title: Bilateral symmetrical periprosthetic (mirror) fractures of knee fixed with dual plating technique.
abstract: BACKGROUND
  Periprosthetic fracture following total knee arthroplasty is a potentially serious condition. Here we report a case of bilaterally symmetrical (mirror) fracture of supracondylar area following trivial trauma.
  
  
  METHODS
  Both fractures were OTA 33A2 and according to Rorabeck classification they were type II. Both fractures were fixed by dual plating technique using non locking plates. Intra operative fracture site biopsy revealed marked osteopenia and hence the patient was treated for osteoporosis.
  
  
  CONCLUSIONS
  Both fractures united well at 14 weeks. At final follow up of 6 years there were no radiological signs of implant loosening and the patient was able to walk without any aids and had a range of 80° and 60° flexion in the right and left knees respectively.
  
  
  CONCLUSIONS
  We conclude that in the pre locking plate's era such difficult case has been successfully managed by dual plating technique.
authors.affiliation: Sunshine Hospitals, Secunderabad, India.
authors.forename: Venkata
authors.initials: V
authors.lastname: Gurava Reddy
authors.forename: Aditya
authors.initials: A
authors.lastname: Krishna Mootha
authors.forename: T
authors.initials: T
authors.lastname: Chiranjeevi
authors.forename: Pareen
authors.initials: P
authors.lastname: Kantesaria
authors.forename: Vinodh
authors.initials: V
authors.lastname: Kumar Ramireddy
authors.forename: Divakar
authors.initials: D
authors.lastname: Reddy
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