Periprosthetic fracture of the femur after hip arthroplasty is a difficult problem. Management depends on different clinical factors and these are fractures are managed at District General Hospitals.

Present series is of fifty such fractures presenting between 1999 and 2004 in two District General Hospitals in England. Number of female patients were more than males and majority of patients sustained these injuries after trivial fall.

Outcome of management are analysed according to modified ‘Tower and Beals’ criteria (1999).

Eleven patients lost to follow-up, twelve patients died (mortality was twenty-four percent) during follow-up. Twenty-one patients progressed to clinical and radiological union at an average of eight and eleven months respectively. Six patients are under follow-up.

Although several results are published in literature but the present result is comparable to the most literatures. If certain principles are followed comparable results can be obtained in District General Hospitals by Surgeons with a special interest in the management of these fractures.