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Modern vehicles generally use steel fabricated or alloy blended rims. The manufacturing process and atomic structure of the rim both yield different responses under destructive loading. The aim of this research was to investigate to what extend the type of vehicle rim may influence occupant injury risk. A matched cohort study of frontal German In-Depth Accident Study collisions was devised. The risk of injury to various body regions was compared between vehicles with steel and alloy rims. Occupants in vehicles with alloy rims were at a gr