Orthopedic injury patterns and clinical outcomes in electric scooter-related trauma

Year 2025, Volume: 7 Issue: 4, 431 - 435, 28.07.2025

Humam Baki , Ömerul Faruk Aydın

https://doi.org/10.38053/acmj.1704688

Abstract

Aims: Electric scooter (e-scooter) use has risen sharply in urban areas, accompanied by an increase in related traumatic injuries. This study aimed to evaluate the orthopedic burden of e-scooter accidents, identify injury patterns associated with surgical management, and analyze postoperative outcomes.
Methods: A retrospective cohort study was conducted on 320 patients presenting with orthopedic injuries related to e-scooter accidents between January 2022 and January 2025. Demographic, clinical, and radiographic data were extracted from electronic health records. The relationship between specific injury features—open fractures, dislocations, and multiple fractures—and surgical intervention was assessed using univariate analysis and visualized through a cumulative risk model. Descriptive analysis was performed for operative subgroups based on surgical technique.
Results: Among 320 patients (mean age: 31.8±12.0 years, 74% male), 96 (30%) underwent surgery. Operative patients were significantly older (39.2±12.2 vs. 28.6±10.4 years, p<0.001) and more likely to present with open fractures (31% vs. 0.9%, p<0.001), dislocations (24% vs. 2.7%, p<0.001), and multiple fractures (65% vs. 21%, p<0.001). Hospital stay was longer (4.8±2.2 vs. 1.2±0.9 days, p<0.001) and complication rates higher (19% vs. 0.9%, p<0.001) in the operative group. Surgical likelihood increased with the number of high-risk injury features: from 9.5% with none to 100% with all three. Among operative patients, open reduction and internal fixation (ORIF) was most common (64%). External fixation had the longest hospital stay, while intramedullary nailing showed the highest complication rate.
Conclusion: E-scooter-related trauma results in a substantial orthopedic burden. Open fractures, dislocations, and multiple injuries significantly increase the likelihood of surgery and postoperative complications. Early recognition of these features may support surgical planning and improve trauma triage in urban emergency settings.

Keywords

E-scooter , orthopedic trauma , fracture , dislocation , surgery , complication

References

• Kłosiewicz T, Konieczka P, Rutkowska D, et al. Burden and patterns of electric scooter-related injuries: insights from 2 polish emergency departments. Med Sci Monit. 2024;30:e944448. doi:10.12659/MSM. 944448
• Sikka N, Vila C, Stratton M, Ghassemi M, Pourmand A. Sharing the sidewalk: a case of E-scooter related pedestrian injury. Am J Emerg Med. 2019;37(9):1807.e5-1807.e7. doi:10.1016/j.ajem.2019.06.017
• Vasara H, Toppari L, Harjola VP, Virtanen K, Castrén M, Kobylin A. Characteristics and costs of electric scooter injuries in Helsinki: a retrospective cohort study. Scand J Trauma Resusc Emerg Med. 2022; 30(1):57. doi:10.1186/s13049-022-01042-0
• Fisher ND, Nwakoby E, Hernandez H, McLaurin TM. Electric scooter injuries: incidence and injury patterns at a level I trauma center. Chin J Traumatol. 2023;26(6):334-338. doi:10.1016/j.cjtee.2023.02.003
• Toofany M, Mohsenian S, Shum LK, Chan H, Brubacher JR. Injury patterns and circumstances associated with electric scooter collisions: a scoping review. Inj Prev. 2021;27(5):490-499. doi:10.1136/injuryprev-2020-044085
• Senel A, Sert S, Aktas MA, Tekin SB, Carkci E, Erdogan S. Patterns of orthopedic injuries associated with increasing e-scooter-related trauma: a retrospective observational study with a 4-year evaluation from a tertiary center in Istanbul, Turkey. Medicine (Baltimore). 2024;103(46): e40609. doi:10.1097/MD.0000000000040609
• Badeau A, Carman C, Newman M, Steenblik J, Carlson M, Madsen T. Emergency department visits for electric scooter-related injuries after introduction of an urban rental program. Am J Emerg Med. 2019;37(8): 1531-1533. doi:10.1016/j.ajem.2019.05.003
• Trivedi TK, Liu C, Antonio ALM, et al. Injuries Associated with standing electric scooter use. JAMA Netw Open. 2019;2(1):e187381. doi: 10.1001/jamanetworkopen.2018.7381
• Luceri F, Monteleone V, Randelli PS. Electric scooter-related orthopedic injuries: the experience of an Italian orthopedic center and literature review. Trauma Surg Acute Care Open. 2024;9(1):e001197. doi:10.1136/tsaco-2023-001197
• Kleinertz H, Ntalos D, Hennes F, Nüchtern JV, Frosch KH, Thiesen DM. Accident mechanisms and injury patterns in e-scooter users–a retrospective analysis and comparison with cyclists. Dtsch Arztebl Int. 2021;118(8):117-121. doi:10.3238/arztebl.m2021.0019
• Demir N, Dokur M, Agdoğan Ö, Koc S, Karadağ M, Dokur İF. Electric scooters as a silent source of danger in increasing use among young people: a single-center in-depth accident analysis. Ulus Travma Acil Cerrahi Derg. 2023;29(5):596-604. doi:10.14744/tjtes.2023.15507
• Frank S, Sator T, Kinsky RM, et al. Continuously increasing e-scooter accidents and their possible prevention in a large European city. Eur J Trauma Emerg Surg. 2024;50(6):2895-2904. doi:10.1007/s00068-024-02594-9
• Ehsani JP, Eshragi AC, Hellinger A. Electric scooters: a crisis and opportunity. Trauma Surg Acute Care Open. 2024;9(1):e001396. doi:10. 1136/tsaco-2024-001396
• Fernandez AN, Li KD, Patel HV, et al. Injuries with electric vs conventional scooters and bicycles. JAMA Netw Open. 2024;7(7): e2424131. doi:10.1001/jamanetworkopen.2024.24131
• Akalin BE, Alten A, Gündeş E. Electric scooter-related craniofacial injuries. J Craniofac Surg. 2023;34(8):2328-2331. doi:10.1097/SCS. 0000000000009660
• Ranson R, Das A, Littlefield C, et al. Orthopedic injuries caused by electric scooters: a systematic review. HSS J. 2025;21(1):81-85. doi:10. 1177/15563316231216954
• Bracher AI, Klingler S, Koba S, et al. Trauma characteristics associated with e-scooter accidents in Switzerland-a case series study. Int J Environ Res Public Health. 2023;20(5):4233. doi:10.3390/ijerph20054233
• Hourston GJM, Ngu A, Hopkinson-Woolley J, Stöhr K. Orthopedic injuries associated with use of electric scooters in the UK: a dangerous trend? Case series and review of the literature. Traffic Inj Prev. 2021;22(3): 242-245. doi:10.1080/15389588.2021.1882676
• Metry A, Manzoor N, Wattage K, et al. Observational study of the clinical impact of e-scooter injuries at a major trauma centre. Cureus. 2024;16(9):e68788. doi:10.7759/cureus.68788
• Ang KXM, Chandrakumara SD, Kon Kam King C, Loh SYJ. The orthopedic injury burden of personal mobility devices in Singapore-our experience in the east coast. J Clin Orthop Trauma. 2020;13:66-69. doi: 10.1016/j.jcot.2020.08.015