Ankle Sprain Clinical Trial
Official title:
Applicability of the Ottawa Ankle Rules to Exclude Fractures of the Ankle and Midfoot - Comparison to Orthopedic Residents Routine.
The aim of this prospective study was to compare outcomes in patients handled by emergency
physician according to OAR versus by an orthopedic resident.
92 consecutive patients with ankle injuries attending our emergency department were divided
in two groups. The study group comprised 32 patients who arrived during the morning shift
and were examined by an emergency physician according to OAR. Patients discharged without an
x-ray were followed in the clinic or by telephone communication. The control group
constituted 60 patients who were examined during the evening and night shifts by orthopedic
residents unaware of this study.
Objective. Ankle and midfoot injuries are common orthopedic complaints, both in general
medicine and orthopedic practice. The percentage of fractures among these injuries is small,
however many will undergo x-ray. Ottawa ankle rules (OAR) are clinical guidelines for
determining whether to use radiography in such cases. The aim of this prospective study was
to compare outcomes in patients handled by emergency physician according to OAR versus by an
orthopedic resident. Also, we validated the applicability of OAR in an emergency department
in our country.
Methods. 92 consecutive patients with ankle injuries attending our emergency department were
divided in two groups. The study group comprised 32 patients who arrived during the morning
shift and were examined by an emergency physician according to OAR. Patients discharged
without an x-ray were followed in the clinic or by telephone communication. The control
group constituted 60 patients who were examined during the evening and night shifts by
orthopedic residents unaware of this study.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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