PDF(Pubmed)
Abstract：
OBJECTIVE: Electric scooters (e-scooters) have become increasingly popular as a mode of transportation in recent years. The impact of e-scooter accidents on the healthcare system and resulting orthopaedic injuries remains largely unknown. This study describes the distribution of fractures caused by e-scooter accidents.
METHODS: All patients who had one or more fractures from e-scooter accidents registered in the Swedish Fracture Register (SFR) between 7 April 2019 and 30 December 2022 were included. Fractures were classified using the AO Foundation/Orthopaedic Trauma Association (AO/OTA) fracture classification system. We analysed the distribution of fractures, the proportion that required surgical management and seasonal variation of injuries.
RESULTS: During the study period, 1,874 fractures in 1,716 patients were registered in the SFR. The mean age of patients was 29 (SD 14) years and 70% of fractures occurred in males. High-energy accidents accounted for 299 fractures (16%). The most common fractures were of the hand (n = 363, 19%), wrist (n = 352, 19%) and proximal forearm (n = 356, 19%). Wrist fractures were the most common injury in children (n = 183), accounting for 44% of paediatric fractures. Surgical treatment was performed on 556 (30%) fractures, with wrist fractures being the most commonly treated in both adults (n = 78, 17%) and children (n = 36, 36%).
CONCLUSIONS: Fractures caused by e-scooter accidents predominantly occur in the upper extremity. E-scooter accidents comprise a new source of injury requiring attention and surgical resources from an already strained healthcare system.
METHODS: All patients who had one or more fractures from e-scooter accidents registered in the Swedish Fracture Register (SFR) between 7 April 2019 and 30 December 2022 were included. Fractures were classified using the AO Foundation/Orthopaedic Trauma Association (AO/OTA) fracture classification system. We analysed the distribution of fractures, the proportion that required surgical management and seasonal variation of injuries.
RESULTS: During the study period, 1,874 fractures in 1,716 patients were registered in the SFR. The mean age of patients was 29 (SD 14) years and 70% of fractures occurred in males. High-energy accidents accounted for 299 fractures (16%). The most common fractures were of the hand (n = 363, 19%), wrist (n = 352, 19%) and proximal forearm (n = 356, 19%). Wrist fractures were the most common injury in children (n = 183), accounting for 44% of paediatric fractures. Surgical treatment was performed on 556 (30%) fractures, with wrist fractures being the most commonly treated in both adults (n = 78, 17%) and children (n = 36, 36%).
CONCLUSIONS: Fractures caused by e-scooter accidents predominantly occur in the upper extremity. E-scooter accidents comprise a new source of injury requiring attention and surgical resources from an already strained healthcare system.
摘要：
目的：近年来，电动踏板车（e-踏板车）作为一种运输方式越来越受欢迎。电动踏板车事故对医疗保健系统的影响以及由此造成的骨科伤害在很大程度上仍然未知。这项研究描述了由电动踏板车事故引起的骨折的分布。
方法：所有在2019年4月7日至2022年12月30日期间在瑞典骨折登记册（SFR）中登记的电动踏板车事故中发生过一次或多次骨折的患者均被纳入研究。使用AO基金会/骨科创伤协会（AO/OTA）骨折分类系统对骨折进行分类。我们分析了裂缝的分布,需要手术治疗的比例和受伤的季节性变化。
结果：在研究期间，在SFR中登记了1,716例患者中的1,874例骨折。患者的平均年龄为29岁（SD14），70％的骨折发生在男性中。高能事故占299处骨折（16%）。最常见的骨折是手部（n=363，19％），腕部（n=352，19％）和前臂近端（n=356，19％）。腕部骨折是儿童最常见的损伤（n=183），占儿科骨折的44%。对556例（30%）骨折进行手术治疗，在成人（n=78，17％）和儿童（n=36，36％）中，腕部骨折是最常用的治疗方法。
结论：电动踏板车事故引起的骨折主要发生在上肢。电动踏板车事故是一种新的伤害来源，需要从已经紧张的医疗保健系统中获得关注和手术资源。
方法：所有在2019年4月7日至2022年12月30日期间在瑞典骨折登记册（SFR）中登记的电动踏板车事故中发生过一次或多次骨折的患者均被纳入研究。使用AO基金会/骨科创伤协会（AO/OTA）骨折分类系统对骨折进行分类。我们分析了裂缝的分布,需要手术治疗的比例和受伤的季节性变化。
结果：在研究期间，在SFR中登记了1,716例患者中的1,874例骨折。患者的平均年龄为29岁（SD14），70％的骨折发生在男性中。高能事故占299处骨折（16%）。最常见的骨折是手部（n=363，19％），腕部（n=352，19％）和前臂近端（n=356，19％）。腕部骨折是儿童最常见的损伤（n=183），占儿科骨折的44%。对556例（30%）骨折进行手术治疗，在成人（n=78，17％）和儿童（n=36，36％）中，腕部骨折是最常用的治疗方法。
结论：电动踏板车事故引起的骨折主要发生在上肢。电动踏板车事故是一种新的伤害来源，需要从已经紧张的医疗保健系统中获得关注和手术资源。
