ANKLE AND MIDFOOT FRACTURES;

DIAGNOSTIC ACCURACY OF OTTAWA RULES

Authors

  • Mohammad Shabir Lady Reading Hospital, Peshawar.
  • Shahid Iqbal Hayatabad Medical Complex Peshawar.
  • Muhammad Inam Lady Reading Hospital, Peshawar.
  • Arif Shehzad Hayatabad Medical Complex Peshawar.
  • Ihsanullah - Khyber Medical University Peshawar.

DOI:

https://doi.org/10.29309/TPMJ/2017.24.11.663

Keywords:

Ottawa Ankle Rule,, Fracture,, Ankle,, Foot,, X-ray.

Abstract

Objectives: To determine the diagnostic accuracy of Ottawa rule in ankle and
midfoot fracture keeping x-ray as gold standard. Study Design: Descriptive study. Setting:
Department of Orthopedics, Lady Reading Hospital Peshawar. Period: June 2014 to May 2016.
Materials and Methods: Through a Cross Sectional Study Design, a total of 175 patients
presenting with suspicion of ankle/mid foot fracture were selected in a consecutive manner
from the OPD and subjected to detection of fracture through Ottawa Ankle Rule followed by
X-ray to confirm the diagnosis of fracture. Results: The mean age group of patients in our
study was 36.1+10.4 years. There were 85.7% males and 14.3% were females. The sensitivity
analysis shows OAR has a sensitivity of 81.2% and specificity 61.9%., positive predictive value
of the OAR is 79.1% and negative predictive value is 65.0% keeping X-ray as a gold standard.
Conclusion: The overall sensitivity and specificity of the OAR lies within an acceptable range
in our local population however, we still recommend further research work over it before
recommendations as a routine screening test for the fracture of ankle or mid foot.

Author Biographies

Mohammad Shabir, Lady Reading Hospital, Peshawar.

FCPS (Ortho),
Associate Professor,
Department of Orthopedics

Shahid Iqbal, Hayatabad Medical Complex Peshawar.

FCPS (Ortho)
Trainee Registrar,
Department of Orthopedics

Muhammad Inam, Lady Reading Hospital, Peshawar.

MRCS (UK), FCPS (Ortho),
Assistant Professor,
Department of Orthopedics

Arif Shehzad, Hayatabad Medical Complex Peshawar.

MBBS
Trainee Medical Officer,
Department of Orthopedics

Ihsanullah -, Khyber Medical University Peshawar.

PhD
Assistant Professor,

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Published

2017-11-03