Periprosthetic and proximal femoral fractures that occur after hip resurfacing are a challenging problem which, with the increasing popularity of resurfacing arthroplasty, is likely to increase in frequency. In the presence of a well-fixed acetabular component, periprosthetic femoral neck fractures about a hip resurfacing implant may be successfully managed by isolated revision of the femoral component and retention of the socket. However, successful internal fixation of the fracture would allow retention of the femoral implant and salvage of a previously well-functioning resurfacing prosthesis. When the resurfacing femoral component is retained, however, the presence of the implant stem, which is centrally located in the femoral neck, causes difficulty in placing the typical implants (e.g., a screw-plate device or a cephalomedullary nail) that are used in the management of intertrochanteric and proximal femoral fractures.