1.Iatrogenic Proximal Tibiofibular Fracture during Manual Reduction of Posterior Hip Dislocation After Total Hip Arthroplasty
Hyuk Min KWON ; Jungkeun YOO ; Chang-Yk LEE
The Journal of the Korean Orthopaedic Association 2024;59(6):431-435
The Allis maneuver is the most commonly used method for reducing posterior hip dislocation. The authors experienced an iatrogenic proximal tibiofibular fracture in a 91-year-old male who underwent total hip arthroplasty while reducing posterior hip dislocation with the Allis maneuver. The hip was safely reduced under spinal anesthesia with a fracture table. Open reduction and internal fixation with a locking plate were done for the proximal tibia fracture.
2.Iatrogenic Proximal Tibiofibular Fracture during Manual Reduction of Posterior Hip Dislocation After Total Hip Arthroplasty
Hyuk Min KWON ; Jungkeun YOO ; Chang-Yk LEE
The Journal of the Korean Orthopaedic Association 2024;59(6):431-435
The Allis maneuver is the most commonly used method for reducing posterior hip dislocation. The authors experienced an iatrogenic proximal tibiofibular fracture in a 91-year-old male who underwent total hip arthroplasty while reducing posterior hip dislocation with the Allis maneuver. The hip was safely reduced under spinal anesthesia with a fracture table. Open reduction and internal fixation with a locking plate were done for the proximal tibia fracture.
3.Iatrogenic Proximal Tibiofibular Fracture during Manual Reduction of Posterior Hip Dislocation After Total Hip Arthroplasty
Hyuk Min KWON ; Jungkeun YOO ; Chang-Yk LEE
The Journal of the Korean Orthopaedic Association 2024;59(6):431-435
The Allis maneuver is the most commonly used method for reducing posterior hip dislocation. The authors experienced an iatrogenic proximal tibiofibular fracture in a 91-year-old male who underwent total hip arthroplasty while reducing posterior hip dislocation with the Allis maneuver. The hip was safely reduced under spinal anesthesia with a fracture table. Open reduction and internal fixation with a locking plate were done for the proximal tibia fracture.
4.Teriparatide Treatment for Osteoporotic Multisegmental Thoracolumbar Compression Fracture in an Adolescent Myasthenia Gravis Patient with Long-Term Steroid Use
Jeongseok YU ; Chang-Yk LEE ; Jungkeun YOO
The Journal of the Korean Orthopaedic Association 2024;59(2):142-147
Myasthenia gravis is an autoimmune disease in which autoantibodies affect the neuromuscular junction, leading to muscle loss. Steroids are the primary immunosuppressive treatment for this condition. Since steroids affect the immune system and are effective in most subtypes of myasthenia gravis, they are often used for long-term maintenance treatment. This increases the probability of steroidassociated side effects such as decreases in bone mineral density and increased risk of fractures. The authors successfully treated an 18-year-old female who had been using steroids for a long time after being diagnosed with myasthenia gravis using teriparatide for osteoporotic multi-segment thoracolumbar compression fractures that occurred without trauma with satisfactory outcomes. Since there have been no reports of osteoporotic multi-segmental thoracolumbar compression fractures and treatment in juvenile myasthenia gravis patients caused by long-term steroid use, we report this case along with a review of the literature.