Abstract :
Aim: The aim of our study was to investigate the effectiveness of Ottawa Ankle Rules (OAR) in turkish society. Method: 208 patients with ankle injuries following a trauma were included to our study in October 17 2016 to January 17 2017.All patients were referred for standard radiography of ankle and they were evaluated regarding the OAR. Age, gender, mechanism of the trauma, the reason of injury were asked, the patients consultated to orthopedics and the ones needed to ateles were recorded. Statistics were analysed according to SPSS 16th version. Results: It is found that 2 of 208 patients had no endication of standard graphy according to OAR and there were no fractures in these patients. According to OAR 206 patients had endication for radiography and in this group 33 patients had fractures. The sensivity of OAR is 100% and specificity of OAR is 27% for turkish society. It could prevent 25% of the unnecessary radiographies. The severity of the injuries increased by patients’ age got older. Especially it should not be forgotten that in elderly patients and fat patients even little injuries could cause fractures, so physicians should pay more attention to these patients. Conclusion: Ankle injuries following a trauma should be evaluated regarding the OAR to gain time in the emergency department and patients will take less radiation and also it could be more cost effective.
Keyword :
Emergency, Ottawa Ankle Rules, Trauma