To The Editor: With “Periprosthetic Fracture of the Femur after Total Hip Arthroplasty. Treatment and Results to Date” (79-A: 1881–1890, Dec. 1997), Lewallen and Berry provided a very fine Instructional Course Lecture. They noted that revision is usually the best option for the treatment of a periprosthetic fracture that has occurred adjacent to a loose femoral stem, and they rightly pointed out that this often necessitates distal fixation of the stem. However, in listing the options for distal fixation, the authors did not include the use of a long curved femoral component (after reaming of the femoral canal) with distal interlocking with screws. This is perhaps the most logical option, as it is analogous to the use of a locking femoral nail, which is the treatment of choice for fractures of the femoral shaft in adults in general. I do not know if these implants are readily available in the United States, but they are certainly used for distal …