Reconstruction of accidents is currently considered as a useful means in the analysis of accidents. By multi-body dynamics and numerical methods, and by adopting vehicle and pedestrian models, the scenario of the crash can often be simulated. When reconstructing the collisions, questions often arise regarding the criteria for the evaluation of simulation results. This paper proposes a reconstruction method for car-to-pedestrian collisions based on injuries of the pedestrians. In this method, pedestrian injury becomes a critical index in judging the correctness of the reconstruction result and guiding the simulation process. Application of this method to a real accident case is also presented in this paper. The study showed a good agreement between injuries obtained by numerical simulation and that by forensic identification.