon after the project is over. Here, the authors would like to list the personnel that contributed to this project, from start to finish, both to thank these people, but also to stress the importance of a team effort to achieve the successful outcome of a project. We are indebted to (not in any particular order): Jim Roseveare, Paul Schile, Dan Roseveare and Doug Roseveare of Amtech for their hard work to prepare the test set-up and support during the tests; Gurdev Boghal, John Staats and Wilfred Pudwell of the DRDC Suffield Experimental Model Shop for manufacturing the FSLL counterweights; Brian Galozowski of DRDC Suffield Technical Support Section for manufacturing the FSLL alignment rig on short notice; Scott Trebble and Randy Lynde of the DRDC Suffield Photo Instrumentation for their hard work in documenting the tests and later digitizing the x-rays; Darrell Boechler of DRDC Suffield and Blair Mullin of Amtech for running the electronic instrumentation; Tom Storrie and John Paul Zakordonski, from DRDC Suffield, for their expert support and producing outstanding flash x-ray images; Ellory Sanderson, from the Aberdeen Test Center, USA and Dr Dale Bass, from the University of Virginia, USA, for the loan of their tibia load cells; The Diagnostics Imaging Staff of the Medicine Hat Regional hospital for putting in long hours during evenings, after a long work day, to produce medical x-rays and CT scans of the specimens; Dr Robert Harris of the US Army, for reviewing the medical data and MTS scores; Dave Ulriksen and Sgt G. Handford of CFB Suffield for medical support during the experiments; Garth Woolf, Jim Forbes and Lyle Catton of DRDC Suffield for preparing and handling the explosives; Bob Martin and Paul Mast, the FTOs for looking after everyones safety; Betty McIvor, Vicky Roberts and Shelley Ewing for their help during report preparation and reproduction. DRDC Suffield TR 2007-070 xiii This list clearly shows that even a simple project such as this one requires a full team to succeed. Many thanks to all! We hope that we did not forget anyone. If we did, please accept our sincere apologies. xiv DRDC Suffield TR 2007-070 1 Introduction In 1999, the Canadian Centre for Mine Action Technologies (CCMAT) sponsored twentyfive anti-personnel (AP) mine blast tests [1] to determine whether or not the Australian Frangible Surrogate Leg (FSL) is suitable to assess the performance of mine-protective footwear. The CCMAT test results indicated that the FSL had the main attributes to perform this role: repeatability and sensitivity. Repeatability refers to the ability of the model to reproduce the same results, within reason, when subjected to the same explosive stimulus. Sensitivity refers to the ability of the model to produce distinct results as the explosive stimulus or the protection level is changed. This conclusion was reached mainly due to the level of damage imparted to the FSL bones. The 1999 tests also uncovered some of the FSL limitations. First, the strength of the calcaneus and talus bones was up to three times stronger than its human counterpart, unnecessarily increasing the level of damage to the tibia and fibula bones above. Second, the ballistic gelatine representing the soft tissues in the FSL did not allow deep penetration of high-pressure gas into the leg, as occurs in the human leg. Despite these shortfalls, the FSL demonstrated its potential to be a good tool to assess protective footwear against AP mine blast. But for such a tool to be truly useful, it is necessary to calibrate its response to mine blast against an existing database of mine blast injuries, a process referred to as developing injury criteria. When planning the 1999 CCMAT FSL tests, it had been hoped to obtain M14 mines and reproduce the test conditions from the US-sponsored Lower Extremity Assessment Program (LEAP) [2, 3]. The program subjected human cadaver legs to AP mine blasts and medical personnel examined the subjects and recorded the injuries. There were a total of thirtyseven landmine blasts using three mine types: M14 (29 g Tetryl), PMA-2 (100 g TNT), and PMN (240 g TNT). The cadavers were fitted with improvised sandals, standard combat boots, or mine-protective boots. In many cases, supplementary mine-protective footwear was used in conjunction with the basic footwear. Unfortunately, M14 mines could not be obtained in time for the CCMAT test series and the PMA-3 mine was used as a replacement. The PMA-3 is more powerful than the M14, which meant that, even if the FSL had performed perfectly, one-to-one comparison with LEAP could not have been done. Given this course of events, CCMAT nevertheless proceeded with the tests, concentrating its effort on assessing the FSL. Tight control over the test parameters allowed CCMAT to work on the following secondary objectives: • Obtain structural response data for mines with an explosive mass between those of the M14 and PMA-2 mines that were used during LEAP; • Evaluate the relative protective performance of a small selection of footwear strictly based on damage to the FSL; and • Acquire physical data using strain gauges and a load cell to determine their potential as instrumentation for the FSL. DRDC Suffield TR 2007-070 1 1.1 Main Conclusions from the First FSL Tests The CCMAT FSL tests performed in 1999 provided insight into the mine blast injury process. High quality flash x-ray images of the FSL and footwear showed that a hemispherical zone of high-pressure gas imparts localized damage to those parts of the footwear in the immediate vicinity of the mine. When the basic footwear was used without supplemenR tary mine-protective footwear, including the Wellco mine-protective boot, even the small PMA-3 mine destroyed the basic footwear and a significant portion of the FSL within. The R overboot or the Med-Eng supplementary mine-protective footwear, such as the Wellco TM Systems Spider Boot , played a sacrificial role, diverting some of the force of the explosion while distancing the inner footwear from the zone of very high-pressure closest to the mine. This significantly reduced the damage to the FSL. R R The tests involving a Wellco boot with a Wellco overboot revealed the existence of a region of increased pressure that is roughly aligned with the vertical axis of symmetry through the centre of the mine. Along this axis, there was enhanced deformation of the metal R blast deflector embedded in the sole of the Wellco blast boot. With the boot/overboot combination, the momentum transfer along this axis was large enough to deform both blast deflectors. Flash x-ray images also showed that for the larger mines, e.g., the PMA-2, the force of the impact was sufficient to pulverize the calcaneus and talus. In fact, for this mine, the foot was seen to literally burst, ripping the boot open in the process. It was clear that the damage to the leg starts distally and travels upwards, but remains relatively localized. Furthermore, the damage to both the footwear and the FSL increased proportionally with the explosive mass. The flash x-ray images of the tests on the Canadian Army combat boot showed that the steel shank in the sole of this boot undergoes substantial deformation. It sometimes pushed against the sole of the FSL foot with sufficient force to penetrate the soft tissues of the FSL, which suggests that dense objects in the sole of a boot can become projectiles under the large force from a land mine explosion–a principle that should be taken into account for future designs of protective footwear. The medical assessments from the first test series provided a vehicle to compare the performance of the FSL against the LEAP database, despite the differences in mine types. The study confirmed that an ideal scoring system does not exist for mine blast trauma. The AIS and NISSA scales were too coarse and relied on systemic responses that only exist with live patients, making these scoring systems unsuitable for a model such as the FSL. The ICRC score was more applicable, but it focuses on victims with fragmentation mine injuries and lumped all leg injuries from mine blast into only two categories: below or above knee amputations. The MTS scoring system remained the only option that could be applied to a synthetic model and with sufficient sensitivity to differentiate between various levels of lower leg mine trauma. For small mines against unprotected footwear, the MTS scores obtained with the FSL model were lower than those obtained with the LEAP model. This was contradictory given that the PMA-3 mine contains more explosive than the M14. However, this result is partly 2 DRDC Suffield TR 2007-070 attributable to the use of gelatine to simulate soft tissues in the FSL. Gelatine greatly attenuates the vertical propagation of the detonation products, while in human tissues the gas travels between self-dissecting planes along the facia that divide the compartments of the leg. Thus, obtaining lower MTS scores with the FSL relative to LEAP is consistent with one conclusion from the LEAP study: that, for unprotected footwear, the amputation level was largely determined from the extent of soft tissue damage. R When the Wellco overboot was used against the smaller mines, it produced a useful range of damage to the FSL. It was found that mine class and protective footwear were the main factors affecting the MTS scores. The inner footwear type had little influence on medical outcomes. However, the MTS scores for the FSL differed enough from those for LEAP that it warranted a closer look at the physical details of the injuries. The MTS scores were therefore broken down into two components: one corresponding to the amputation level, and one to the extent of soft tissue contamination. Considering the MTS score in this manner revealed more clearly some of the differences in behaviour between the FSL and cadaver models. The soft tissue scores indicated that the FSL skin is significantly more fragile than human skin. However, the selection of skin type for the FSL was driven by cost and was not deemed to be as important as the difference in amputation level. During the first phase tests, the FSL under-predicted the amputation level for small mines despite using the more powerful PMA-3 mine instead of the M14. For the larger PMA-2 mine, the FSL over-predicted the amputation level. In order to explain this behaviour, it was necessary to examine details of the bone damage extracted from the medical reports for the FSL and LEAP studies. A scoring system was designed based on four levels of bone damage, from intact to completely crushed or missing. It considered five bones: calcaneus, talus, pilon area, tibia, and fibula. Although coarse, this scoring system proved sufficiently sensitive to capture gross differences in bone behaviour. Applying this system to bone damage in both the FSL and LEAP studies produced consistent results. The unprotected cases produced a more severe score than the protected cases for a given mine. For the same protection level, the score severity increased gradually with mine size. This scoring system also captured the localization of bone injuries, generally producing a more severe score for the most distal bones and gradually decreasing in severity as one moved proximally. This bone damage scoring system clearly showed that the FSL calcaneus did not behave properly. It often survived or suffered only minor damage where the same bone in the cadaver model was destroyed. The survival of this bone meant that too much force was transferred further up the leg, increasing the level of damage to the talus, pilon area and the long bones of the lower leg. The FSL instrumentation during the first test series demonstrated that strain gauges would be difficult to use without extensive calibration. The main difficulty resides in the nonuniform cross-section of human bones combined with the complex geometry of the ankle joint that connects to the two long bones and makes it difficult to capture the exact stress flow distribution through these bones. To resolve this issue, it might be necessary to use a different strain gauge arrangement in combination with changes to the cross-section of a short segment of the tibia. The load cell data proved more useful, showing that the addition of protective footwear changes the load profile with respect to time. It was surmised that DRDC Suffield TR 2007-070 3 the additional mass of the blast deflectors helps to reduce peak force transmission to the bones, but that this additional mass continues to exert a push on the leg for a longer period of time compared to unprotected footwear. It was also noted that the introduction of a dissimilar material in the tibia generates a stress riser that caused artificial bone breaks where the bone meets with the interface cups of the load cell. 1.2 Recommendations from the First FSL Tests Although the September 1999 CCMAT tests were considered successful, several shortfalls were noted. These first tests were structured to explore the performance of the FSL, but because only a limited number of FSL specimens were purchased, only one test was performed for a most combinations of basic footwear, supplementary mine-protective footwear, and mine type. Repeatability was assessed for only a few cases. More tests with selected configurations were needed in order to assess the repeatability of the FSL with more confidence. However, two factors had the greatest impact on the first tests. First, the substitution of the PMA-3 mine for the M14 changed the load imparted to the footwear and FSL, thereby making it very difficult to directly compare the FSL and LEAP data. Second, the most distal bones of the Mk IV FSL, the calcaneus and talus, were much too strong and needed to be softened before the FSL could fulfill its potential as a test tool for AP mine blast testing. Thus, based on the results and observations made during the first CCMAT test series, seven recommendations were made: • Acquire M14 mines for the purposes of performing a limited number of additional tests against a modified FSL model. These tests should concentrate on fewer footwear combinations and mine types to further investigate the repeatability of the model; • Decrease the strength of the calcaneus and talus bones of the FSL to levels commensurate with their human counterparts; • Consider using only the lower segment of the FSL given that AP mine damage is strongly localized in the distal segment of the leg; • In future tests, discontinue the use of the AIS, NISSA and ICRC scoring systems and use only the MTS scores in combination with some form of bone injury scoring system; • Attempt to improve the flash x-ray set-up to obtain more images per test and use variable timings to record the deformation process, allowing to determine the impact speed of the blast deflectors on the sole of the foot; • Investigate the possibility of increasing the skin strength, taking into consideration that skin behaviour might not affect the overall usefulness of the model if the scoring system focuses on bone damage; • Consider alternatives to measure the effective load through the tibia or tibia/fibula combination. This might include a modification of the cross-section over a small segment of the tibia. 4 DRDC Suffield TR 2007-070 By early 2001, the first five recommendations had been implemented. Canada had obtained M14 land mines from the United States under the auspices of the two countries humanitarian demining programs. This transfer of land mines was carried out in accordance with the R&D provision built into the Ottawa treaty to ban AP land mines. The manufacturer of the FSL had decreased the strength of the calcaneus and talus bones to mimic the corresponding human bones and could provide a lower leg version that had been renamed the Frangible Surrogate Lower Leg (FSLL). The flash x-ray set-up had also been modified to maximize the data that could be obtained with this imaging technique. The last two recommendations were not implemented. It was decided that increasing the skin strength was not necessary given the existing limitations imposed by the uniform ballistic gelatine. Finally, it had been considered to modify the tibia by building in a load cell using the same material as the bones, but it was decided to report this modification to a later date once the results from the second test series were fully analysed. Thus, with the main recommendations having been implemented, CCMAT sponsored the purchase of twelve FSLL specimens and preparations for a second series of tests were initiated. The new specimens arrived at Suffield at the beginning of March 2001. Following final preparations, the tests were done over a three-day period, from the 12th to the 14th of March 2001. This report provides the details about the FSLL, its preparation, the test methodology and the results from these tests. DRDC Suffield TR 2007-070 5 2 Test Objectives and Methodology This second test series was designed to address four main objectives. These were: • Verify that the soft bones improves the fidelity of the FSLL model to reproduce the type of injury observed during LEAP; • Verify the repeatability of the FSLL by subjecting the model to the same test conditions multiple times; • Record the early damage process and velocity imparted to the blast deflectors within R the Wellco boot and overboot using time-spaced flash x-ray imaging; and • Repeat the LEAP conditions as closely as feasible to allow a direct comparison with the LEAP data. In order to reach these objectives, twelve FSLL were ordered and subjected to three basic test conditions. One test condition was repeated eight times. Ten tests were done with the M14 mine, while the larger PMA-2 mine was used for two tests. The basic footwear R was limited to the Wellco blast boot for ten tests and the US army combat boot for R two tests. The additional protective footwear was limited to the Wellco blast overboot. Thus the mines and footwear conditions were identical to those used during LEAP. Table 1 summarises the test conditions. The FSLL ID number was used as a cross-reference. Table 1: Test matrix for the March 2001 FSLL test series. FSLL ID TEST ID BONE TYPE BOOT TYPE PROTECTION THREAT LOAD CELL 701 702 703 704 705 706 707 708 709 710 711 712 M1072D M1071C M1071A M1072A M1071B M1072E M1072B M1072C M1072F M1073A M1073B M1073C Hard Hard Hard Hard Soft Soft Soft Soft Soft Soft Soft Soft R Wellco R Wellco R Wellco R Wellco R Wellco R Wellco R Wellco R Wellco Combat Combat R Wellco R Wellco Overboot Overboot Overboot Overboot Overboot Overboot Overboot Overboot None None Overboot Overboot M14 M14 M14 M14 M14 M14 M14 M14 M14 M14 PMA-2 PMA-2 Yes No Yes No Yes Yes No No No No No No Notes: (1) The mine was located under the heel, aligned under the tibia, for all tests R (2) The overboot refers to the Wellco mine blast overboot. The test conditions were the same for FSLL ID numbers 701 to 708, inclusive, but four specimens had hard calcaneus and talus bones while the other specimens had the soft version of these bones. This was done to quantify the effect of this factor on bone damage. A load cell was used in half of the tests, which introduces the possibility of changing the way the tibia and fibula break. However, the results from the first test series clearly demonstrated 6 DRDC Suffield TR 2007-070 that the damage is inflicted on the most distal portion first and travels upward. It was therefore assumed that the location of the load cell in the mid-tibia would have minimal influence on the damage pattern to the foot and ankle regions. 2.1 Description of the FSLL and its Preparation Based on the observations from during the first test series, it was determined that the injury process might be broken down into a short-term (first millisecond) and a long-term response, where the short-term response is characterized by plastic response of the distal leg while the long-term response corresponds to the vertical momentum and jump of the overall model. Thus, only the lower portion of the model is truly required to capture the relevant bone damage and the overall mass of the model can be maintained within some tolerance by adding mass above the knee level. Keeping the mass constant allows one to compare the jump from one test to the next. Furthermore, it is believed that the mass above the distal leg, here called the reaction mass, can influence the extent of damage to the distal leg. Suppose for example that the model vertical motion is constrained so that no jump is allowed. This imparts greater stress in the long bones, making it more likely that these bones will fail. The FSLL specimens for the second test series used tibia and fibula bones that were identical to those from the first test series. Strain gauges had been fitted to the long bones to provide continuity with the data from the first test series, not as main diagnostics. The bones of the fore and mid foot were also identical, but the calcaneus and talus bones were constructed around a porous core so that the overall static strength of these soft bones was comparable to the strength of their human counterparts. Figure 1 shows the FSLL and the porous inserts for the talus (lower left) and calcaneus (lower right) bones. The FSLL specimens were also fitted with an adaptor plate to receive the reaction mass. This plate was fixed to the top of the tibia using nylon threaded inserts and nuts. Approximately 100 person-hours were required to fit the reaction masses to the FSLL specimens prior to test. This operation requires several steps as depicted in Figure 2. Reaction masses were machined from round aluminium stock. A hole at the lower end matched the diameter of the stainless steel insert plates fitted to the FSLL specimens. The upper end had been drilled and tapped to fit an eyebolt so that the finished FSLL specimens could be attached to the crossbeam above the test platform (see later in this Chapter). Alignment jigs were constructed from wood to control the alignment of the reaction mass relative to the tibia. This is an important step towards controlling the geometry of the model from test to test. The jigs were also constructed so that the lower part of the FSLL gelatine mould could be used to position of the foot of the FSLL. Each FSLL specimen was positioned in a jig (Figure 2a) and a reaction mass was temporarily slid over the shaft of the adaptor plate. The next step was to adjust the alignment between the reaction mass and the tibia using the nylon nuts, and then fix the latter by melting a generous portion of the polyamide glue, making sure to fill the full space between the adaptor plate and the upper section of the DRDC Suffield TR 2007-070 7 Figure 1: Frangible Surrogate Lower Leg with soft core inserts (shown at the bottom of the picture) in the calcaneus and talus bones (photo courtesy of DSTO, Australia) 8 DRDC Suffield TR 2007-070 a b c d e f Figure 2: Series of operations required to prepare the FSLL for testing. From upper left to lower right: a) alignment rigs; b) gluing the counterweight plate; c) fixing the counterweight to the FSLL; d) preparation of FSLL for gelatine pouring; e) trimming of FSLL for total mass; f) painting on the nylon skin DRDC Suffield TR 2007-070 9 tibia. This was achieved by starting under the middle of the adaptor plate and working outward (Figure 2b). Once the polyamide glue had set, the reaction mass was pulled out, the FSLL specimen was removed from the jig and the two components were fixed to each other using a tight fitting pin that could be inserted using light tapping with a hammer (Figure 2c). The next step was to add gelatine to completely cover the FSLL knee region and the lower end of the reaction mass. Three FSLL moulds had been provided by the manufacturer for this purpose. Each FSLL was therefore fitted inside a mould and placed vertically on the floor (lower left in Figure 2d). Melted ballistic gelatine was then poured in the mould and the latter was moved to a freezer at 4◦ C for overnight curing. Once curing of the gelatine was complete, the FSLL was removed from the mould and gelatine was trimmed (Figure 2e) from the upper part of the FSLL to adjust the total mass to approximately 9.4 kg. The next step was to add a strain gauge on the surface of the foot, below the calcaneus, which would be used to record the time of arrival of the shock wave. The nylon skin was then fitted over the leg and melted into the superficial layer of the gelatine using a paintbrush and hot water (Figure 2f). The load cell was inserted into four FSLLs after the initial trimming operation. The steps to insert the load cell into the tibia were described in [1]. This required the removal of gelatine, removal of a tibia segment, R potting in of receiver cups with 5-Minute epoxy, installation of the load cell, refilling of ◦ the gelatine and further curing at 4 C. The bottom strain gauge and the skin were then installed. The start and final mass properties for each FSLL are listed in Table 2. It is seen that the average final mass for the regular FSLL specimens varied from 9.39 kg to 9.48 kg with an average final mass of 9.44 kg. The FSLL specimens that were fitted with a load cell had a similar mass after the initial trimming, but their mass was allowed to float to the new final mass after inclusion of the load cell. The final mass for those FSLL specimens varied from 9.83 kg to 10.69 kg, with an average mass of 10.14 kg. It is therefore seen that the mass of the FSLL specimens was relatively well controlled. 2.2 Experimental Set-up Figure 3 shows the experimental set-up used during the second test series. A wooden platform 2.4 m × 2.4 m was suspended 0.75 m above the surface of a concrete pad with eighteen 100 mm × 100 mm posts. Eight posts were located at the edges of a hole in the centre of the platform that received a soil container constructed from 12 mm thick steel. The dimensions of the container were 500 mm × 400 mm with a depth of 300 mm. The centre of the container, defined as Ground Zero (GZ), could be found from the intersection of twine attached to four nails fixed to the platform. A beam ran above the platform at a height of 1.5 m with another piece of lumber intersecting the beam at 90◦ above GZ. These beams were used to attach and stabilize the FSLL specimen. They were also needed to protect the cables running to the FSLL instrumentation. The main instrumentation used during these tests included six strain gauge channels, and five or six channels for the load cells. These load cells were the same ones used during the 10 DRDC Suffield TR 2007-070 Crossbeam and stabilisation beam Reference pressure transducer FSLL Instrumentation cable Flash x−ray film cassette Flash x−ray heads Figure 3: Experimental set-up used for the second test series DRDC Suffield TR 2007-070 11 Table 2: Jig and mass properties for each FSLL specimen FSLL ID JIG ID START MASS (KG)(1) REACTION MASS (KG) FINAL MASS (KG) 701 702 703 704 705 706 707 708 709 710 711 712 2 3 1 3 1 2 1 2 3 1 2 3 4.43 Not recorded 4.57 4.76 Not recorded 4.87 4.88 4.89 4.90 4.86 4.89 4.88 3.02 3.08 3.07 3.07 3.03 3.07 3.03 3.07 3.07 3.03 3.02 3.03 9.94(2) 9.39 9.83(2) 9.46 10.09(2) 10.69(2) 9.45 9.44 9.46 9.48 9.42 9.43 Notes: (1) This is the mass of the FSLL as received from the manufacturer, including the adapterplate. (2) The mass includes the load cell inserted in the middle of the tibia after the initial trimming operation. first test series and during the LEAP study. The only other electronic instrumentation was a free-field pressure transducer mounted in a flat dish pointing to GZ. The only function of this pressure transducer was to confirm that high-detonation of the mine had occurred. A high-speed video and high-speed film camera were placed 13 m from GZ to record the side view of the FSLL. A second high-speed video was placed 17.5 m from GZ to record the head-on view of the FSLL. In addition, up to three regular 8 mm video cameras were used to record various views of the event. Given the importance of the information obtained from the flash x-ray equipment during the first test series, this equipment was used again. However, a fresh x-ray cassette was used to obtain two images for each test. The flash x-ray arrangement (Figure 4) took advantage of optics and geometry to generate two images that the human mind would construe as being taken from the same point of view. The x-ray pulsers were placed as close to each other as possible. Two regular x-ray films were also placed as close as possible within a single film cassette, while the heel-to-toe axis of the FSLL was aligned parallel to the face of the x-ray film cassette. This meant that the FSLL was misaligned by 23◦ relative to each x-ray film. For the film located on the right-hand side, the toes of the FSLL were closer to the right edge of the image. This was reversed for the left-hand side film. The length of the FSLL projection on the films is then a function of the magnification factor (1.245), the lateral dimension x and the 23◦ misalignment angle. The magnification factor is normally used with the point of zero error (PZE) on each film to determine the real position of the object being imaged. The PZE is defined by the perpendicular from the film to the pulser and was determined by laser alignment for each test. Lead lines were taped to the face of the film cassette to generate crosshairs on each film. Using geometry about the PZE, the magnification factor, and the orthogonal 12 DRDC Suffield TR 2007-070 Note: All dimensions are in inches Figure 4: Flash x-ray arrangement used during the second test series to obtain two images per shot DRDC Suffield TR 2007-070 13 alignment error, it was possible to determine the exact position of any point of the FSLL from its position on the x-ray films using the following magnification factor formulas: M FRHS = D cos(23) − x sin(23) d cos(23) M FLHS = D cos(23) + x sin(23) d cos(23) where D is the total distance from the x-ray source to the film, d is the distance from the x-ray source to the object, and x is the lateral distance from the vertical feducia line. A recommendation from the first test series was to record the evolution of the footwear deformation and lower bone displacements during the early part of the injury process. In order to reach this goal despite the limitation that only two flash x-ray images could be generated per shot, it was necessary to make two assumptions: First, that the FSLL mass and initial geometry of the set-up would be identical for each shot; and second, that the impulsive stimulus generated by all mines of a given type would be the same from one test to the next. In reality, there are always small variations in mass, geometry, and mine blast output from one shot to the next, hence the importance of maintaining tight control over the experimental procedure. It will be shown later in this report that the geometry must be controlled very tightly to ensure accuracy. The timings for each x-ray were determined roughly prior to the test series and adjusted as results became available. Thus, based on the test matrix given in Table 1, three flash x-ray timing sequences were used as follows: • For M14 versus BB/OB: 50, 100, 150, 200, 250, 400, 500, and 700 µs; • For M14 versus CB: 50, 100, 150 and 250 µs; and • For PMA-2 versus BB/OB: 100, 150, 250 and 500 µs. These flash x-ray times are nominal. In reality, small variations occur, but the exact discharge times of the pulsers are recorded to an accuracy of 0.1 µs. Table 3 lists the actual flash x-ray firing times for each test. (Note: the nominal timings were repeated for both the hard and soft bone versions of the FSLL for the first test condition (M14 versus BB/OB)). 2.2.1 Soil and Explosive Charges The soil used for these tests was medium sand purchased in bags locally. The humidity level was very low–less than 1 per cent–to reproduce the same basic soil conditions that were used during the first CCMAT FSL tests and during the LEAP tests. It is known that humidity can have a strong influence on mine blast output. Thus, maintaining low soil humidity is the best method to maintain tight control over this experimental parameter. The two mine types used in these tests, the M14 and PMA-2, are described in References[3] and [1], respectively. The preparation for the M14 mines included the removing a large 14 DRDC Suffield TR 2007-070 Table 3: Flash x-ray timings for this second test series FSLL ID MINE FOOTWEAR(1) X-RAY HEAD 1 TIME (µs) X-RAY HEAD 2 TIME (µs) 701(2) 702 703(2) 704 705(2) 706(2) 707 708 709 710 711 712 M14 M14 M14 M14 M14 M14 M14 M14 M14 M14 PMA-2 PMA-2 BB/OB BB/OB BB/OB BB/OB BB/OB BB/OB BB/OB BB/OB CB CB BB/OB BB/OB 52.1 152.1 202.1 102.2 102.0 55.4 205.6 152.6 50.0 102.0 105.3 152.6 255.4 505.4 682.5 405.6 407.1 255.4 705.6 506.4 155.5 256.1 255.4 505.2 Notes: R (1) CB = combat boot; BB = Wellco blast boot; R OB = Wellco blast overboot. (2) This specimen had a load cell inserted in the middle of the tibia. metallic washer from the base, arming the mine, and depressing the pressure plate. This placed the M14 mine in the same condition as during an incident in the field. The M14 was fired using a remote fire control system employing a RP-87 detonator inserted in the base of the mine, where the actual detonator would normally be. Approximately 0.33 g of Deta R Sheet was used as a booster. The preparation and burial conditions for the PMA-2 mine were identical to those used during the first test series. Only the main charge was used. This mine has a top initiating fuse that stands proud of the main body. Detonation is initiated by depressing a star-shaped plunger. Total height of the fuse and plunger above the mine body is approximately 20 mm with the fuse depressed. Thus, a cylindrical cardboard spacer, 20 mm in height, was used to locate the PMA-2 mine body at the appropriate depth below the footwear. Detonation was achieved in the same manner as for the M14 mines. 2.3 Experimental Procedures This section provides details about the sequence of events that took place prior to and immediately after a shot. Prior to bringing out the FSLL, preparation of the platform included filling the soil container with new sand and carrying out all instrumentation checks. Filling the soil container involved removing old sand to a disposal site and pouring in new dry sand from 20 kg bags. No attempt was made to pack the sand. Previous experience had shown that a loose pour of the sand results in consistent soil density from shot to shot. The sand was levelled using a straight edge and excess sand was removed. Finally, the platform was cleaned for general work site safety and video quality. All instrumentation external to the FSLL was checked for functionality and prepared for the DRDC Suffield TR 2007-070 15 shot. This included loading and aligning the film cassettes for the flash x-ray system. The film was loaded in the high-speed camera and the high-speed videos were set and armed. Finally, the fire control systems was checked and put in the safe mode, ready for placement of the explosive charge and positioning of the FSLL over the mine. Once these steps were completed, all non-essential personnel left the site and final preparations were made. 2.3.1 Mine and FSLL Placement As with the LEAP and previous CCMAT tests, the mines were placed in the middle of the steel container. The M14 was buried flush with the sand surface while the PMA-2 was buried such that the top of the cardboard spacer was flush with the sand surface. Placement of the FSLL was done in the same manner as during the first test series. The centre of the heel of the boot was aligned on the crosshairs, without the explosive charge being present. The FSL was held manually in the vertical position while the rope that ran vertically from the eyebolt on top of the reaction mass to the crossbeam was adjusted so that the FSLL would not sink more than about 10 mm into the surface of the sand. After this step, tension on four strings that ran from the top of the FSLL to overhead attachment points was adjusted to hold the FSLL in the vertical position. When the FSLL stood up satisfactorily, it was tilted to move the foot sufficiently far to allow placement of the mine. The FSLL was then carefully located over the charge, final 35 mm pictures were taken, the site was vacated, final data acquisition and instrumentation checks were made, and the charge was fired. 2.3.2 Post-Test Actions Immediately following each test, the specimen was photographed and superficial damage to the leg was noted. The specimen was then removed from the test platform to the preparation site where any footwear remaining attached to the specimen was removed and placed in reinforced plastic bags. The footwear and FSLL specimen were weighed and mass changes were noted. The specimen was then returned to refrigerated storage pending medical assessment. If a load cell was present, the leg was dissected in a pre-arranged manner to remove the load cell and replaced with a spacer. The area surrounding ground zero was combed for pieces of boot, overboot and/or FSLL fragments. Since these tests were conducted outdoors without any fragment containment, numerous fragments were never found and, with the exception of the most obvious fragments, it could not be confirmed after the first shot that any small fragment found had originated from the latest shot. 2.3.3 Post-Test Medical Assessments At the end of each days trials, the specimens were taken to the Medicine Hat Regional Hospital where they underwent standard medical x-ray and Computerized axial Tomographic imaging (CT scan). The specimens were then returned to cold storage and transported 16 DRDC Suffield TR 2007-070 back to the research facility the next day. A radiologist inspected the x-rays and reported on each specimen. Copies of these reports are given in Annex B. The CT scan data were printed on film for immediate inspection and stored on digital medium for off-site processing at the Adelaide University Hospital, Australia, where 3D sagittal reconstruction was carried out. The 3D results were displayed as rotating images on a regular PC. However, these 3D reconstructions were not available to the examining surgeon when performing the post-test dissections. The specimens were examined and dissected by an experienced general surgeon (Figure 5). He was blinded to the protective equipment and type of mine used for the tests. Medical assessments were carried out in a single batch in a veterinarian operating room. The procedure used to inspect each specimen was the same used during the first test series. The specimens were taken from cold storage to the operating room. The x-rays and CT images were compared with the appearance of the specimen immediately before dissection and used to correlate the injury pattern found on dissection with that seen on the images, making note of: • Completeness of specimen and if any part was clearly missing; • Perforations of the witness layer (nylon mesh); and • Evidence of contamination (presence of sand, gravel, or textile adhering to the gelatine). The specimen was then examined in detail. The intrinsic stability of the ankle joint was tested and obvious laxity noted. The model was then destructively dissected starting distally. The witness layer was removed starting at the foot and progressing to the ankle, distal leg and just-below-knee areas. Splits and defects in the gelatine were noted and the gelatine stripped from the surrogate bones, which were then manipulated to confirm their integrity. Fractures in the bones were noted together with coincident abnormalities on diagnostic imaging. When bone and gelatine were shattered, reassembly of the tissue was attempted in order to estimate missing tissue. Joints were closely examined to determine stability. The presence of load cells in the distal tibia was noted and a careful assessment of the type of fracturing in this area noted. A simple fracture at the lower end of the load cell fixation was discounted as artefact. A comminuted fracture of the tibia that extended up to the load cell was considered a legitimate abnormality. Using the sum total of injuries for each specimen, each specimen was assigned an MTS score. Another experienced surgeon, who had access to the 3D CT reconstructions, later reviewed these scores. The scores from these two surgeons agreed for the majority of the tests, but there were exceptions that resulted in small differences. The results from the dissections and resulting MTS scores are given in Annex B. DRDC Suffield TR 2007-070 17 Figure 5: The specimens were examined by a qualified surgeon in a veterinary operating room 18 DRDC Suffield TR 2007-070 3 Physical and Medical Results To provide insight into the mechanisms associated with mine blast trauma, the flash x-ray images are discussed first. Since velocity is indicative of the effective momentum transfer due to the mine explosion, there was a special effort during the present tests to determine R the velocity imparted to the blast deflectors located within the Wellco equipment. The final physical state of the footwear is described and medical assessments, Mine Trauma Scores and bone scores are detailed. Finally, an attempt is made to correlate the FSLL results to those from LEAP. 3.1 Analysis of the Flash X-Ray Imagery The flash x-ray observations from the first test series revealed several features of the processes taking place during mine blast trauma to the lower leg. Improvements permitted observation refinements. Figures 6 through 8 show results for the three test conditions considered during the present test series. Figure 6 shows the early progression of damage, from 50 to 250 µs, for an unprotected combat boot exposed to a M14 mine. The net result for this mine-footwear combination is traumatic amputation of the foot. The flash x-ray demonstrates that it takes approximately 100 µs for the high-pressure gas to punch through the sole of the combat boot. There is negligible motion of the foot during this time. At 150 µs, damage to the foot starts to occur. By 250 µs, the calcaneus bone is losing its definition near the lower extremity, indicating that it is being pulverized locally. Furthermore, it can be seen that the calcaneus bone is rotating, as indicated by the change in angle of the upper rear surface of this bone. The hemispherical nature of the high-pressure gas bubble is clearly seen on the x-rays. The shape of the remaining portion of the sole is a good indicator of the shape of the gas bubble. It can be surmised how this push is causing bone dislocation in the mid- and forefoot regions. At this early time, the damage is localized around the distal portion of the lower extremity, but the onset of soft tissue stripping along the long bones of the leg also begins. Figures 7 and 8 show the early progression of damage, from 100 to 500 µs, for a blast boot with an overboot against the M14 and PMA-2 mines, respectively. Although the two events are similar, there are significant differences that can be attributed to the larger amount of explosive in the PMA-2 mine. Comparing the images at 500 µs, it is apparent that the diameter of the crater for the PMA-2 is much larger than for the M14. The density of soil at the lip of the expanding crater is also greater for the PMA-2 than for the M14 at 250 µs. These differences are a direct consequence of the larger amount of hot gas produced by the larger mine. The larger push from the PMA-2 causes a more violent collapse of the blast deflectors. By comparing the deformation of the blast deflectors for the two mines at similar times, the following differences can be seen. At 100 µs, only the lower deflector started to deform; the upper deflector has not yet been affected. The M14 produces a focussed deformation of the lower deflector while the PMA-2 deforms the latter over a greater area and with more force, as indicated by the greater amount of crushing. At 150 µs, the sole of the inner boot has been compressed and the upper blast deflector started to DRDC Suffield TR 2007-070 19 Figure 6: Flash x-ray images of an M14 mine explosion under a combat boot; timings from upper left to lower right are: 50.0 µs, 102.0 µs, 155.5 µs and 256.1 µs 20 DRDC Suffield TR 2007-070 respond. By 250 µs, the lower blast deflector for the M14 mine has lost momentum and is significantly displaced relative to the upper blast deflector. For the PMA-2 mine, the lower deflector is still pushing against the upper deflector. In both cases, the upper deflector is curved upward and pushes against the sole of the FSLL. The upper blast deflector also exhibits more crushing for the PMA-2 than for the M14. By 500 µs, both blast deflectors are moving upward under the continued push of the expanding gas. For the PMA-2, the upper blast deflector displays more upward curvature and more crushing. This deflector has also compressed the sole of the FSLL more than for the M14. The flash x-ray images were analysed to extract the position of eight specific points, as shown in Figure 9. Points 1 to 4 were selected to determine the deformation of the blast deflectors as a function of time and mine type. The x (left to right) position for these points roughly corresponds to the point of minimum thickness of each deflector. Points 5 to 8 were selected to measure the transmission of the impact force to the calcaneus and tibia. Thus, points 5 and 6 are two easily identifiable points on the calcaneus while points 7 and 8 define a line across the lower end of the tibia. Only the y coordinates were used to estimate vertical displacement with time. The results from this analysis are shown graphically in Figures 10, 11 and 12. Figure 10 shows the vertical position of the highest point on the upper surface of the lower and upper blast deflectors as a function of time. As can be seen, there is significant scatter of the data, which is attributed to variations in the initial position of the FSLL model. The set-up procedure called for applying the free weight of the model on top of the mine. However, the model sank until it found an equilibrium position because dry sand was used. The previous x-ray images demonstrated that the upper blast deflector starts to respond some time between 100 and 150 µs. Thus, if the initial position had been maintained, the first four points for the M14 upper deflector curve would all be at the same height, yet the vertical position of the top deflector upper surface varies by as much as 14 mm. The average height for these four points is 33.6 mm with a standard deviation of 6.5 mm. It should be noted that this error might also be attributable to the relative position of the upper footwear in the overboot. Irrespective of the exact source of this variation, the very short time intervals involved with flash x-ray measurements require very tight control over position. For example, an error of 1 mm in location for x-ray images captured over a 50 µs interval generates a velocity error of 1 mm/0.05 ms = 20 m/s. The best way to achieve high positional accuracy would be to use a test rig to hold the FSLL specimens in their initial position. Such a rig could also guide the initial motion of the model. Despite the variations in the initial position of the FSLL specimens, the points extracted nevertheless display trends. It was therefore decided to perform least square fits of third order polynomials to the M14 data and second order polynomials to the PMA-2 data. There are only four points for the PMA-2 data, which limits the order of the polynomial fit. The R2 value for the curve fits was greater than 0.93 for all curves with the exception of the Upper Deflector/M14 curve that had a R2 value of 0.77. The first derivative of these curve fits was then used to estimate vertical velocity. Table 4 lists the velocity values computed in this manner. It is seen that the greater explosive content of the PMA-2 imparts approximately twice the vertical velocity to the lower deflector in comparison with the M14 mine, i.e., DRDC Suffield TR 2007-070 21 Figure 7: Flash x-ray images of an M14 mine explosion under a blast boot with overboot; timings from upper left to lower right are: 102.0 µs, 152.6 µs, 255.4 µs and 506.4 µs 22 DRDC Suffield TR 2007-070 Figure 8: Flash x-ray images of a PMA-2 mine explosion under a blast boot with overboot; timings from upper left to lower rigt are: 105.3 µs, 152.6 µs, 255.4 µs and 505.2 µs DRDC Suffield TR 2007-070 23 7 8 6 5 4 3 2 1 Figure 9: Eight reference points used to extract data from the flash x-ray images 24 DRDC Suffield TR 2007-070 Figure 10: Upper surface trajectory for the lower and upper blast deflectors versus time and mine type Figure 11: Trajectory for the average y values of the calcaneus for the three test conditions DRDC Suffield TR 2007-070 25 Figure 12: Trajectory for the average y values of the tibia for the three test conditions about 240 m/s versus 120 m/s. Another feature of the data is the rapid deceleration of the lower deflector as it compresses the rubber of the sole and impacts the upper deflector. The third order fit to the M14 data displays an inflection point; which more or less reflects the flat portion of the curve up to 200 µs, which is indicative of the delayed response of this deflector. The curve fit to the M14 data suggests that the velocity of the upper deflector peaks at 65 m/s approximately 400 µs after detonation. The higher energy content of the PMA-2 might explain the continued acceleration of the upper deflector, which reaches a velocity around 90 m/s at 500 µs. These values are consistent with the initial velocity values for the respective lower deflectors and for conservation of momentum principles. The vertical momentum transfer to the calcaneus was estimated from the average y values of points 5 and 6, while the corresponding values for the tibia was estimated from the average y values of points 7 and 8. The resulting points are plotted in Figure 11 for the calcaneus, and Figure 12 for the tibia. Again, the scatter of the data is apparent, but linear curve fits through the data reveal the expected trend, i.e., that these bones are displaced vertically with time. The slopes of these lines are given in Table 5. They provide an indication of the vertical velocity imparted to these bones as a function of footwear and mine type. The velocity of the distal tibia is significantly less than that of the calcaneus. This large difference is apparent despite the variations in the initial position of the specimens. The general trend of the slopes — a factor 5 to 12 — clearly indicates that the M14 imparts much more vertical velocity to the bones when the FSLL is fitted with only the combat boot 26 DRDC Suffield TR 2007-070 Table 4: Vertical velocity estimates from curve fits to the upper surface position of the blast deflectors M14 MINE PMA-2 MINE Time (µs) Lower Deflector (m/s) Upper Deflector (m/s) Lower Deflector (m/s) Upper Deflector (m/s) 50 100 200 300 400 500 118 113 101 85 66 44 -47 (1) -17(1) 28 56 65 57 243 221 178 134 91 48 38(2) 44 55 67 78 90 Notes: (1) This value is physically impossible; it is an artefact from the curve fitting procedure due to imperfect data. (2) This value is an artefact from the curve fitting procedure since the lower deflector has not yet impacted the upper deflector at this early time. Table 5: Vertical velocity estimates from linear fits to the calcaneus and distal tibia position data BONE M14 Vs CB (m/s) M14 Vs BB/OB (m/s) PMA-2 Vs BB/OB (m/s) Calcaneus Distal Tibia 66.5 27.5 12.5 2.2 17.4 1.8 Notes: R CB designates the Combat Boot; BB the Wellco Blast Boot; R and OB the Wellco Blast Overboot DRDC Suffield TR 2007-070 27 as compared to a blast boot with overboot. Similarly, the data suggests that the PMA-2 mine imparts more vertical velocity to the calcaneus bone than the M14 mine, but the net transmission to the tibia is approximately the same. Thus, despite the uncertainty with the positional accuracy, it is seen that the data indicates trends that are consistent with the level of protection and mine type. The above vertical velocity measurements provide insight into the transmission of momentum from the mine, through the footwear, and into the distal leg. We first consider the process for the case when only a regular combat boot is worn. For this case, it is seen that the sole of the boot provides no protection. Furthermore, the foot is very close to the mine so that the expanding gas imparts significant momentum to the calcaneus and tibia bones. There nevertheless appears to be some energy dissipation at play since the distal tibia velocity is approximately half of the velocity of the calcaneus. When protective footwear selected for these experiments is used, it is seen that momentum is very quickly redistributed over the time period covered by the flash x-ray observations. The PMA-2 mine imparts approximately twice as much momentum to the lower deflector than the smaller M14 mine. The lower deflector slows down quickly as it compresses the rubber situated immediately above and then impacts the upper blast deflector. The momentum of the second deflector reaches a value approximately half of that for the lower deflector, at least for the M14 mine. For the PMA-2 mine, the data suggests that the upper deflector is still accelerating at the maximum flash x-ray time of 500 µs. The upper blast deflector then impacts the lower surface of the foot over an area slightly in front of the calcaneus bone, causing a backward rotation of this bone and pushing the heel through, or nearly through, the back of the foot. This, in itself, is an energy dissipation mechanism such that less momentum gets transmitted to the distal tibia. The vertical velocities recorded for these two bones suggest that wearing protective footwear greatly reduces the momentum transfer to these bones when compared with regular boots. 3.2 Summary of Boot Damage A detailed post-test examination of the boots and protective footwear was conducted (see Annex A). This section presents a summary. It was generally found that a given test condition produced a consistent level of damage to the footwear from one test to the next. A special effort was made during this second test series to comb the area after each test and recover as much of the boot as possible. The weight of the boot and overboot was also measured prior to and immediately after each test, as listed in Table 6. 3.2.1 Damage to an Unprotected Combat Boot Only two tests were performed against an unprotected US Army combat boot, both versus the small M14 mine. In each case, there was catastrophic failure of the boot. The heel was completely destroyed along with the insole and most of the upper. There was nothing left of the upper behind the line of the quarter/rear vamp seam. All that was left of the quarter is the eyelet flap and a strip up to 45 mm wide that attaches to the toe thread and front vamp. 28 DRDC Suffield TR 2007-070 Table 6: Weight of boots and overboots before and after each test FSL ID 701 702 703 704 705 706 707 708 709 710 711 712 BOOT OVERBOOT Before (kg) After (kg) Before (kg) After (kg) 1.150 1.156 1.167 1.127 1.144 1.238 1.175 1.086 0.996 0.963 1.234 1.152 1.150 1.156 1.167 1.127 1.144 1.238 1.175 1.086 0.822 0.723 1.270 1.176 1.164 1.130 1.140 1.132 1.129 1.180 1.139 1.171 Not applicable Not applicable 1.142 1.128 1.066 1.099 1.099 1.120 1.086 1.062 1.001 1.090 Not applicable Not applicable 1.030 0.963 The latter portion of the boot was still recognisable and relatively undamaged, highlighting the localized nature of the traumatic amputation for this mine size. The average mass of the boot fragments recovered represented 79% of the initial mass. 3.2.2 Damage to a Blast Boot with an Overboot This particular combination of footwear was exposed eight times to the M14 mine and twice to the PMA-2 mine during these tests. For those tests against the M14 mine, there was minimal external damage to the BB. In each case, the force of the impact was sufficient to permanently bend the sole into an exaggerated arch. In several cases, there was separation of the sole from the upper along the rear portion of the boot. In a few cases, there was also a small tear of the upper in front of the rear vamp. Damage to the interior of the boot was minor, consisting of tears in the insole foam. In one case, there was a split in the bottom of the sole, most likely due to unusual failure of the blast deflector. Damage to the overboot was also consistent, with the rear being destroyed each time. The vamp often tore along the back stitching line and on each side along the sole interface. The blast attenuator and deflector were often extracted under the force of the explosion. The average mass of the fragments recovered was 94% of the initial mass. When the BB/OB was subjected to the blast of a PMA-2 mine, the damage to the footwear was extensive. The heel of the overboot outer sole was destroyed and the blast deflector was flattened and separated from the overboot. The attenuator was fully crushed at the back and partially crushed along the remaining length. The Kevlar insole and lateral side panels remained attached to the outer sole in the front of the overboot. The side panels separated over most of the length of the sole in one case, but remained mostly attached in the other case. For both tests, the overboot was found in near proximity to the FSLL and inner boot. The inner boot also suffered considerably more damage than against a M14 mine. The outer DRDC Suffield TR 2007-070 29 sole remained relatively intact, but it was permanently bent upward into an exaggerated arch. There was extensive separation of the upper from the outer sole over most of the rear of the boot. The blast deflector was visible from the inner side of the sole, revealing that it had been fully crushed near the back and partially crushed over the remaining length. The Kevlar insole was uneven in the upper heel surface and longitudinal cracks were visible in the foam. Small fragments of ballistic gelatine (flesh) were embedded in part of the sole. The upper separated from the outer sole and the Kevlar insole. A vertical tear, starting at the mid point of the heel cap and running upward, was indicative that the pressure exerted on the FSLL foot caused the latter to burst, extruding bones and gelatine through the boot upper. This process was sufficiently violent to cause part of the upper to tear away from the boot. The mass values from Table 6 indicate that 88% of the total overboot mass was recovered. The mass for the inner boots increased by 2.5%. This increase is attributed to contamination from the bursting FSLL model, part of which was embedded in the broken footwear. 3.3 MTS Scores Each FSLL specimen was x-rayed in a clinical setting and a surgeon then performed a physical exam. The physical damage was noted and an MTS score was assigned. Another surgeon reviewed these scores at a later time. Annex B presents the x-ray reports and the detailed accounts of the clinical dissections performed by the first surgeon. Table 7 presents a summary of the MTS scores assigned by the surgeons. The medical examiners were blind to the footwear and type of threat that each specimen had been exposed to. Table 8 presents the corresponding MTS scores obtained during LEAP. The MTS results demonstrate that three factors influence the medical outcome: mine type, footwear and the construction of the calcaneus and talus bones. Let us first consider the results for the M14 mine. Each test against a combat boot resulted in a MTS score of 2B. Although this is consistent with the results obtained during the first test series, it is less than the MTS scores of 3, 3, 3, 3, and 4 that were obtained during LEAP. The LEAP scores were primarily attributed to the extent of soft tissue injury. The results for the FSLL therefore confirm the limitation of ballistic gelatine to simulate soft tissue. The results for the M14/boot/overboot combination illustrate the effect of bone type on MTS score. The hard bones resulted in higher MTS scores (1A, 2A, 2A, 2A/2B) relative to the tests against the softer bones (1A, 1A, 1A, 2A/1A). Both surgeons agreed that the results against the harder bones would have resulted in a below knee amputation in three out of four tests. This is the inverse of the results for the softer bones. One surgeon even estimated that all four cases were salvageable. This proves that the material characteristics for a frangible surrogate must be selected with care to achieve realism with model performance. Exposing the combination of boot and overboot to the PMA-2 mine confirmed that explosive mass has a strong influence on medical outcome. MTS scores of 2B, 2B/3 were obtained, indicating that a traumatic amputation should be expected for this larger mine despite the use of protective footwear. The flash x-ray provided insight into the nature of the injury 30 DRDC Suffield TR 2007-070 Table 7: Summary of the MTS scores assigned to each FSLL; the data is ordered by protection type and then by increasing explosive mass SHOT ID FOOTWEAR PROTECTION EXPLOSIVE MTS(1) 709/M01072F 710/M01073A 701/M01072D 702/M01071C 703/M01071A 704/M01072A 705/M01071B 706/M01072E 707/M01072C 708/M01073B 711/M01073B 712/M01073C Combat Boot Combat Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot Blast Boot None None Overboot Overboot Overboot Overboot Overboot Overboot Overboot Overboot Overbott Overboot M14 M14 M14 M14 M14 M14 M14 M14 M14 M14 PMA-2 PMA-2 2B 2B 1A 1A 2A/1A 1A 2A/2B 1A 2A 2A 2B 2B/3 Note: (1) When present, the second score was assigned by the reviewing examiner mechanism as compared to the tests against mines with a smaller amount of explosive. These results were comparable to those obtained during LEAP. 3.4 Bone Damage Scores The MTS scores, although useful, do not provide sufficient detail to assess the FSLL performance in terms of mechanical damage to individual bones. During the LEAP study, bone damage increased gradually from simple fractures, to compound fractures, to severe comminution. In the worst cases, some bones were pulverized to such an extent that they could no longer be recognized. In general, the level of damage increased with the magnitude of the impact applied to the foot, i.e., with increasing explosive mass or decreasing protection. To account for this progression, a scoring system was defined to analyse the results from the first FSL test series. The scores reflect the level of damage to individual bones using the four levels defined in Table 9. A simple linear numerical score, from 0 to 3, was assigned to each level so that bone damage could be ranked. Although relatively crude, this system successfully captured the gross differences in FSL performance for the first FSL test series. This crude scoring system was used to assess the level of damage to the bones based strictly on the written medical assessments contained in this report and the LEAP Volume II [3] report. Five bones were considered: calcaneus, talus, the pilon area (the interface between the talus and the long bones), tibia and fibula. The scores obtained from this analysis are listed in Table 10 and Table 11 for the FSLL and LEAP tests, respectively. An average for each bone was also computed for the blast boot/overboot combination versus the M14 mine. DRDC Suffield TR 2007-070 31 Table 8: Summary of relevant MTS scores obtained during LEAP SHOT ID FOOTWEAR Boot Boot Boot Boot Boot PROTECTION EXPLOSIVE MTS None None None None None M14 M14 M14 M14 M14 3 3 3 3 4 PS1 PS2 PS4 PS6 01 Combat Combat Combat Combat Combat PS7 03 06 08 10 Blast Blast Blast Blast Blast Boot Boot Boot Boot Boot Overboot Overboot Overboot Overboot Overboot M14 M14 M14 M14 M14 1 2A 2 2A 1 09 15 16 17 18 Blast Blast Blast Blast Blast Boot Boot Boot Boot Boot Overboot Overboot Overboot Overboot Overboot PMA-2 PMA-2 PMA-2 PMA-2 PMA-2 2B 3 3 2B 2B Table 9: Crude scoring system used to compare the level of bone damage between LEAP and FSLL tests 32 DESCRIPTOR SCORE LEVEL OF DAMAGE I S C M 0 1 2 3 Bone is intact, no physical damage is reported Simple fracture of the bone, could inlcude up to 2 fractures Compound (> 2 breaks) or comminuted fracture of the bone Highly comminuted fracture with missing bone material DRDC Suffield TR 2007-070 MINE TALUS PILON 709/M01072F 710/M01073A CB CB M14 M14 M M C M I S 701/M01072F 702/M01072F 703/M01072F 704/M01072F BB/OB BB/OB BB/OB BB/OB M14 M14 M14 M14 S I S I C S C S C C S S 0.5 1.5 S S C C Average score per bone 705/M01072F 706/M01072F 707/M01072F 708/M01072F BB/OB BB/OB BB/OB BB/OB M14 M14 M14 m14 Average score per bone M14 PMA-2 FIBULA FOOTWEAR TIBIA SHOT ID CALCANEUS Table 10: Summary of damage to some of the bones of the FSLL specimens BONE SCORE AVERAGE SCORE SOFT TISSUES S S S I 7 8 7.5 B B C C C C S S S S 8 6 8 5 1.5 2.0 1.0 C C C C C C I C C C S C C C I S 1.5 2.0 1.5 1.75 1.0 M M M M C M S C C C 9 8 5 9 7.75 12.0 A A A A A/B A A A 711/M01073B 712/M01073C BB/OB BB/OB Note: The MTS soft tissue damage descriptors are also reported here for completeness. The bone score is for the five bones. The average score is for the same protective footwear against the M14 mine. DRDC Suffield TR 2007-070 11 13 6.75 B B 33 MINE TALUS PILON 01 CB M14 M S C 03 06 08 10 BB/OB BB/OB BB/OB BB/OB M14 M14 M14 M14 C C C C S S C C C S C I Average score per bone 2.0 1.5 09 15 16 17 18 M M M C M S C C C C Note: 34 BB/OB BB/OB BB/OB BB/OB BB/OB PMA-2 PMA-2 PMA-2 PMA-2 PMA-2 FIBULA FOOTWEAR TIBIA SHOT ID CALCANEUS Table 11: Summary of relevant bone damage during the LEAP study, deduced from [3] BONE SCORE AVERAGE SCORE SOFT TISSUES S S 8 8.0 B I I I I C I S I 7 4 7 4 1.25 0.0 0.75 C C C I C I C C S S S S/C C S S 7 10.5 11 6 9 5.5 8.7 A N A N B B B B B The MTS soft tissue damage descriptors are also reported here for completeness. The bone score is for the five bones. The average score is for the same protective footwear against the M14 mine. DRDC Suffield TR 2007-070 3.4.1 Unprotected Combat Boot against the M14 Mine The average score of 7.5 for the FSLL versus 8.0 for LEAP suggests that the FSLL performed well for a M14 mine against an unprotected combat boot. However, comparing the damage on a bone-to-bone basis shows many differences. In each case, the calcaneus was damaged extensively, being broken into small fragments. The damage to the talus of the FSLL was extensive for each of the two tests while the LEAP study reports only a simple fracture to this same bone. The pilon area was damaged significantly during LEAP, but appeared to suffer much less damage with the FSLL. Finally, the damage to the long bones (tibia and fibula) of the FSLL appeared to be similar to that observed during LEAP. The above comparison is made using only one test for LEAP. More importantly, the x-rays from LEAP were not available to make a detailed count of bone fragments, which might be a more objective method when ranking the level of comminution. Despite these limitations, it is seen that the FSLL model captured the essence of bone damage. There was extensive damage to the lower bones, and less damage to the long bones. 3.4.2 Blast Boot with Overboot against the PMA-2 Mine The average score of 12.0 for the FSLL versus 8.7 for LEAP suggests that the FSLL did not perform well for a blast boot with overboot against the larger PMA-2 mine. Again, it is important to compare the results on a bone-to-bone basis given the wide variation of the LEAP scores (from 6 to 11). The LEAP tests always resulted in very extensive damage to the calcaneus. This was also the case for the two FSLL tests. The level of damage to the talus of the FSLL was also extensive, while LEAP appeared to produce severe, but less extensive damage to the same bone. The level of damage to the pilon area was extensive for four out of five of the LEAP tests, and both FSLL tests. It should be noted that one LEAP test did not damage the pilon area, which is suspicious given the amount of explosive in the PMA-2 mine. Finally, the FSLL tests produced simple and compound fractures of the long bones. This was also the case for five LEAP tests (in one test, the tibia remained intact). Thus, from a broad perspective, the FSLL did not perform badly. It reproduced the level of damage to the calcaneus, talus and pilon area. The calcaneus was damaged extensively, just as it was during LEAP. The damage to the long bones was also similar in most cases. However, it was clear that the PMA-2 is an overmatch for the protection level considered here, and both the LEAP and FSLL results indicate that traumatic amputation would occur. 3.4.3 Blast Boot with Overboot against the M14 Mine This combination of threat and protection is particularly well suited to compare the performance of the FSLL against the LEAP data. The MTS scores indicate that this combination is near the threshold of damage that requires amputation. The M14 produced a blast that was sufficient to break the bones of the test models (cadaver for LEAP and FSLL), but not sufficient to breach the inner footwear. Hence, all bones were salvaged and could be inspected. Furthermore, twelve tests were performed, four for LEAP, four for the FSLL DRDC Suffield TR 2007-070 35 Figure 13: Average bone scores for the M14 mine against the Blast Boot with Overboot with hard bones, and four for the FSLL with soft bones. The average bone score for LEAP was 5.5, while the corresponding scores for the FSLL were 6.75 for the soft bone configuration and 7.75 for the hard bone configuration. Figure 13 provides a graphical comparison of bone scores obtained for each of the three models, i.e., human cadaver, FSLL with hard bones and FSLL with soft calcaneus and soft talus. The human calcaneus is very susceptible to damage during a mine explosion. This bone sustained a high level of comminution every time during the LEAP tests. By comparison, the hard version of the FSLL calcaneus, FSLL(H), was intact in two out of four tests and displayed only a simple fracture in the other two tests. The soft version of the FSLL calcaneus, the FSLL(S), fared better, exhibiting a high level of comminution during two out of four tests and a simple fracture for the other two tests. Although this is an improvement over the FSLL(H) results, the results suggest that further softening of this bone is required to reproduce the LEAP results. This result is somewhat unexpected given that the strength of the FSLL(S) calcaneus had been tested statically against freshly extracted human bones. The answer might lie in the high strain rate behaviour of the FSLL materials relative to human bone. During LEAP, the talus was always fractured, with simple fractures for two out or four tests and comminuted fractures for the remaining tests. The hard version of the FSLL talus, FSLL(H), produced the same results. However, the results for the soft version of the FSLL talus, FSLL(S), produced a high level of comminution during each of 36 DRDC Suffield TR 2007-070 Figure 14: Flash x-rays of an M14 mine explosion under the blast boot with overboot at 206 µs (left) and 706 µs into the event. The same overlays were drawn over the calcaneus and tibia to highlight changes. the four tests. This suggests that the hard version of this bone should be used in the future, but reducing the strength of the calcaneus might correct this situation. To clarify this last statement, it is useful to consider some details of the events that take place during the mine explosion, as shown in Figure 14. The earlier x-ray shows that the impact has not yet reached the underside of the foot. The lower blast deflector is in the process of transmitting vertical momentum to the upper deflector. The x-ray taken 500 µs later shows both deflectors deformed and pushing against the sole of the foot. The overlay drawn over the calcaneus clearly shows that the deflectors contact the lower inside of this bone and cause it to rotate. Dislocation of the calcaneus from the bones in the mid-foot has started. In addition to the rotation, the calcaneus is pushing on the talus, which is itself transferring the force to the distal tibia. There is a direct correlation between the strength of the calcaneus and its ability to transfer force to the talus. Thus, if the strength of the FSLL(S) calcaneus is decreased further, the force transfer to the talus will be reduced as well and the current strength of the FSLL(S) talus might be adequate to reproduce the LEAP results. The bone damage results for breaks of the tibia show a clear difference between the LEAP and FSLL results. Each of the four LEAP tests left the tibia intact, i.e., did not cause a break of the shaft. On the other hand, the shaft of the FSLL tibia broke every time. All DRDC Suffield TR 2007-070 37 four tests with the hard version of the calcaneus and talus resulted in multiple breaks of the tibia. This also occurred three out of four times when the soft version of these bones was used, while the fourth test resulted in a simple break. This might indicate that the softer bones reduce the transfer of load, but there is insufficient data to draw any conclusion other than that the FSLL tibia does not reproduce the behaviour observed during the LEAP study. Similarly, the wide range of damage to the fibula observed during LEAP makes it difficult to draw any conclusion about the performance of the reproduction of this bone used in the FSLL. However, it is important to note that the fibula is not the main load-bearing bone of the lower leg. Thus, it is more important to correct the behaviour of the tibia. 3.5 Load Cell Results A load cell was installed in four FSLL specimens that were subjected to the same test conditions. The full data records are provided in Annex C. Table C1 gives a summary of minimum and maximum values along with the associated times. For any given test, the peak force Fz was 10 to 20 times greater than the corresponding forces Fx and Fy . This was a direct consequence of placing the mine directly below the long axis of the tibia, which produced a predominantly vertical load. The average time of arrival of the load at the load cell was 0.41 ms (0.38 to 0.45 ms) after detonation and peaked around an average time of 1.09 ms (0.99 to 1.14 ms). The maximum vertical load ranged from 4312 to 4515 lbf for three of the four tests, while the last test produced a peak load of 5523 lbf . The average peak force was 4668 lbf . The 25% load increase for the fourth test prompted us to examine the flash x-rays more closely. This revealed significant difference in the placement of the FSLL specimen from test to test. For the first three tests with a load cell, the vertical cross-hair line cleared the front of the tibia. For the last test, it overlapped the front of the tibia. This is approximately a 10 mm difference in placement, which put the long axis of the tibia more directly in line with the mine. It is suspected that this difference in placement is the reason for the increased vertical loading. This result suggests that it is imperative to maintain a very tight control over the placement of the surrogate over the mine. All four load cell traces for Fz had the same form. The load recorded went negative and did not climb back to zero for 7 to 9 ms after peaking. For the shot against FSLL No. 703, the recovery time was much shorter, only 3 ms. The difference in recovery time is very apparent when considering the integral of the vertical force at four times (see Table C2): 1.5, 2, 5 and 10 ms after detonation. The integral values at 10 ms are representative of the maximum value attained, which varied from 6865 to 7681 in-lbf for three of the four tests, and 4834 in-lbf for the fourth test. The last result corresponds to the test with the quickest recovery. Using the integral value at 10 ms as a reference, it is seen that the majority of the impulse is delivered early during the blast event. Approximately 40% to 60% of the impulse had been delivered to the tibia 1.5 ms after detonation. This increased to 70% to 95% at 5 ms after detonation. The moments about the three axes were measured at the mid-tibia location. The peak values are compiled in Table C2. It is seen that the magnitude of the moment Mz , i.e., 38 DRDC Suffield TR 2007-070 Figure 15: The off-axis location of the load vector relative to the long axis of the tibia generates a positive moment at the centre of the this bone torque about the long axis of the tibia, was ten to twenty times smaller than the magnitude for the corresponding moments Mx and My . This is attributed to the fact that the load vector was predominantly along the long axis of tibia, which resulted primarily in bending loads, not torsion loads. The bending moments Mx and My displayed a strong bias towards generating positive peak moments that were approximately five times greater than the corresponding negative peak moments. The offset for the fore-aft moment, Mx , is due to the load axis being forward of the tibia, as shown in Figure 15. Thus, the load puts the front of the tibia in compression and the rear in tension. Figure 15 also shows a rear view of the tibia-fibula. It is seen that the load vector passes to the right of the tibia, which creates a positive moment at the centre of the tibia. Thus, it is seen that the moments are generated by a combination of offsets between the load vector and the long-axis of the tibia, as well as the geometry of the bones. DRDC Suffield TR 2007-070 39 4 CONCLUSIONS This report presented the results from twelve tests done in March 2001 to assess the FSLL, which is an updated version of the FSL that had been tested earlier in 1999. The new model was limited to the distal segment of the leg (below the knee) and included softer calcaneus and talus bones. Four FSLL specimens with the original hard bones were tested to provide a direct comparison of performance with the newer soft bones. A load cell was installed in the mid-tibia of four specimens. Ten tests were performed against the M14 mine so that the results could be compared to those from LEAP. The remaining two tests were against PMA-2 mines. The improved flash x-ray technique produced excellent quality x-rays that were used to quantify the process of early damage to the distal leg. The M14 mine caused significant destruction to the FSLL when it was used with a regular combat boot. The main damage process was one of total disruption due to overpressure. The examining surgeons determined that these would result in below-knee amputations. When the M14 mine was used against a FSLL protected by a blast boot with overboot, a shift in the damage process was observed. For these test conditions, it was determined from the x-rays that the impingement of detonation products destroys the sole of the overboot and accelerates the metal blast deflector to a velocity of around 120 m/s. The lower deflector impacted on the sole of the blast boot, transferring part of its vertical momentum to the blast deflector contained in the sole of the blast boot. The latter reached a peak velocity around 65 m/s. The blast boot was not breached, thus, the damage process was one of blunt trauma due to the impact of the blast deflectors. The examining surgeons determined that the injuries to some FSLL specimen were salvageable, i.e., they required no amputation, while others would have necessitated a below-knee amputation. When the FSLL with blast boot and overboot was tested against a PMA-2 mine, the increase of explosive mass resulted in significantly greater velocity, 240 m/s, of the overboot blast deflectors. This resulted in a correspondingly higher velocity of the blast boot deflector (at least 90 m/s). The blast deflector contained in the sole of the blast boot was still accelerating at the longest x-ray time: 500 µs. The larger impact velocity caused a large overpressure in the distal leg, which burst from inside out. The examining surgeons determined that these were below-knee amputations. Comparison of the M14 test results against a blast boot with overboot revealed that the soft and hard calcaneus and talus bones produced markedly different responses. One surgeon estimated that the hard bones would result in three salvageable injuries out of four tests, while a second surgeon estimated that all four injuries would have been salvageable. For the soft bones, both surgeons estimated that an amputation would have been required for three tests, while the fourth test produced a salvageable injury. When comparing the bone damage from the above eight tests to the bone damage recorded during LEAP, the soft calcaneus bone version of the FSLL produced results that are in closer agreement with those from LEAP. However, significant differences remained. During LEAP, the calcaneus bone was severely damaged during each test. Although the soft calcaneus 40 DRDC Suffield TR 2007-070 of the FSLL was damaged each time, it apparently was not damaged to the same level as in LEAP. This suggests that weakening the bones further might increase the realism of the FSLL. Paradoxically, the hard talus version of the FSLL produced results that were in closer agreement with the LEAP results. It appears that the soft talus is too soft. However, it is not known what effect a softer calcaneus would have on the talus. The results for the tibia are split into two separate categories. The behaviour of the pilon, the interface surface between the tibia and the talus, was similar to that observed during LEAP. However, the behaviour of the long bone portion of the FSLL tibia displayed a significant bias compared to the LEAP results. During LEAP, transverse fractures of the tibia were never observed when exposed to the M14 while using the blast boot with an overboot. The FSLL produced a single or multiple transverse fracture of the tibia each time. It can be concluded from this result that the tibia does not react correctly under high strain rate. Thickening the bone, or using stronger materials (at high strain rate) to construct this bone, might solve this problem. The weakness of the tibia does not prevent the use of the FSLL as a diagnostic tool. Such breaks can simply be ignored during the damage analysis. The authors estimate that the damage to the calcaneus and talus are more important. The goal of any protective system is to prevent the loss of these two bones. Thus, if these bones fail badly during a test, the protective system also failed. The flash x-rays and the load cell proved to be useful diagnostic tools during these tests. The x-rays were used to determine the main damage mechanisms. The load cell provided a quantitative measure of compression and the bending moment transverse to the long axis of the tibia. The results showed that compression is sensitive to placement of the mine below the foot. This became apparent when a small shift of approximately 10 mm produced a 25% change of this load. These results demonstrated the importance of maintaining very tight control over geometry. Free placement of the FSLL, or any other test device for that matter, over the mine appears to have a strong influence on loading, and therefore on the resulting injuries. It is therefore recommended that: • A test rig should be designed and used with the test device in order to maintain accurate control over geometry, particularly in regard to the relative location of the mine under the foot. • Zero preload should be used to avoid sinking of the footwear and specimen into the soil surface, thereby changing the standoff between the mine and the footwear. • A load cell should be used with specimens like the FSLL. An alternative is to build such a load cell into the design of the tibia. • Further tuning of the FSLL bones might be required. In order of priority: the strength of the calcaneus should be further reduced and the high strain rate strength of the tibia should be increased. DRDC Suffield TR 2007-070 41 References [1] (2000), Landmine Casualty Data Report: Deminer Injuries. [2] (1999), Final Report of the Lower Extremity Assessment Program (LEAP) - Volume I, (Report ATC-8199) LEAP. [3] R.M.Harris, M.S.Rountree, L.V.Griffin, R.A.Hayda, T.Bice, and S.J.Mannion (2000), Final Report of the Lower Extremity Assessment Program (LEAP) - Volume II, (Report ATC-8199) LEAP. 42 DRDC Suffield TR 2007-070 List of symbols/abbreviations/acronyms/initialisms AIS AP AT BB CB CCMAT CDN CFSL CT DRDCS DSTO FSL GZ HDP ICRC LEAP MESS MTS NISSSA NSN OB OTF PMA PMN R&D RDX RMS SB STF TNT UPMAH US VS Abbreviated Injury Scale Anti-Personnel Anti-Tank Blast Boot Combat Boot Canadian Centre for Mine Action Technologies Canadian CCMAT FSL program Computer Tomography Defence R& D Canada - Suffield Defence Science and Technology Organization Frangible Surrogate Leg Ground Zero Humanitarian Demining Program International Committee of the Red Cross Lower Extremity Assessment Program Mangled Extremity Severity Score Mine Trauma Score Nerve, Ischemia, Soft-Tissue, Skeletal, Shock an Age of patient injury score Nato Stock Number Overboot Object to Film Designator for [former] Yugoslav anti-personnel mines Designator for Russian-made anti-personnel mines Research and Development Cyclonite Root Mean Square Spider Boot Source to Film Trinitrotoluene Designator for [former] Yugoslav anti-personnel mine fuses United States Designator for Italian anti-personnel mines DRDC Suffield TR 2007-070 43 This page intentionally left blank. 44 DRDC Suffield TR 2007-070 Annex A: Detailed Boot Damage Assessments This Annex provides a detailed assessment of the physical damage imparted to the boots and protective overboots used during the CFSL program. To ease cross-reference, a short table lists the test conditions for individual shots. This data precedes a series of pictures followed by a detailed description of the damage. In general, the description includes a summary of the overall damage, a description of the damage to the boot fitted to the FSL specimen, and then, if applicable, a R description of the damage to the additional protective footwear such as the Wellco overboot or TM the Spider Boot . The terminology used to describe various parts of the boots and overboots is shown on the next three pages. Table A.1: Table of Contents Annex A FSLL/Shot ID Load Cell Bone Type Boot Type Protection Mine Page 701/M01072D 702/M01071C 703/M01071A 704/M01072A 705/M01071B 706/M01072E 707/M01072B 708/M01072C 709/M01072F 710/M01073A 711/M01073B 712/M01073C Yes No Yes No Yes Yes No No No No No No Hard Hard Hard Hard Soft Soft Soft Soft Soft Soft Soft Soft R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) Combat (US) Combat (US) R Blast (Wellco ) R Blast (Wellco ) Overboot Overboot Overboot Overboot Overboot Overboot Overboot Overboot None None Overboot Overboot M14 M14 M14 M14 M14 M14 M14 M14 M14 M14 PMA-2 PMA-2 49 51 53 55 56 58 60 61 63 64 65 68 DRDC Suffield TR 2007-070 45 Figure A.1: Canadian Army Combat Boot. The same nomenclature applies to the US Army Combat Boot. 46 DRDC Suffield TR 2007-070 Figure A.2: Blast Boot (above) and attenuator plate (below). DRDC Suffield TR 2007-070 47 Figure A.3: Overboot 48 DRDC Suffield TR 2007-070 Shot ID 701/M01072D Load Cell Yes Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.4: Damage to boots for shot 701/M01072D Description of Boot Damage: Summary: Deformation of the boot sole but no breaching of the boot. Overboot heel destroyed. Little damage to overboot upper. Boot: The centreline ridge of the heel and mid foot portion of the outer sole has been bent upward by just over 5 mm. Based on the disassembly of the boot from trial M99263B (for example), it is expected that the attenuator will be partially crushed and the deflector plate will be bent upward by about 5-10 mm. There is a 30 mm long spot just on the medial side of the boot centreline at the heel where the upper meets the outer sole. It appears that the upper may have just started to separate from the sole. The only other apparent damage to the upper is that the counter seems to have cracked at the medial backstrap seam. The foam insole shows a small, 5 mm long crack and a 20 mm long star shaped crack in the heel along. The Kevlar insole has bulged upward slightly at the front of the heel cap. A nail or staple leg has also been driven upward just ahead of the bulge. While it punctured the bottom of the foam insole, it may not have completely penetrated through to its upper surface. DRDC Suffield TR 2007-070 49 Overboot: The heel cap of the overboots outer sole has been destroyed, leaving the crushed attenuator and the attenuator plate still attached. The blast deflector plate has been separated from the sole and has been pinched, flattened bent upward by 15 mm and split along the crease. The 15 mm long split occurs at the point of maximum deformation. A split in the remains of the outer sole runs from the centreline diagonally forward to the medial side, stopping about 20 mm short of the toe treads. The outer sole has separated from the upper side panels and the Kevlar insole up to the toe treads. There is a slight bulge in the upper surface of the Kevlar insoles heel. Otherwise the Kevlar insole appears undamaged. While the backstrap remains attached to the bottom of the Kevlar insole, both side panels have separated from the insole near the heel. Measuring around the curve of the insole from the heel centreline, the separated area extends 50 mm on the medial side and 150 mm on the lateral side. The bottom 50-60 mm of both side panels has also separated from the backstrap. The covering fabric on the lateral side panel shows a 30 mm long vertical tear about 80 mm in front of the rear edge of the panel. The covering fabric on the medial side panel shows 4 vertical tears at 30 mm, 50 mm, 90 mm, and 135 mm ahead of the rear edge of the panel. The measure 10 mm, 25 mm, 50 mm, and 10 mm respectively. Both ventilation inserts are present although their inside flanges have been bent slightly. The toecap appears intact and undamaged. 50 DRDC Suffield TR 2007-070 Shot ID 702/M01071C Load Cell No Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.5: Damage to boots for shot 702/M01071C Description of Boot Damage: Summary: Boot outer sole bent upward and sole/upper separation just starting. Overboot heel destroyed with minimal damage to the upper. Boot: The outer sole of the boot has been bent upward by about 10 mm and there is a 65 mm long split beside the heel cap centreline, which completely penetrates through to the blast deflector. Separation between the upper and the outer sole can be seen in a slight separation measuring 40 mm long just at the medial side of the heel centreline. There is a 10 mm long shallow cut in the outer surface layer of the medial side vamp just at the front edge of the counter. There may be a crack in the upper edge of the counter just on the lateral side of the backstrap. There is a slight bulge in the upper surface of the Kevlar insole near the front of the heel cap. There is also a sharp nail or stable protruding at the start of the toe treads near the later side. Two tears, measuring 15 mm and 35 mm can be seen in the foam insole. DRDC Suffield TR 2007-070 51 Overboot: The outer sole heel has been destroyed. Tears run from the front of the heel cap to about the middle of the mid foot area. The crushed attenuator, the attenuator plate, and the blast deflector, which has been pinched, flattened and bent upward by 20 mm are still attached. Both side panels and the Kevlar insole are attached to the outer sole from the front of the attenuator forward. The medial side panel has separated from the Kevlar insert up to the toe tread area. On the lateral side the separation ends at the front of the heel cap. The outer covering fabric on both sides is attached to the whole remainder of the outer sole. The Kevlar insole has been twisted up on the lateral heel corner, and the upper surface is bulged and uneven. The medial side panel has a broken rear buckle. Both ventilation inserts are present and the rear one shows a small amount of damage to the outer flange. A single 60 mm long vertical tear is present in the outer covering fabric 90 mm ahead of the rear edge of the panel. But for a few stretched stitches at the top, the medial side panel has separated entirely from the backstrap. The backstrap and lateral side panel have separated completely. The lateral side panel, which is still connected to the medial panel by the facing, shows 3 vertical tears in the outer covering fabric. Measuring 20 mm, 60 mm, and 40 mm, they occur 20 mm, 40 mm, and 80 mm ahead of the rear edge of the panel. The rear buckle is still present has been broken. The toecap is undamaged. 52 DRDC Suffield TR 2007-070 Shot ID 703/M01071A Load Cell Yes Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.6: Damage to boots for shot 703/M01071A Description of Boot Damage: Summary: Boot sole is bent upward slightly. Overboot heel is destroyed with minimal damage to the upper. Boot: The outer sole of the boot has been bent upward in the heel and mid foot area by 5-10 mm, and there is a 20 mm long cut beside the heel cap centreline ridge. There is an area about 35 mm long centred on the medial backstrap seam where the upper and the outer sole just started to separate. Feeling the counter reveals breaks on both the later and medial sides and one at the medial backstrap seam. There is a shallow diagonal cut in the outer surface layer than runs forward 30 mm from the front of the heel cap. The inside of the rear-most medial side toe tread lug shows an indentation that appears to have been made by a sharp edged object, although this may simply be a mark left by the manufacturing process. There may be a slight bulge in the upper surface of the Kevlar insole just at the front of the heel cap but it is very slight. The foam insole shows a puncture and a 25 mm long crack, both of which fully penetrate the heel of the insole. Overboot: The overboot outer sole heel has been destroyed. Several cracks radiate from the heel centreline into the mid foot area. The blast deflector, found separate from the overboot, has been bent by 15-20 mm and has been pinched, flattened and split along the crease. This split measures only 10 mm on the bottom surface but the top surface (the inside of the crease) shows tearing 45 mm long. The side panels and Kevlar insole are attached to the outer sole only in the front 120 mm of the boot but the outer covering fabric is attached to the outer sole on the medial side all the way back to the end of the sole. On the lateral side they are attached to a point 20 mm behind the toe tread area. The upper surface of the Kevlar insole is bulged and uneven in the mid foot and heel. The lateral side panel is attached to the Kevlar insole everywhere except in the heel cap area. On the medial side the side panel has separated from the insole from the back of the panel to just under the ventilation inserts. Both inserts are still in the medial side panel, although both show slight damage to their inner and outer flanges. The medial side rear buckle is broken, and there a 30 mm, 80 mm, and 15 mm long tears at the end of the outer sole remains, and then back 35 mm and 60 mm behind that. The bottom 40 mm of the panel has separated from the backstrap. On the lateral DRDC Suffield TR 2007-070 53 side panel there is a 20 mm long vertical tear 15 mm ahead of the backstrap seam, and a 70 mm long vertical tear 60 mm from the seam. The rear buckle has been broken. The toecap is undamaged. 54 DRDC Suffield TR 2007-070 Shot ID 704/M01072A Load Cell No Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.7: Damage to boots for shot 704/M01072A Description of Boot Damage: Summary: Slight deformation of boot outer sole. Overboot heel is destroyed with minimal damage to the upper. Boot: The only visible signs of damage to the outside of the boot area a 5-10 mm upward bend in the heel cap and mid foot area, and a 10 mm long shallow cut in the outer surface layer of the vamp right at the front of the heel cap on the lateral side. There may be a crack in the front 30 mm of the medial side of the counter. The heel and mid foot areas of the Kevlar insole are bulged and uneven. Two tears, measuring 15 mm and 25 mm show in the heel of the foam insole. Overboot: The overboots outer sole heel has been destroyed leaving cracks that run into the mid foot area. The back 60 mm of the heel cap was found separately but almost completely intact. The blast deflector, also found separately has been pinched, flattened and bent upward by 20 mm. The crushed attenuator and its plate are still attached to the overboot. The side panels have separated from the Kevlar insole for about 70 mm on either side of the backstrap but are otherwise well attached. The side panels and Kevlar insole are attached to the outer sole only in the 120 mm at the front of the overboot. The outer covering fabric on both sides is attached to almost all of what remains of the outer sole. The lateral side panel shows only a single vertical tear in the outer covering fabric. It measures 50 mm long and occurs 60 mm ahead of the backstrap seam. The bottom 50 mm of the backstrap has separated from the medial side panel, which shows 2 vertical tears in the outer covering fabric. They measure 80 mm and 20 mm and occur 80 mm and 115 mm ahead of the backstrap seam. Both ventilation inserts are missing. The toecap is undamaged. DRDC Suffield TR 2007-070 55 Shot ID 705/M01071B Load Cell Yes Bone Type Soft/Hard Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.8: Damage to boots for shot 705/M01071B Description of Boot Damage: Summary: Boot outer sole is slightly deformed. Overboot heel is destroyed. Overboot side panels are minimally damaged. Boot: The outer sole of the boot has a 55 mm long slice about 5 mm off the centreline ridge of the heel cap, which has penetrated through to the deflector plate. There is a 10 mm long cut in the outside of the rear-most lateral side heel tread lug. The heel and mid foot area have been bent upward by about 10 mm. The upper has just begun to separate from the outer sole in an area 30 mm to the medial side and 50 mm to the lateral side of the heel centreline. The upper surface of the foam insole shows a small puncture and a 15 mm long tear right near the back of the heel. The puncture did not fully penetrate the insole. Aside from a slight upward bulge of the Kevlar insole at the front of the heel cap, the only visible damage to the inside of the boot is a small area on the lateral mid foot area where there is a raised sharp edge in the Kevlar insole. This is probably due to (i) a raised crack in the insole, or (ii) a protruding nail or staple. Overboot: The heel cap of the overboot has been blown off. The rear 60 mm of the heel cap was recovered in one piece that has mulitple cracks leading out and up from the centreline. A crack runs through the mid foot area just beside the centreline ridge almost to the start of the toe tread. The blast deflector, which has been pinched, flattened, and bent upward by 20 mm also shows a 10 mm tear right at the back of the crease. This piece remains in the overboot sole along with the attenuator, which has been crushed at the rear, and the attenuator plate. The Kevlar insole and both side panels are attached to the outer sole from the front end of the attenuator forward. The outer covering fabric on both side panels remains attached to the outer sole for virtually the entire length of what is left of the outer sole. The Kevlar insole has an upward bulge on the lateral side of the heel. The front buckle on the medial side panel has been broken. Both ventilation inserts are present but the lower edges of both inserts on both inside and outside of the panel have been bent slightly. The outer covering fabric has vertical tears measuring 40 mm and 60 mm, located at the front of the heel cap, 56 DRDC Suffield TR 2007-070 and 20 mm back toward the heel. The medial side panel has separated cleanly at the backstrap seam but remains attached to the lateral side panel via the facing. The outer, bottom 100 mm of the backstrap has peeled from the lateral side panel but the upper portion and the entire inner portion remain attached. Vertical tears in the outer covering fabric measure 35 mm, 60 mm, 15 mm, and 10 mm, and are located 25 mm, 65 mm, 90 mm and 120 mm respectively from the rear edge of the side panel. The toecap is intact and undamaged. DRDC Suffield TR 2007-070 57 Shot ID 706/M01072E Load Cell Yes Bone Type Hard/Soft Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.9: Damage to boots for shot 706/M01072E Description of Boot Damage: Summary: Boot upper and outer sole have separated, and sole has suffered mild deformation. Overboot heel destroyed with minimal damage to the side panels. Boot: The outer sole of the boot has been bent into an exaggerated arch in the heel cap and mid foot area. There is a 30 mm long horizontal crack in the front, medial edge of the counter. A vertical crack in the counter can be felt about 45 mm on the lateral side of the heel centreline. The back of the upper has separated from the outer sole from the medial front edge of the heel cap to 40 mm beyond the heel centreline on the lateral side. Peeling back the heel cap reveals that the blast deflector has been bent upward by almost 10 mm. Aside from a slight unevenness on the top surface of the Kevlar insole, there is a protruding, sharp staple leg on the medial side right at the middle of the foot arch. A 5 mm long crack has penetrated the foam insole. Overboot: 58 DRDC Suffield TR 2007-070 The overboot heel cap has been destroyed leaving several tears through the mid foot section of the outer sole. The rear half of the attenuator has been crushed leaving the front half mostly undamaged. The attenuator and attenuator plate remain in the overboot while the blast deflector plate was recovered separately. The deflector plate has been pinched, flattened, and bent upward by about 15 mm. There is a 15 mm long tear in the metal right at the back end of the crease. The outer covering fabric remains attached to the remains of the outer sole for almost all of the soles length on both sides. For the medial side panel, the Kevlar insole and the outer sole are only attached from 130 mm of the front of the overboot. On the lateral side, the panel is attached to the Kevlar insole for almost the entire length of the side panel. The side-panel/insole combination is only attached to the outer sole in the toe tread area. The upper surface of the Kevlar insole has a bulge in the lateral heel area and unevenness through the heel and mid foot areas. Both side panels have separated from the backstrap, but the backstrap remains tied to the medial side panel by a few stretched threads at the top of the panel. The two panels are still held together via the facing. Both ventilation inserts in the medial side panel are present and both have had their inner and outer bottom edges bent. The outer covering fabric on the medial side panel has one vertical tear 40 mm long about 85 mm ahead of the rear edge of the panel. A sharp nail or staple has been embedded in the outer covering fabric just below the front ventilation insert. On the later side the only visible damage to the side panel is a set of 3 vertical tears. At 10 mm, 50 mm, and 15 mm long, they are located 35 mm, 70 mm, and 130 mm ahead of the rear edge of the panel. The toecap is intact and undamaged. DRDC Suffield TR 2007-070 59 Shot ID 707/M01072B Load Cell No Bone Type Hard/Soft Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.10: Damage to boots for shot 707/M01072B Description of Boot Damage: Summary: Deformation of the boot sole but no breaching of the boot. Overboot heel destroyed. Little damage to overboot upper. Boot: The boot upper appears undamaged except for an 80 mm long area from the heel centreline around to the lateral side where the upper has separated from the outer sole. There is a 20 mm long slice in the heel cap but it does not seem to have completely penetrated the rubber. There is also an indentation right at the rear edge of the heel cap centre ridge, which implies an impact of a sharp edge. There is a 10 mm long crack in the outer surface of the upper right at the leading edge of the counter on the medial side, but the crack does not appear to have penetrated the leather. The counter has also been broken in vertical lines at the lateral and medial backstrap seams, and seems to have come loose from the sole for the forward 75 mm on the medial side. The foam insole shows a 20 mm long crack at the heel. Overboot: The overboot heel has been destroyed, leaving the blast deflector, the attenuator and the attenuator plate in the sole. The blast deflector has been pinched and bent upward by about 15 mm, and there is a 15-20 mm long tear at the back end of its crease. The outer sole and Kevlar insole are separated as far forward as the toe treads but the side panel covering fabric has maintained contact with the outer sole for 40 mm into the mid foot area on the medial side and for 60 mm on the lateral side. The Kevlar insole has some bulging and unevenness in its upper heel area, but no other visible damage is present. The medial side panel has separated cleanly at the backstrap seam but is still connected to the lateral side panel via the facing. Both ventilation inserts are still present and show not signs of damage. Tears measuring 10 mm, 15 mm and 60 mm are evident in the outer covering fabric in the area between the rear edge of the panel and the ventilation inserts. The upper 25 mm of the lateral side panel is still attached to the backstrap. Aside from 15 mm, 20 mm and 40 mm tears in the heel cap area of the outer covering fabric, there are no signs of damage to the lateral side panel. 60 DRDC Suffield TR 2007-070 Shot ID 708/M01072C Load Cell No Bone Type Hard/Soft Boot Type R Wellco Overboot R Wellco Explosive M14 Figure A.11: Damage to boots for shot 708/M01072C Description of Boot Damage: Summary: Boot sole deformed and partially separated from upper. Two tears in boot upper. Overboot heel cap destroyed with minimal damage to upper. Boot: The outer sole of the boot has been bent upward and the upper has separated from the outer sole in an area 75 mm on either side of the heel centreline. Peeling the heel cap back reveals that the blast deflector has been bent upward by about 10 mm and the attenuator has been partially crushed. There is a 50 mm long diagonal tear in the rear vamp starting at the front of the heel cap on the medial side. A 10 mm long tear appears at the same location on the lateral side. A vertical tear through the vamp runs along the backstrap location from the outer sole to the vamp/quarter seam. At this location the counter has been broken through; there is another crack in the counter about half way around on the lateral side. Aside from a slight bulge on the top surface of the Kevlar insole at the front of the heel cap, and two tears in the foam insole, there is no visible damage inside the DRDC Suffield TR 2007-070 61 boot. Overboot: The heel cap of the overboot outer sole has been destroyed, leaving the blast deflector, the attenuator and the attenuator plate still attached. The deflector plate has been bent upward by 10-15 mm and the back of the attenuator crushed. The outer covering fabric on both sides is attached to the full length of what remains of the outer sole. On the lateral side the rear 40 mm of the side panel has separated from the Kevlar insole and on the medial side, 160 mm. The Kevlar insole is attached to the outer sole in the toe tread area. The heel and mid foot section of the Kevlar sole show some bulging and unevenness. The bottom 100 mm of the backstrap has broken away from the lateral side panel, and the bottom 40 mm from the medial side panel. On the medial side there are vertical tears in the outer covering fabric measuring 15 mm, and 40 mm, at 55 mm, and 80 mm from the backstrap seam. Both ventilation inserts are still present and the rear only shows slight damage to the outer flange On the lateral side there are two vertical tears in the outer covering fabric. The first, at 25 mm ahead of the backstrap seam is 30 mm long. The second at 80 mm from the seam is 55 mm long. The toecap is undamaged. 62 DRDC Suffield TR 2007-070 Shot ID 709/M01072F Load Cell No Bone Type Hard/Soft Boot Type Combat (US) Overboot None Explosive M14 Figure A.12: Damage to boots for shot 709/M01072F Description of Boot Damage: Summary: Boot is completely destroyed behind the toe tread. Boot: All but the front 15 mm of the heel cap has been blown away along with the insole, and upper portion of the boot. A tear runs from the heel cap centreline forward about 10 mm into the toe tread section about 25 mm off to the medial side of the boot centreline. Several smaller cracks are visible in the remains of the heel cap. The leather insole is split along both edges of the fibre shank, which is cracked and badly delaminated. Tears in the foam insole parallel those in the leather insole There is nothing left of the upper behind the line of the quarter/rear vamp seam. On the medial side the upper has been removed in a line from the front of the heel cap back. The bottom 100 mm of the remaining section of the quarter is badly torn and only held on by a 15 mm wide fragment. Aside from that piece, all that is left of the quarter is the eyelet flap and a strip up to 45 mm wide. On the lateral side the quarter is torn from the outer sole at the quarter/vamp seam. The tear follows the seam up and forward for about 70 mm. The tear then runs up to the eyelet flap seam whereupon it branches 40 mm down toward the toe and 70 mm straight up along the seam. After 70 mm the tear runs off diagonally to the rear leaving a 130 mm wide flap (as measured right at the top of the boot). The bottom three speed-lace eyelets have been partially torn from their hole in the eyelet flap. DRDC Suffield TR 2007-070 63 Shot ID 710/M01073A Load Cell No Bone Type Hard/Soft Boot Type Combat (US) Overboot None Explosive M14 Figure A.13: Damage to boots for shot 710/M01073A Description of Boot Damage: Summary: Boot is completely destroyed behind the toe tread. Boot: The rear portion of the boot has been destroyed. The heel cap has been destroyed leaving a crack through the mid foot area as far as the toe treads. The crack follows the medial edge of the shank. The shank is missing and both the leather insole and the foam insole have been torn along the lateral side of the shank to its forward end. The rear of the upper has torn away at the quarter/vamp seam. The tongue and front portion of the quarters remain attached to the vamp only at their lower extremities. Several of the lower eyelets have been pulled out. 64 DRDC Suffield TR 2007-070 Shot ID 711/M01073B Load Cell No Bone Type Hard/Soft Boot Type R Wellco Overboot R Wellco Explosive PMA-2 Description of Boot Damage: Summary: Boot heel damaged and separated from upper. Upper torn open. Overboot heel destroyed and side panels partially separated from outer sole. Boot: The only visible damage to the outer sole of the boot is it has been bent up into an exaggerated arch. The upper separated from the outer sole from the start of the toe treads on the medial side, and around the heel to the forward/rear vamp seam on the lateral side. This exposes the blast deflector, attenuator and attenuator plate, which are still attached to the boot. The deflector plate was flattened and bent upward by about 10-15 mm. The attenuator was completely crushed in the rear area and partially crushed in the front. The Kevlar insole has been twisted leaving the lateral heel corner higher than the medial corner. Aside from this and some unevenness in the upper heel surface, the Kevlar insole does not show any visible damage. The upper surface of the foam insole shows a series of longitudinal cracks right near the arch support that spans a length of 110 mm. These have not penetrated through the insole. A 50 mm long tear that penetrates the insole is found along the lateral side at about the same mid foot position. Small fragments of the ballistic gelatine (flesh) are embedded in this tear. A 30 mm diameter, three-armed, star-shaped tear right under the heel contains several small bone fragments. The rear 35 mm of the heel edge contains a 45 mm wide T-shaped tear. In addition to separating from the outer sole, the upper has separated from the Kevlar insole on the medial side from the start of the toe treads back. There is a vertical tear starting at the mid point of the heel cap that runs up through both the vamp and quarter, and then runs along beside the eyelet flap to the top of the quarter. From the shape of the cut, or tear, it is strongly suspected, however, that the top 80 mm along the side of the eyelet flap was deliberately cut to get the boot off the remains of the leg. Another tear begins at the front edge of the heel cap and runs diagonally forward as far as the vamp/quarter seam, whereupon it runs horizontally along the seam 25 mm forward and 50 mm back. The vamp in this area shows some minor surface cracks and the upper end of the reinforcing band on the quarter has been peeled up from under the lace-clamping eyelet. The bottom two eyelets have been pulled, stretching their holes in the leather eyelet flap. On the rear portion of the lateral side upper, the counter portion of the vamp has been pulled from the outer sole, and has been torn vertically at the middle of the backstrap as far up as the vamp/quarter seam. A horizontal tear along that seam runs 40 mm forward. There is nothing left of the counter on the medial side. On the lateral side, the vamp from the backstrap to the front of the heel cap is left dangling by a 15 mm wide scrap near the heel corner. This area was torn along the bottom of the vamp/quarter seam 155 mm forward from the backstrap centreline. A vertical tear runs from the front of the heel cap to the vamp/quarter seam. About half of the counter remains on the lateral side, but it is cracked and torn. Overboot: The heel of the overboot outer sole has been destroyed and about half of the later side of the mid foot area is only attached by a small tag of rubber at the extreme outer edge. The blast deflector has been separated from the overboot and has been flattened, bent upward by about 15 mm, and slightly pinched. The attenuator, which is still attached with the attenuator plate to the Kevlar insole, has been fully crushed at the back and partially crushed along the result of its length. The Kevlar insole and lateral side panel are attached to the outer sole only in the front 150 mm of the overboot. The lateral side panels outer coving cloth is attached to the outer sole for the front 240 mm. The lateral side panel has separated from the Kevlar insole in the heel cap area. The medial DRDC Suffield TR 2007-070 65 Figure A.14: Damage to boots for shot 711/M01073B 66 DRDC Suffield TR 2007-070 side panel separated from the Kevlar insole and outer sole from the middle of the toe treads back. The upper surface of the Kevlar insole is warped and uneven but does not appear to be breached or broken. The medial side panel has separated cleanly at the backstrap seam, has a broken rear buckle and both of its ventilation inserts are missing. The outer covering cloth shows a tear that starts at the front of the heel cap, runs diagonally forward to the rear buckle strap and then forward to the front buckle strap. The facing has been broken and torn from the upper edge of the panel from the front buckle back. The rear buckle has been broken on the lateral side panel and the facing is only attached from the front buckle forward; 50 mm of loose facing hangs behind the front buckle. The outer covering fabric has two vertical tears in the heel cap area. Measuring 30 mm and 50 mm, they occur 20 mm and 70 mm (respectively) from the rear edge of the side panel. The toecap is intact and undamaged and the backstrap was recovered separate from the overboot. DRDC Suffield TR 2007-070 67 Shot ID 712/M01073C Load Cell No Bone Type Hard/Soft Boot Type R Wellco Overboot R Wellco Explosive PMA-2 Description of Boot Damage: Summary: Boot heel cap separated from upper. Major tears in the rear part of the upper. Overboot heel destroyed, and side panels are half separated from the sole. Boot: There is a 50 mm long crack that has fully penetrated the rubber along the heel cap centreline ridge. The upper has separated from the forward/rear vamp seam on the medial side, around the heel to the lateral backstrap seam location. Peeling the heel cap back reveals that the blast deflector has been flattened and bent upward by about 10-15 mm and that the rear half of the attenuator has been crushed. The medial side of the rear vamp has a 60 mm long tear that follows the forward/rear vamp seam. Another tear, 30 mm long occurs at the front of the heel cap. There is also a 170 mm long tear that runs through the vamp and quarter right at the medial side backstrap seam. This crack also runs through the counter. On the lateral side there is a 15 mm tear in the outer surface layer of the vamp about 55 mm behind the front of the heel cap. Just 15 mm behind the front of the heel cap is a 130 mm vertical tear running from the outer sole almost to the eyelet flap. The bottom three eyelets on the lateral side have been torn our. In addition to the complete break in the counter at the backstrap seam, there are multiple tears and fractures on both sides in the rest of the counter. The upper surface of the Kevlar insole has a slight unevenness but does not show any other visible signs of damage. The foam insole has a large star shaped crack right under the heel. Arms of this crack reach from the extreme rear edge of the insole through to the front of the arch support. Overboot: The outer sole of the overboot has had the heel cap destroyed and cracks run forward and out through the mid foot area, stopping 25 mm from the toe treads. The crushed attenuator and the bent, flattened blast deflector plate were recovered separate from the overboot. The deflector plate has been bent about 20 mm. Only the front 120 mm of the outer sole is still attached to the Kevlar insert and the side panels, although the outer covering fabric on both sides is still attached to the outer sole to the mid foot area. The upper surface of the Kevlar insole has unevenness to the rear half of the surface, and there is a 5-10 mm cut in the upper layer about 25 mm from the extreme rear edge. The lateral side panel has a broken rear buckle and four vertical tears in the outer covering fabric. At 20 mm, 50 mm, 75 mm, and 130 mm ahead of the rear edge of the panel these tears measure 30 mm, 20 mm, 55 mm, and 45 mm. The front 100 mm of facing is still attached to the side panel and 530 mm of facing is hanging free. The remainder of the facing is attached to the medial side panel, which also has a broken rear buckle. Vertical tears measuring 15 mm, 15 mm, and 40 mm are seen 35 mm, 60 mm and 90 mm ahead of the rear edge of the side panel. Another tear begins right where the outer sole ends and runs diagonally up to the rear buckle attachment strap. This tear goes through the area of the rear ventilation insert. Both inserts are missing and there is more tearing where the front insert was pulled out. Both side panels separated cleanly at the backstrap seam, and the toecap is undamaged. 68 DRDC Suffield TR 2007-070 Figure A.15: Damage to boots for shot 712/M01073C DRDC Suffield TR 2007-070 69 This page intentionally left blank. 70 DRDC Suffield TR 2007-070 Annex B: Detailed Medical Assessments This Annex provides a detailed assessment of the injuries imparted to the Frangible Surrogate Lower Leg specimen as a function of footwear and explosive type. The results were compiled from the radiologist report from the local hospital, the post-test examination conducted by a surgeon, and from the 3D reconstructions of the CT imagery. The data is organised in order of the FSLL ID. For each test, the data includes the radiologist report, at least four pictures extracted from the 3D bone rendition of the CT scans, and a written description of the results for the shot. A header table presents a summary of the key conditions for this particular test, including: Shot ID: the ID consists of two components. The first component is the FSLL ID number. The number after the oblique bar is the shot ID, which is composed of a letter followed by 5 numbers that are the last two digits of the year and the Julian day in which the test was performed, and another letter indicating the number of tests performed that same day, i.e., A for the first test of the day, B for the second test, etc.; Load Cell: indicates whether or not a force transducer (load cell) was used in the mid-tibia; Bone Type: During the first test series, all bones were of the hard type, which proved too strong for the calcaneus and talus bones, thereby affecting the medical scores; softer materials were used in the construction of these bones during the second test series; Boot Type: indicates whether the boot fitted on the specimen was the standard US Army combat R boot or the Wellco blast boot; R Overboot: indicates when the Wellco blast overshoe was used; Explosive: states the land mine that was used for the test. The sections that follow are: Pre-Test Notes: list the Shot ID and describes any special condition(s) for that particular test; Post-Test Damage Assessment: describes of gross situation immediately following the test, including the visual state of the footwear; Post-Test Diagnostic Imaging: describes the assessment from medical examination of the 3D reconstruction of the CT scan. The x-ray imaging is available from the hospital report at the beginning of each FSLL assessment; Post-Test Clinical Examination Notes: provides the details obtained from the dissection of the specimen; Overall Assessment: gives a synopsis of the diagnostic from the dissection and damage inflicted to the specimen; Recommended Treatment of Injury: states whether or not an amputation would be recommended, the level of the amputation and gives an assessment of the likelihood of neurological or vascular damage to a real leg; MTS Score: lists the likely medical score in accordance with the Mine Trauma Scoring system. DRDC Suffield TR 2007-070 71 Table B.1: Table of Contents Annex B 72 Shot ID Load Cell Bone Type Boot Type Overboot Mine Page 701/M01072D 702/M01071C 703/M01071A 704/M01072A 705/M01071B 706/M01072E 707/M01072B 708/M01072C 709/M01072F 710/M01073A 711/M01073B 712/M01073C Yes No Yes No Yes Yes No No No No No No Hard Hard Hard Hard Soft Soft Soft Soft Soft Soft Soft Soft R Blast (Wellco ) Blast (Wellco R ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) R Blast (Wellco ) Combat (US) Combat (US) R Blast (Wellco ) R Blast (Wellco ) Overboot Overboot Overboot Overboot Overboot Overboot Overboot Overboot None None Overboot Overboot M14 M14 M14 M14 M14 M14 M14 M14 M14 M14 PMA-2 PMA-2 74 78 82 85 88 91 94 97 100 103 105 108 DRDC Suffield TR 2007-070 Shot ID 701/M01072D DRDC Suffield TR 2007-070 Load Cell Yes Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 73 Pre Test Notes: M01072D leg ID #701. Mine was centred under heel of overboot. Post Test Damage Assessment: Deformation of the boot sole but no breaching of the boot. Overboot heel destroyed. Little damage to overboot upper. Post Test Diagnostic Imaging: CT scans show that the patient has a stress monitor in the tibial shaft. The proximal cuff is 110mm distal to the tibial articular surface. The patient has a transverse fracture of the tibial shaft at the level of the proximal stress monitor cuff. No significant displacement. There is a non-displaced transverse fracture in the tibial shaft at the level of the inferior cuff of the stress monitor. 50 mm inferior to the inferior cuff of the stress monitor, there are transverse fractures through the tibial and fibular shafts. The tibial fragment is displaced distally 10 mm. The proximal fibular fracture fragment is displaced posteriorly 20 mm and is distracted 12 mm. 50 mm proximal to the distal articular surface, there is a comminuted, interarticular fracture. This is generally T-shaped with the stem pointing laterally. The fragments are separated by up to 5 mm. The talus is fragmented throughout. There are numerous fracture fragments, which vary in size from a few millimetres to several centimetres. A longitudinal fracture is present along the medial aspect of the calcaneus. No significant displacement. No fractures are present in the talar block. Non-displaced fractures are present in the distal shafts of the first and second metatarsals and at the base of the fifth metatarsal. 74 DRDC Suffield TR 2007-070 Non-displaced disarticulations are present between the calcaneus/talus and the tarsals, and at the tarsometatarsal junction. Post Test Clinical Examination Notes: Simple fracture 2nd MT Gelatine split on plantar surface of foot one area on dorsum. Ligaments intact. Impression is the talus is badly comminuted but no displacementand periosteal and vascular structures would be intact. Skin essentially intact but gelatine splitting suggests some contusion. Com # talus; simple fracture calcaneus Ankle Joint / Plafont: Tibia / Fibula: Fracture distal tibia with vertical oriented fracture line, Transverse fracture lower 1/3 tibia. Soft Tissue: Contamination: moderate a. Fore Foot: b. Hind Foot: c. d. e. f. Overall Assessment: Fractured talus may cause problems with pain and avascular necrosis. An immediate amputation would not be necessary. Recommended Treatment of Injury: a. Amputation: NO b. Level: n/a c. Likelihood of neurologic/vascular injury: Avascular necrosis involving talus. MTS Score: 1A DRDC Suffield TR 2007-070 75 Shot ID 702/M01071C 76 Load Cell No Bone Type Hard Boot Type R Wellco Overboot R Wellco Explosive M14 DRDC Suffield TR 2007-070 DRDC Suffield TR 2007-070 77 Pre Test Notes: M01071C leg ID #702. Mine was centred under heel of overboot. Post Test Damage Assessment: Boot outer sole bent upward and sole/upper separation just starting. Overboot heel destroyed with minimal damage to the upper. Post Test Diagnostic Imaging: A transverse tibial fracture, which is not displaced, starts 190 mm distal to the tibial plateau. Slightly above this there is a non-displaced transverse fibular fracture. 145 mm below the initial tibial fracture, there is a second, non-displaced transverse fracture. 20 mm below this there is a non-displaced fibular fracture. 80 mm superior to the distal tibial articular surface, an oblique fracture begins at the medial tibial cortex and extends slightly obliquely and inferiorly down towards the mid distal tibial articular surface. This fracture runs mainly in the sagittal plane. There is also a non-displaced linear, interarticular fracture at the extreme distal lateral aspect of the tibia. A few small fragments have come off this area and reside at the posterior aspect of the ankle joint. A linear interarticular fracture is present at the junction between the posterior and middle thirds of the talus. There is no significant displacement. A fracture is present off the extreme anterior superior aspect of the calcaneus. A non-displaced transverse fracture is present through the mid shaft of the fourth metatarsal. A longitudinal fracture is present at the medial basilar aspect of the fifth metatarsal. Neither of these fractures is displaced. Post Test Clinical Examination Notes: a. Fore Foot: b. c. d. e. f. Non-displaced fracture 3,4 MT, complete forefoot dislocation open superiorly. Hind Foot: Calcaneus intact, simple minimally displaced fracture talus (not neck). Open wound on plantar surface of foot over heal but no calcaneal #. Ankle Joint / Plafont: Tibia / Fibula: Non-displaced vertically oriented fracture tibia, non-displaced horizontal closed fracture of distal 1/3 and prox. 1/3 tibia. Soft Tissue: Contamination: Overall Assessment: No amputation necessary. Recommended Treatment of Injury: a. Amputation: NO b. Level: n/a c. Likelihood of neurologic/vascular injury: Avascular necrosis possible. MTS Score: 78 1A DRDC Suffield TR 2007-070 Shot ID 703/M01071A DRDC Suffield TR 2007-070 Load Cell Yes Bone Type Hard Boot Type Wellco Overboot Wellco Explosive M14 79 80 DRDC Suffield TR 2007-070 DRDC Suffield TR 2007-070 81 Pre Test Notes: M01071A leg ID #703. Mine centred under heel of overboot. Post Test Damage Assessment: Boot sole is bent upward slightly. Overboot heel is destroyed with minimal damage to the upper. Post Test Diagnostic Imaging: The proximal shaft of the tibia and fibula appear intact. Extensive comminuted fractures involving the distal tibia extending through the tibiotalar joint surface. Oblique fracture is present through the medial malleolus. None of the fracture fragment shows any significant displacement. There is a fracture through the distal shaft of the fibula with only slight lateral displacement of the fragment. The talus is fractured in several places mainly involving its mid aspect extending superiorly and posteriorly through the joint surface. There is widening and some disruption of the talonavicular and calcaneocuboid joints with a small avulsion fracture present at the plantar aspect of the joint probably avulsed off the anterior surface of the calcaneus. There are non-displaced fractures through the proximal second through fifth metatarsals as well as through the distal second and third metatarsals. Minimal, non-displaced fracture at the base of the fourth proximal phalanx and through the mid shaft of the fifth proximal phalanx. The tarsal bones are difficult to evaluate, but appear to be largely intact. Continuous axial images were made beginning at the knee joint and extending inferiorly throughout the entire lower leg and foot. The proximal portions of the tibia and fibula are intact. There are several fracture lines through the soft tissue material. In the distal tibia there is a fracture line extending obliquely along the anteromedial aspect of the tibia with minimal displacement. This continues distally and more laterally with an oblique fracture line through the mid shaft of the distal tibia. Below this there is another fracture line along the medial aspect of the tibia, which continues distally and becomes a comminuted fracture extending to the joint surface. Associated with this is a transverse fracture through the distal tibia extending from medial to lateral with dorsal displacement of the fragments and a small separate fragment medially. More distal, at the ankle joint there are several bony fragments with disruption of the articular surface. Post Test Clinical Examination Notes: a. b. c. d. Fore Foot: Non-displaced fractured 2,3,4,5 metatarsals. Hind Foot: Simple fracture of the calcaneus and severe comminution of talus. Ankle Joint / Plafont: Tibia / Fibula: Distal tibia very comminuted with ligamentous injury and bone loss. Horizontal closed fracture of distal 1/3 and prox 1/3 tibia. e. Soft Tissue: Less fissuring of gelatine out of keeping with degree of bone injury. f. Contamination: Overall Assessment: Open contaminated injury of calcaneus and hind foot with severe distal tibia injury. Recommended Treatment of Injury: a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: Distal tibial vascular and nerve injury likely 82 DRDC Suffield TR 2007-070 MTS Score: 2A (Reviewer MTS assessment for this injury was 1A) DRDC Suffield TR 2007-070 83 Shot ID 704/M01072A 84 Load Cell No Bone Type Hard Boot Type Wellco Overboot Wellco Explosive M14 DRDC Suffield TR 2007-070 Pre Test Notes: M01072A leg ID #704. Mine was centred under heel of overboot. Post Test Damage Assessment: Slight deformation of boot outer sole. Overboot heel is destroyed with minimal damage to the upper. Post Test Diagnostic Imaging: The proximal and mid tibia and fibula are intact. Several fracture lines are present through the distal tibia, but without significant displacement. Non-displaced fracture distal third of the fibula. There is a fracture present through the mid aspect of the talus with slight separation of the fragments. There may be some small linear fractures through the calcaneus, but it is largely intact. No obvious fracture lines are seen through the tarsal region. Non-displaced fractures are present through the bases of the second through fifth metatarsals, mid to distal shaft of the third metatarsal and the bases of the proximal phalanges of the fourth and fifth toes. CT Scan shows a comminuted fracture that extends transversely in the distal third of the tibia. The anterior fragment is intact and there are several smaller posterior fragments present. Closer to the joint surface there are four major fragments present with minimal displacement. Minimal non-displaced fracture through the fibula. Fracture is present through the dome of the talus and extends vertically through its length into the subtalar joint. The calcaneus appears intact with no major fracture seen. There are fracture lines extending through the navicular bone medially and laterally without significant displacement with the fracture lines extending somewhat distally again, with no significant displacement. Fracture is DRDC Suffield TR 2007-070 85 present through the distal medial corner of the cuboid bone with minimal anteromedial displacement. Oblique fracture base of the second metatarsal, Non-displaced. Fracture proximal ends of the third, fourth and fifth metatarsals, non-displaced. Fracture at the distal end of the third metatarsal seen on the radiographs is not visible. The phalanges appear intact. Post Test Clinical Examination Notes: a. b. c. d. Fore Foot: Simple closed fractures of 2,3,4,5 MT Hind Foot: Hind foot relatively intact and calcaneus intact. Ankle Joint / Plafont: Tibia / Fibula: Severely comminuted open distal tibia and fibula fractures. Severe open wound of distal tibia and fibula. e. Soft Tissue: Less fissuring of gelatine out of keeping with degree of bone injury. f. Contamination: Overall Assessment: This would not need amputation but the tibia/fibula injury would be difficult to deal with. And would need open reduction internal fixation (ORIF). High risk of infection and avascular necrosis Recommended Treatment of Injury: a. Amputation: NO b. Level: BKA c. Likelihood of neurologic/vascular injury: High risk of avascular necrosis of fracture MTS Score: 86 1A DRDC Suffield TR 2007-070 Shot ID 705/M01071B DRDC Suffield TR 2007-070 Load Cell Yes Bone Type Soft Boot Type Wellco Overboot Wellco Explosive M14 87 Pre Test Notes: M01071B leg ID #705. Mine was centred under heel of overboot. Post Test Damage Assessment: Boot outer sole is slightly deformed. Overboot heel is destroyed. Overboot side panels are minimally damaged. Post Test Diagnostic Imaging: A force transducer has been placed in the mid tibial shaft. There are transverse fractures in the tibial shaft at the stress monitors upper and lower aspects. There is also a transverse fracture through the fibular shaft at the lower end of the tibial stress monitor. No fractures are present above this. 60 mm below the lower level of the stress monitor, an oblique fracture begins at the medial aspect of the tibial shaft and extends obliquely downward and laterally for a distance of 55 mm. This exits at the lateral aspect of the tibial shaft and runs mostly in the sagittal plane. The fracture fragments here are separated by 3 mm. There are no associated fibular fragments at this level. Below the level of the oblique fracture, there is a series of comminuted, interarticular fractures affecting the distal tibial shaft and articular surface. There are several fracture fragments, the largest of which is at the posterior malleolus. These fragments are separated by up to 6 mm. Once again there are no associated fibular fractures. The talus is fragmented into innumerable fragments. They remain fairly contained within the talar area. There is a vertical fracture running in the coronal plane in the calcaneus, at the junction between the anterior and middle two-thirds. A flake-like fracture is present off the dorsal aspect of the navicular. This is not significantly displaced. No other fractures are seen to involve the tarsal bones. There are non-displaced transverse fractures through the bases 88 DRDC Suffield TR 2007-070 of the fourth and fifth metatarsals, an oblique fracture through the base of the second metatarsal, and a transverse fracture through the mid shaft of the first metatarsal. A transverse fracture is present through the mid shaft of the proximal phalanx of the left little toe. Post Test Clinical Examination Notes: a. Fore Foot: b. c. d. e. f. There is a dislocation of the forefoot that is open but only clinically apparent with forceful manipulation of the foot. Forefoot dislocation, Non-displaced # 1,2,3,4,5 MT. Hind Foot: There is a small amount of fissuring of the gelatine on the plantar surface of the hind foot. The calcaneus has a simple. Non-displaced fracture vertically oriented pointing to the talus, which is completely destroyed in a comminuted fracture. Ankle Joint/Plafont: Total comminution of plafont, distal 1/3 tibia badly comminuted. Tibia / Fibula: There is a badly comminuted open tibial fracture. Severe open wound of distal tibia and fibula. Soft Tissue: Contamination: Overall Assessment: I feel this wound would need an amputation. A badly comminuted contaminated fracture with high likelihood of vascular compromise to the fracture area. Recommended Treatment of Injury: a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: strong possibility MTS Score: 2A (Reviewer MTS assessment for this injury was 2B) DRDC Suffield TR 2007-070 89 Shot ID 706/M01072E 90 Load Cell Yes Bone Type Soft Boot Type Wellco Overboot Wellco Explosive M14 DRDC Suffield TR 2007-070 Pre Test Notes: M01072E leg ID #706. Mine was centred under heel of overboot. Post Test Damage Assessment: Boot upper and outer sole have separated, and sole has suffered mild deformation. Overboot heel destroyed with minimal damage to the side panels. Post Test Diagnostic Imaging: A stress monitor is present in the mid tibial shaft. There are no complications associated with this. The initial tibial fracture begins 120 mm above the distal tibial articular surface. It begins at the anterior aspect of the tibia and extends obliquely downward in the coronal plane for a distance of 60 mm. This fracture fragment is angled slightly anteriorly. Inferior to this there is a complex, interarticular fracture that extends through the remainder of the tibial shaft and into the distal tibial articular surface. Most of these fractures run in the coronal plane, but there are one or two which run in a sagittal plane at the posterior aspect. These fractures are displaced from each other by 2-3 mm. A non-displaced transverse fracture is present in the fibular shaft, 95 mm superior to the tip of the lateral malleolus. A comminuted, interarticular, fracture involves the talus. Most of the fractures are present at the posterior aspect of the talus, but some run anterioinferiorly. The fracture fragments are not significantly displaced. A minimally comminuted, vertical fracture runs through the calcaneus at the junction between the anterior and middle two-thirds. The fragments are separated by 5 mm. Non-displaced transverse fractures are present through the mid shaft of DRDC Suffield TR 2007-070 91 the first metatarsal, and the proximal shafts of the second, fourth and fifth metatarsals. There are also non-displaced transverse fractures through the proximal phalanges of the fourth and fifth toes. There is a traumatic, non-displaced disarticulation between the talus/calcaneus and the tarsal bones. Post Test Clinical Examination Notes: a. Fore Foot: b. Hind Foot: c. d. e. f. Simple closed fractures of metatarsals. Comminuted fracture of the talus with a simple fracture of the calcaneus. The skin is open over the calcaneus. Ankle Joint / Plafont: Tibia / Fibula: Closed spiral fracture of distal tibia. Soft Tissue: Localized to open wound of calcaneus and talar area. Contamination: Minimal. Overall Assessment: Comminuted spiral fracture of tibia closed and minimally displaced. I think this limb is salvageable. It has the appearance of a foot exposed to a fall rather than a coupled blast wave. The appearance is of a lower G force affecting it. Recommended Treatment of Injury: a. Amputation: NO b. Level: c. Likelihood of neurologic/vascular injury: Possible, and would determine if an amputation would be needed. MTS Score: 92 1A DRDC Suffield TR 2007-070 Shot ID 707/M01072B DRDC Suffield TR 2007-070 Load Cell No Bone Type Soft Boot Type Wellco Overboot Wellco Explosive M14 93 Pre Test Notes: M01072B leg ID #707. Mine was centred under heel of overboot. Post Test Damage Assessment: Deformation of the boot sole but no breaching of the boot. Overboot heel destroyed. Little damage to overboot upper. Post Test Diagnostic Imaging: See x-ray report. Post Test Clinical Examination Notes: a. Fore Foot: b. Hind Foot: c. d. e. f. Break of the 2nd and 5th metatarsals. Comminuted fracture calcaneus with probable bone loss, slightly comminuted fracture talus but much less so than calcaneus. Ankle Joint / Plafont: Tibia / Fibula: Distal tibia intact. Minimally displaced distal 1/3 tibia fracture. The distal tibia tibial plateau has no fracture but there is a fracture of distal 1/3 of tibia. Soft Tissue: Contamination: Overall Assessment: 94 DRDC Suffield TR 2007-070 The calcaneus has so much destruction and bone loss that an amputation would be needed. Recommended Treatment of Injury: a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: The talus has a fracture at risk of avascular necrosis. MTS Score: 2A DRDC Suffield TR 2007-070 95 Shot ID 708/M01072C 96 Load Cell No Bone Type Soft Boot Type Wellco Overboot Wellco Explosive M14 DRDC Suffield TR 2007-070 Pre Test Notes: M01072C leg ID #708. Mine was centered under heel of overboot. Post Test Damage Assessment: Boot sole deformed and partially separated from upper. Two tears in boot upper. Overboot heel cap destroyed with minimal damage to upper. Post Test Diagnostic Imaging: The knee joint and the proximal and mid tibia and fibula are intact. There is transverse fracturing through the distal third of the tibia and fibula without any significant displacement. More distally, there are several fracture lines through the distal tibia extending to the joint surface without significant displacement of the fragments. The talus and calcaneus are shattered into multiple fragments. No obvious fractures are seen through the tarsal bones. There are some non-displaced transverse fractures through some of the metatarsals, most notably the distal shaft of the third and the proximal shafts of the fourth and fifth metatarsals. The phalanges are intact. CT scans show an oblique non-displaced fracture is present through the distal third of the tibia with a similar oblique non-displaced fracture of the adjacent distal fibula. Comminuted fracture is present through the distal tibia extending to the articular surface with several fragments present, but without significant displacement. There are several comminuted fracture lines extending through the articular surface DRDC Suffield TR 2007-070 97 of the talus without significant displacement. Most of the fragments are present posteriorly with the anterior part of the talus largely intact. Linear fracture extends through the lateral aspect of the navicular bone. The calcaneus is shattered into multiple bony fragments. In the tarsal region there is a fracture through the first cuneiform bone without significant displacement. There is also a fracture through the medial corner of the cuboid bone with minimal displacement. Non-displaced fractures are present through the base of the first, fourth and fifth metatarsals and the distal third metatarsal. None of the phalanges are fractured. Post Test Clinical Examination Notes: a. Fore Foot: b. Hind Foot: c. d. e. f. Simple closed fractures of metatarsals 1-3. Badly comminuted calcaneus fracture, talus fractured and open. Ankle Joint / Plafont: Tibia / Fibula: Comminuted fracture distal tibia, closed transverse fracture further up tibia at level of distal 2/3-1/3. Soft Tissue: Foot open with open fractures of calcaneus and tibia. Contamination: Yes Overall Assessment: Below knee amputation would be needed. There is the possibility depending on vascular injury and periosteum and degree of contamination that the injury could be packed and debrided but this would necessitate numerous surgical procedures and rehabilitation. Even then amputation might result. Recommended Treatment of Injury: a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: High likelihood of injury to nerves and vascular supply to foot at level of distal tibial fracture making reconstruction impossible. MTS Score: 98 2A DRDC Suffield TR 2007-070 Shot ID 709/M01072F DRDC Suffield TR 2007-070 Load Cell No Bone Type Soft Boot Type Combat (US) Overboot None Explosive M14 99 Pre Test Notes: M01072F leg ID #709. Mine was centred under heel of combat boot, i.e. no protection. Post Test Damage Assessment: Boot is completely destroyed behind the toe tread. Post Test Diagnostic Imaging: AP and lateral radiographs demonstrate normal proximal tibia and fibula. The distal tibia appears to be intact as far as I can see on the radiographs. There is a transverse fracture of the distal fibula with lateral angulation of the fragment. The tibiotalar joint appears intact. However, there is severe fracturing of the proximal aspect of the talus. Below the proximal talus there has been complete disruption and shattering of the foot with multiple fragments from the tarsal region completely shattered. Most of the metatarsals are also destroyed through their proximal ends. The phalanges of the foot remain intact. CT scans confirm the proximal to distal tibia remains intact. There is a fracture through the distal fibula without any significant displacement on the CT images. The articular surface of the distal tibia appears to be essentially intact. The proximal talus shows several fractures with very little of the bone remaining. Distal to this, the talus, calcaneus and tarsal bones 100 DRDC Suffield TR 2007-070 are completely shattered into multiple scattered fragments. Portions of the metatarsals remain intact, although there is varying degrees of fracturing through their proximal ends. The phalanges of the foot are intact, but are better evaluated on the radiographs. Post Test Clinical Examination Notes: a. b. c. d. e. f. Fore Foot: Amputated Hind Foot: Amputated Ankle Joint / Plafont: Basically intact with some injury of joint surface Tibia / Fibula: Intact Soft Tissue: Massive soft tissue wound of foot. Contamination: Moderate Overall Assessment: Distal leg amputated with destruction of hind foot, severe comminution of fore foot, which has been amputated traumatically. Recommended Treatment of Injury: Redo completion amputation a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: MTS Score: 2B DRDC Suffield TR 2007-070 101 Shot ID 710/M01073A 102 Load Cell No Bone Type Soft Boot Type Combat (US) Overboot None Explosive M14 DRDC Suffield TR 2007-070 Pre Test Notes: M01073A leg ID #710. Mine was centered under heel of combat boot, i.e., no protection. Post Test Damage Assessment: Boot is completely destroyed behind the toe tread. Post Test Diagnostic Imaging: Radiographs demonstrate horizontal fracture lines through the distal tibia without any displacement. Oblique vertical fracture lines are present through the distal tibia. At the level of the lateral malleolus the tibia is completely fractured, and the distal tibia, as well as the bones of the foot are shattered into multiple fragments. The distal metatarsal and phalanges remain essentially intact. The lateral malleolus shows only minimal fracturing. Post Test Clinical Examination Notes: a. Fore Foot: b. Hind Foot: c. Ankle Joint / Plafont: Severe comminution of fracture dislocation with spontaneous amputation. d. Tibia / Fibula: Minimally displaced fracture distal tibia. Amputation DRDC Suffield TR 2007-070 103 with comminution of tibia and heavy contamination of fragments. Distal 1/3 fracture of tibia non-displaced. e. Soft Tissue: f. Contamination: Heavy contamination of hind foot and distal tibia. Overall Assessment: Spontaneous amputation from distal tibia. Recommended Treatment of Injury: a. Amputation: YES b. Level: BKA c. Likelihood of neurologic/vascular injury: Of distal tibia MTS Score: 104 2B DRDC Suffield TR 2007-070 Shot ID 711/M01073B DRDC Suffield TR 2007-070 Load Cell No Bone Type Soft Boot Type Wellco Overboot Wellco Explosive PMA-2 105 Pre Test Notes: M01073B leg ID #711. Mine was centred under heel of overboot. Post Test Damage Assessment: Boot heel damaged and separated from upper. Upper torn open. Overboot heel destroyed and side panels partially separated from outer sole. Post Test Diagnostic Imaging: Plain film and CT of the lower leg show vertical fracture through the distal tibia with some separation. There is a comminuted fracture through the distal tibia above the ankle with separation of the foot, which is displaced distally. The proximal tarsal bones are shattered. There are some linear fractures through some of the metatarsals and phalanges, but the distal part of the foot is intact. Fracture is also present through distal fibula and through the lateral malleolus above the ankle joint. Post Test Clinical Examination Notes: a. Fore Foot: b. Hind Foot: 106 Fracture of the 2nd, 3rd, 4th and 5th metatarsals. Hind foot completely destroyed with only dorsal DRDC Suffield TR 2007-070 c. d. e. f. skin ridge holding foot on all together. Ankle Joint / Plafont: Tibia / Fibula: Distal tibia and fibula comminuted with amputation. Soft Tissue: Contamination: Spontaneous amputation foot with heavy contamination. Overall Assessment: There is a possibility of secondary infection resulting in Above Knee Amputation. Recommended Treatment of Injury: a. Amputation: YES b. Level: Proximal below knee or above knee c. Likelihood of neurologic/vascular injury: MTS Score: 2B DRDC Suffield TR 2007-070 107 Shot ID 712/M01073C 108 Load Cell No Bone Type Soft Boot Type Wellco Overboot Wellco Explosive PMA-2 DRDC Suffield TR 2007-070 Pre Test Notes: M01073C leg ID #712. Mine was centred under heel of overboot. Post Test Damage Assessment: Boot heel cap separated from upper. Major tears in the rear part of the upper. Overboot heel destroyed, and side panels are half separated from the sole. Post Test Diagnostic Imaging: CT scans show that there is an oblique intra-articular fracture through the lateral tibial plateau. Several horizontal fractures are present through the distal tibia and fibula. There is complete fracture through the distal tibia and slightly more proximally through the distal fibula with disarticulation of the foot with the bony structures shattered into multiple fragments. The metatarsals and phalanges remain largely intact. Post Test Clinical Examination Notes: a. Fore Foot: Fractures heads of MT 1-5, bases 2,3. b. Hind Foot: Complete destruction of hind foot. c. Ankle Joint / Plafont: DRDC Suffield TR 2007-070 109 d. Tibia / Fibula: Distal 5 cm tibia and fibula destroyed, fracture distal 1/3 tibia. Heavily contaminated wound with massive soft tissue injury, amputation proximal tibia-fibula. e. Soft Tissue: f. Contamination: Overall Assessment: Traumatic amputation with likelihood for secondary infection and need for further amputation. Recommended Treatment of Injury: a. Amputation: YES b. Level: Proximal BKA c. Likelihood of neurologic/vascular injury: MTS Score: 110 2B (Reviewer MTS assessment for this injury was 3) DRDC Suffield TR 2007-070 Annex C: Data Records from the Load Cells During four of the twelve tests, a load cell was used in the mid-tibia to measure three forces Fx , Fy and Fz and three moments, Mx , My and Mz . However, one load cell was only a five-axis load cell and did not measure the moment Mz . The following diagram shows the coordinate system used to define the direction of the above forces and moments. Data was recorded at a rate of 500,000 samples per second. The raw data was then processed digitally, after the fact. A low-pass two-pole Butterworth filter with roll off at a frequency of 10,000 Hz was used to reduce the magnitude of some spikes and remove some noise from the signal. This was particularly relevant near time zero because the high-voltage firing pulse generated noise spikes. These spikes died off within 20 to 50 µs, but were of such a magnitude that the low pass filter could not remove them completely. Given that the load cell was located at the mid-tibia, approximately 300 mm from the explosion source, it would require a wave speed of 6000 m/s or greater for the signal to reach it in 50 µs. This is physically impossible given that the FSLL materials consist of mineralized plastic and gelatine with a wave speed closer to 300-500 m/s. Thus, any signal recorded before 50 µs was simply ignored during the analysis. The following pages present the load cell data recorded during the FSLL tests. Three traces are presented for each channel, the first showing the full record (256 ms), the second showing the first 20 ms after detonation, and the third showing the first 5 ms after detonation. This format allows the readers to make their own interpretation about the quality of the signals. The following pages present the load cell data recorded during the FSLL tests. Three traces are presented for each channel, the first showing the full record (256 ms), the second showing the first 20 ms after detonation, and the third showing the first 5 ms after detonation. This format allows the readers to make their own interpretation about the quality of the signals. Table C.2 provides a compilation of the minimum and maximum values for each record, and the time at which these values occurred. The red curves are the integral of the signal, which provides a clear indication of the polarity of the signal, i.e., positive or negative relates directly to the local slope of the integral. Table C.1: Table of Contents Annex C Shot ID Leg ID Bone Type M01072D M01071A M01071B M01072E 701 703 705 706 Hard Hard Soft Soft DRDC Suffield TR 2007-070 Boot Type Blast Blast Blast Blast R (Wellco ) R (Wellco ) R (Wellco ) R (Wellco ) Overboot Mine Page R Wellco R Wellco R Wellco R Wellco M14 M14 M14 M14 114 120 125 131 111 points out of the paper Figure C.1: Coordinate system for the load cell measurements. Table C.2: Summary of minimum and maximum values of the records FSLL 701 FSLL 703 FSLL 705 FSLL 706 Channel Fx Fy Fz Mx My Mz 112 Minimum Maximum Minimum Maximum Minimum Maximum Minimum Maximum Minimum Maximum Minimum Maximum Value Time Value Time Value Time Value Time -519 323 -315 132 -4321 52 -263 1632 -365 1683 -16 68 0.79 1.84 0.81 1.18 1.14 0.26 0.72 0.81 0.50 0.76 1.97 0.78 -133 174 -4515 1246 -45 1450 - 0.57 1.03 1.10 0.69 0.74 0.68 - -280 158 -389 159 -4312 54 -469 1186 -311 1112 -41 122 0.77 1.00 1.82 1.01 1.13 0.35 2.51 0.79 1.14 0.69 1.99 0.77 -202 208 -232 110 -5523 -947 1676 -503 1890 - 0.67 1.82 2.03 0.98 0.99 0.91 0.68 0.84 0.61 - DRDC Suffield TR 2007-070 Table C.3: Key parameters for the normal force and its integrated values at different times Tarrival Tpeak Min. Fz Iz |1.5ms Iz |2ms Iz |5ms Iz |10ms FSLL 701 FSLL 703 FSLL 705 FSLL 706 Average Std Dev 0.38 1.14 4321 3034 3741 6121 7164 0.45 1.10 4515 3000 3612 4612 4834 0.38 1.13 4312 2939 3354 4893 6865 0.41 0.99 5523 3790 4419 6613 7681 0.41 1.09 4668 3191 3782 5560 6636 0.04 0.07 578 401 454 960 1248 DRDC Suffield TR 2007-070 113 Figure C.2: Fx record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine 114 DRDC Suffield TR 2007-070 Figure C.3: Fy record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 115 Figure C.4: Fz record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine 116 DRDC Suffield TR 2007-070 Figure C.5: Mx record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 117 Figure C.6: My record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine 118 DRDC Suffield TR 2007-070 Figure C.7: Mz record for FSLL ID 701 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 119 Figure C.8: Fx record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine 120 DRDC Suffield TR 2007-070 Figure C.9: Fy record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 121 Figure C.10: Fz record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine 122 DRDC Suffield TR 2007-070 Figure C.11: Mx record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 123 Figure C.12: My record for FSLL ID 703 fitted with a blast boot with overboot against an M14 mine 124 DRDC Suffield TR 2007-070 Figure C.13: Fx record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 125 Figure C.14: Fy record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine 126 DRDC Suffield TR 2007-070 Figure C.15: Fz record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 127 Figure C.16: Mx record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine 128 DRDC Suffield TR 2007-070 Figure C.17: My record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 129 Figure C.18: Mz record for FSLL ID 705 fitted with a blast boot with overboot against an M14 mine 130 DRDC Suffield TR 2007-070 Figure C.19: Fx record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 131 Figure C.20: Fy record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine 132 DRDC Suffield TR 2007-070 Figure C.21: Fz record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 133 Figure C.22: Mx record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine 134 DRDC Suffield TR 2007-070 Figure C.23: My record for FSLL ID 706 fitted with a blast boot with overboot against an M14 mine DRDC Suffield TR 2007-070 135 This page intentionally left blank. 136 DRDC Suffield TR 2007-070 DOCUMENT CONTROL DATA (Security classification of title, body of abstract and indexing annotation must be entered when document is classified) 1. ORIGINATOR (the name and address of the organization preparing the document. Organizations for whom the document was prepared, e.g. Centre sponsoring a contractor’s report, or tasking agency, are entered in section 8.) Defence R&D Canada – Suffield Box 4000, Station Main, Medicine Hat, Alberta, Canada T1A 8K6 3. 2. SECURITY CLASSIFICATION (overall security classification of the document including special warning terms if applicable). UNCLASSIFIED TITLE (the complete document title as indicated on the title page. Its classification should be indicated by the appropriate abbreviation (S,C,R or U) in parentheses after the title). Assessment of Lower Leg Injury from Land Mine Blast - Phase 2 4. AUTHORS (last name, first name, middle initial) Bergeron, D.M.; Anderson, I.B.; Coley, G.G.; Fall, R.W. 5. DATE OF PUBLICATION (month and year of publication of document) 6a. 152 March 2007 7. NO. OF PAGES (total containing information. Include Annexes, Appendices, etc). 6b. NO. OF REFS (total cited in document) 3 DESCRIPTIVE NOTES (the category of the document, e.g. technical report, technical note or memorandum. If appropriate, enter the type of report, e.g. interim, progress, summary, annual or final. Give the inclusive dates when a specific reporting period is covered). Technical Report 8. SPONSORING ACTIVITY (the name of the department project office or laboratory sponsoring the research and development. Include address). Defence R&D Canada – Suffield Box 4000, Station Main, Medicine Hat, Alberta, Canada T1A 8K6 9a. PROJECT NO. (the applicable research and development project number under which the document was written. Specify whether project). 9b. GRANT OR CONTRACT NO. (if appropriate, the applicable number under which the document was written). CCMAT 10a. ORIGINATOR’S DOCUMENT NUMBER (the official document number by which the document is identified by the originating activity. This number must be unique.) 10b. OTHER DOCUMENT NOs. (Any other numbers which may be assigned this document either by the originator or by the sponsor.) DRDC Suffield TR 2007-070 11. DOCUMENT AVAILABILITY (any limitations on further dissemination of the document, other than those imposed by security classification) ( X ) Unlimited distribution ( ) Defence departments and defence contractors; further distribution only as approved ( ) Defence departments and Canadian defence contractors; further distribution only as approved ( ) Government departments and agencies; further distribution only as approved ( ) Defence departments; further distribution only as approved ( ) Other (please specify): 12. DOCUMENT ANNOUNCEMENT (any limitation to the bibliographic announcement of this document. This will normally correspond to the Document Availability (11). However, where further distribution beyond the audience specified in (11) is possible, a wider announcement audience may be selected). Unlimited 13. ABSTRACT (a brief and factual summary of the document. It may also appear elsewhere in the body of the document itself. It is highly desirable that the abstract of classified documents be unclassified. Each paragraph of the abstract shall begin with an indication of the security classification of the information in the paragraph (unless the document itself is unclassified) represented as (S), (C), (R), or (U). It is not necessary to include here abstracts in both official languages unless the text is bilingual). In 1999, the Canadian Centre for Mine Action Technologies (CCMAT) evaluated the suitability of a frangible leg model to assess the performance of mine-protective footwear. The model performance was satisfactory, but the strength of some bones needed to be adjusted. Furthermore, M14 mines could not be obtained in time for these tests which made it difficult to compare the results against those from cadaver tests done in the United States. In 2001, the same frangible leg model, now having improved bones, was evaluated in a second test series using M14 mines. This report presents the results from the 2001 test series. The improved model performed notably better than the previous model. The results compared well against the cadaver test results, although some further improvements could be made to increase its realism. However, the frangible leg model can be used, as is, to assess the performance of protective footwear against anti-personnel mines, provided the user accounts for the strengths and weaknesses of the model. 14. KEYWORDS, DESCRIPTORS or IDENTIFIERS (technically meaningful terms or short phrases that characterize a document and could be helpful in cataloguing the document. They should be selected so that no security classification is required. Identifiers, such as equipment model designation, trade name, military project code name, geographic location may also be included. If possible keywords should be selected from a published thesaurus. e.g. Thesaurus of Engineering and Scientific Terms (TEST) and that thesaurus-identified. If it not possible to select indexing terms which are Unclassified, the classification of each should be indicated as with the title). frangible leg model anti-personnel landmines protective footwear protective equipment blast effects blast physics mine blast injury database human cadavers
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