Ipsilateral femur fractures in patients who have had cemented total hip arthroplasty is an infrequent and hazardous complication. Operative treatment has been specifically recommended for type II fractures (those extending from the proximal portion of the femur shaft to beyond the distal tip of the prosthesis) because of the predictably unsatisfactory results with nonoperative treatment. The authors report the successful nonoperative treatment of a postoperative fracture around an uncemented porous-coated femoral component. They recommend nonoperative treatment for minimally displaced type II femoral shaft fractures around uncemented porous-coated prostheses.