Childress's Technique of Calcaneo-talotibial Steinmann Pin Fixation in Unstable Open Fracture Dislocation of the Ankle Joint at Dilchra Referral Hospital in Ethiopia

Background: open fracture and dislocations of ankle joint are inherently unstable. The objective of the study is to assess the clinical outcome of Childress's method of Calcanneotalotibial pin fixation in the management of unstable open fracture and dislocation of ankle joint.
Methods: A prospective study was made from 2004 -2009 on 45 patients with unstable open fracture and dislocations of ankle Joint. After proper wound management, reduction of fracture and dislocation Childress technique was used to stabilize the ankle joint. Power drill was used to insert Steinmann pin. Postoperatively Posterior Gutter was applied but no preoperative tourniquet usage in all. Pin removal and application of walking cast done after wound healing in 4-9weeks.
Results: A total of 45 (40 Male 89%, 5 Female 11%) cases of unstable open fracture and dislocations of ankle joint were admitted in our ward between 2004 -2009. Causes were Road traffic accident (RTA) in 39(87%) patients and All other injuries in 6(13%) patients. Clinical outcome was satisfactory in all 45(100%) cases. Hospital stay for most 44 (98%) cases were 4-9 weeks.
Conclusion: Childress technique of Steinman pin fixation is a useful option in managing all kinds of unstable open fracture and dislocations of ankle joint.