The clinical and radiological results of Vancouver type B2 and B3 peri-prosthetic fractures treated with an uncemented Wagner revision stem (3rd generation) were analysed. Two groups were identified, 15 patients had a B2 and 14 cases a B3 periprosthetic fracture. The mean follow-up was 74 months after the index operation. All fractures had united radiographically. No cases of non-union were found. There was only one case of aseptic loosening. The clinical scores presented encouraging results for both groups. The uncemented distal fixation stem was an effective solution in the treatment of type B2 and B3 periprosthetic femur fractures at mid-term follow up.