The purpose of this study was to compare the clinical (range of motion, weight bearing, quality of life) and radiographic outcome (boney consolidation) between open reduction and internal fixation using locking compression plates with revision prosthesis using a non-cemented long femoral stem in a group of patients with a Vancouver type-B2, B3 and C periprosthetic fracture after primary total hip replacement.

Inclusion Criteria:

• Patients with Vancouver type- BlI, BIII and C fractures and unstable femoral prosthesis stem.

Exclusion Criteria:

• Patients with pathological fractures,
• Vancouver type-A, Bl, and
• stable femoral prosthesis stem,
• Patients with hemi - prosthesis and periprosthetic femoral fractures were excluded from final analysis.

We retrospectively reviewed a consecutive series of 102 patients with Vancouver type-B2, B3 and C periprosthetic fractures and unstable femoral stem, which had been prospectively entered, in our hip-trauma database.