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Orthopaedic injuries among electric bicycle users.

Shay Tenenbaum1, Daniel Weltsch1, Jason T Bariteau2

  • 1Department of Orthopedic Surgery, Chaim Sheba Medical Center at Tel Hashomer, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel.

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Electric bicycle (E-bike) use is rising, leading to more orthopedic injuries. Older adults and collisions with vehicles pose higher risks, highlighting the need for targeted safety strategies.

Keywords:
BicycleE-bikeElectric bicycleFracturesOrthopaedic injuryTrauma

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Area of Science:

  • Orthopaedic Surgery
  • Public Health
  • Trauma Registry Analysis

Background:

  • Increasing adoption of electric bicycles (E-bikes) presents new public health challenges.
  • E-bike usage necessitates a focus on safety and injury prevention strategies.
  • This study is the first to analyze E-bike related orthopaedic injuries using national trauma data.

Purpose of the Study:

  • To investigate the epidemiological characteristics of orthopaedic injuries resulting from E-bike use.
  • To identify high-risk demographics and injury patterns associated with E-bike incidents.
  • To inform healthcare providers and policymakers on E-bike safety and resource allocation.

Main Methods:

  • Review of a National Trauma Registry for patients hospitalized due to E-bike injuries (Jan 2014 - Dec 2015).
  • Analysis of 549 patient cases focusing on demographics, injury type, severity, mechanism, and treatment.
  • Statistical analysis to determine risk factors and injury prevalence.

Main Results:

  • 65% of patients sustained orthopaedic injuries, with lower extremity fractures (especially tibia) being most common.
  • Individuals over 50 years old had higher risks for spine, pelvis, and femoral neck fractures.
  • Collisions with motorized vehicles increased the risk of associated injuries and major trauma (ISS ≥16).

Conclusions:

  • E-bike related orthopaedic injuries have distinct epidemiological features.
  • Findings are crucial for developing targeted prevention strategies and informing healthcare policy.
  • Understanding injury mechanisms and risk factors is key to mitigating E-bike related harm.