Research Article

Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations

Volume: 52 February 17, 2026
TR EN

Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations

Abstract

This study compares two commonly used regulations in disability assessment, the Regulation on Disability Assessment for Adults (RDA) and the Regulation on Determination of Loss of Working Capacity (RLW), by examining cases with isolated extremity injuries. Disability reports from 347 cases with isolated extremity injuries were reviewed. These reports were issued by the Department of Forensic Medicine at the Bursa Uludağ University Faculty of Medicine between 2020 and 2023. For each case, disability rates were calculated according to the RLW and the RDA. The median disability rate was 4 (min-max: 0–57) according to the RDA and 6 (min-max: 0–81) according to the RLW. Disability rates calculated using the RLW were significantly higher than those calculated using the RDA (p<0.001). A strong positive correlation was observed between disability rates calculated according to the two regulations (r=0.881, p<0.001). The leg (cruris) region was identified as the most frequently injured area (37.2%). Range-of-motion limitation (60.2%), diagnosis-based impairments (14.7%), and atrophy (14.1%) were the most common impairments. We believe that the current disability regulations should be reviewed, and that a new regulation should be developed which covers all types of impairments, specifies disability rates without requiring subjective judgment or comparison, and minimizes interpretive differences.

Keywords

References

  1. 1. Kaya A, Meral O, Erdoğan N, Aktaş EÖ. Maluliyet raporlarının düzenlenmesi: Anabilim dalımıza başvuran olgu özellikleri ile. The Bulletin of Legal Medicine. 2015;20(3):144-51.
  2. 2. Keleşoğlu A. Maluliyet kavramı, sorunlar ve Türkiye'deki uygulamalar. Eurasian J Pulmonol. 2004;6(2):295-302.
  3. 3. İnce H. Maluliyet oranının zamanla değişimi. Adli Tıp Bülteni. 2004;9(1):19-21.
  4. 4. Altındağ H, Şenol E. Maluliyet hesaplamasında göz önünde bulundurulan cetvellerde yer almayan arızaların değerlendirilmesi. Ege Tıp Dergisi. 2022;61(4):636-46.
  5. 5. Çelikel A, Muratoğlu G. Cetvellerde karşılığı olmayan klinik durumlar rapora nasıl yansıtılacak? doktorun takdir hakkı, en düşüğü ve en fazlası yazılmış bir aralıkta mı olmalıdır? Türkiye Klinikleri Forensic Medicine-Special Topics. 2019;5(1):24-6.
  6. 6. Yargıtay 17. Hukuk Dairesi’nin 17 Nisan 2014 tarihli ve 2013/6463 Esas 2014/5990 karar no.lu ilamı. https://karararama.yargitay.gov.tr (Erişim tarihi: 01/09/2025).
  7. 7. Demirci Ş, Erden M, Dinç AH. Trafik Kazaları Maluliyet Raporlarındaki Talepler ve Yanıtların Kılavuzlarla Standardize Edilmesi: Trafik Kazaları Maluliyet Raporlarındaki Talepler ve Yanıtların Kılavuzlarla Standardize Edilmesi. Turk Klin J Med Sci. 2019;5:34-40.
  8. 8. Sosyal Sigorta Sağlık İşlemleri Tüzüğü (Resmi Gazete: 22.06.1972 tarihli 14223 sayılı) https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=74496&MevzuatTur=2&MevzuatTertip=5(Erişim tarihi: 01/09/2025).

Details

Primary Language

English

Subjects

Forensic Medicine

Journal Section

Research Article

Publication Date

February 17, 2026

Submission Date

November 25, 2025

Acceptance Date

February 8, 2026

Published in Issue

Year 2026 Volume: 52

APA
Malci, E. B., Düzcan, A. M., Türkmen İnanır, N., & Fedakar, R. (2026). Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations. Journal of Uludağ University Medical Faculty, 52, 1829776. https://doi.org/10.32708/uutfd.1829776
AMA
1.Malci EB, Düzcan AM, Türkmen İnanır N, Fedakar R. Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations. Journal of Uludağ University Medical Faculty. 2026;52:1829776. doi:10.32708/uutfd.1829776
Chicago
Malci, Emir Bayram, Ali Metin Düzcan, Nursel Türkmen İnanır, and Recep Fedakar. 2026. “Evaluation and Comparison of Disability Status in Cases With Isolated Extremity Injuries Based on Current Regulations”. Journal of Uludağ University Medical Faculty 52 (February): 1829776. https://doi.org/10.32708/uutfd.1829776.
EndNote
Malci EB, Düzcan AM, Türkmen İnanır N, Fedakar R (February 1, 2026) Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations. Journal of Uludağ University Medical Faculty 52 1829776.
IEEE
[1]E. B. Malci, A. M. Düzcan, N. Türkmen İnanır, and R. Fedakar, “Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations”, Journal of Uludağ University Medical Faculty, vol. 52, p. 1829776, Feb. 2026, doi: 10.32708/uutfd.1829776.
ISNAD
Malci, Emir Bayram - Düzcan, Ali Metin - Türkmen İnanır, Nursel - Fedakar, Recep. “Evaluation and Comparison of Disability Status in Cases With Isolated Extremity Injuries Based on Current Regulations”. Journal of Uludağ University Medical Faculty 52 (February 1, 2026): 1829776. https://doi.org/10.32708/uutfd.1829776.
JAMA
1.Malci EB, Düzcan AM, Türkmen İnanır N, Fedakar R. Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations. Journal of Uludağ University Medical Faculty. 2026;52:1829776.
MLA
Malci, Emir Bayram, et al. “Evaluation and Comparison of Disability Status in Cases With Isolated Extremity Injuries Based on Current Regulations”. Journal of Uludağ University Medical Faculty, vol. 52, Feb. 2026, p. 1829776, doi:10.32708/uutfd.1829776.
Vancouver
1.Emir Bayram Malci, Ali Metin Düzcan, Nursel Türkmen İnanır, Recep Fedakar. Evaluation and Comparison of Disability Status in Cases with Isolated Extremity Injuries Based on Current Regulations. Journal of Uludağ University Medical Faculty. 2026 Feb. 1;52:1829776. doi:10.32708/uutfd.1829776

ISSN: 1300-414X, e-ISSN: 2645-9027

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Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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