A variety of options for for fracture fixation after total hip arthroplasty or total knee arthroplasty. The ability to pre-engineer fracture fixation contingent solutions into femoral or tibial components provides a distinct clinical advantage in the planning and execution for periprosthetic fracture fixation. Methods and apparatus include targeting devices allowing for intimate association of fixed angle locking screws in pre-drilled holes in an existing prosthetic, femoral nail, or other components including additional fixation components. Such apparatus and methods further include alignment devices and other components to allow for ease of repair of periprosthetic fractures utilizing the pre-engineered solutions.