Periprosthetic fractures are increasing in number andcomplexity. Appropriate precautions should be taken to preventthese fractures. A systematic approach is needed in the form ofdetailed assessment of the fracture, stability of the implant and theavailable bone stock for planning an appropriate treatment. Thetreatment options described in this article can be used as aframework for making the right surgical decision regardingappropriate method of reconstruction to ensure optimum result.