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E-Scooter facial fractures: A comparative cohort study
Peter F Gearing1, Nathan El-Atem1, Maxim Devine1
1Department of Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
Summary
E-scooter trauma is causing a rise in facial fractures, with intoxicated riders being most affected. Most injuries, particularly zygomaticomaxillary complex fractures, require surgery, highlighting the need for better regulation.
Area of Science:
- Traumatology
- Public Health
- Orthopedics
Background:
- The proliferation of electric scooters (e-scooters) has led to an increase in associated injuries.
- Facial fractures represent a significant subset of trauma resulting from e-scooter incidents.
- Understanding the patterns and contributing factors of these fractures is crucial for public safety initiatives.
Purpose of the Study:
- To analyze the distribution and patterns of facial fractures resulting from e-scooter trauma.
- To investigate the impact of e-scooter use on facial fracture incidence.
- To identify factors associated with e-scooter related facial injuries.
Main Methods:
- Retrospective analysis of prospective audit data on facial fractures.
- Inclusion of patient demographics, mode of injury, and specific facial bones affected.
- Collection of data on intoxication, helmet use, and soft tissue injury.
Main Results:
- Out of 849 facial fracture patients, 34 were linked to e-scooter use.
- Half of injured e-scooter riders were intoxicated; a quarter wore helmets.
- Zygomaticomaxillary complex fractures were the most prevalent pattern; most patients needed surgery.
Conclusions:
- A rise in facial fractures correlates with the introduction of shared e-scooter trials.
- Intoxication and lack of helmet use are significant risk factors.
- Policy interventions are needed to enforce regulations and mitigate healthcare costs from preventable e-scooter trauma.

