The femoral neck is a common site of fracture as our bones become less dense with age. Surgical management depends on the site of fracture: intracapsular fractures such as in this case are more likely to have a disrupted blood supply and hence go on to develop avascular necrosis. For displaced intracapsular fractures, hip replacement (either hemiarthroplasty or total hip replacement) is generally preferred. The exception to this is in the younger patient where it may be preferable to try and preserve the native hip joint by initial fixation, with replacement later if avascular necrosis develops.