For those who haven't played with d3o yet i'd note that, in form, it's a lot like a thin sheet of neoprene. Neoprene wants to lie flat, as does d3o. However, they're both perfectly happy to curve around you (witness the wetsuit). Where elbows and knees are concerned the issue is not d3o so much as how well the jacket or pants are designed to keep the armor against your joint. The same problem applies to traditional stiff armor. If the elbow is loose it doesn't matter how curved the armor is because it's likely to move out of the way when you get in an accident.
Regardless of what kind of armor the jacket or pants you're considering has, it must be designed so that with YOUR body in it it holds the armor close and in place.
When it's time for me to get a new jacket i'll happily switch to d3o. I've found it to be incredibly comfortable in the jackets i've tried on. It's like not wearing armor at all, and it would be great for when you are walking around in your gear too.
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