60 yrs: head excised and replaced by prosthesis done as a primary procedure.- In few younger patients, especially if preesenting late, open reduction of is done.- Internal fixation can be done using any of the following implant:# Multiple cancellous screws - most commonly used.# Dynamic hip screws (DHS)# Multiple Knowle's pins/More's pins - used in children.# SP nail - not popular now.- At some centres in general an inter-trochanteric osteotomy (McMurray's osteotomy is preferred).- Hemiarthroplasty is used for elderly patients & Austin Moore prosthesis is used most commonly. This cannot be used as a method of Rx in younger patients as prosthesis becomes loose over a period of time (8-10 yrs).Meyer's procedure ( reduced by exposing it from behind and it is fixed with multiple screws and supplemented with vascularised muscle pedicle bone graft). It is used in treating the fractures presenting late and those with significant communition. It is also used for non-union of the femoral neck .Additional Educational points:The vascular supply of the femoral head is also of paramount importance. There are three main sources of vascular supply:1) The retinacular vessels arising from the lateral femoral circumflex artery and the inferior metaphyseal artery and then running beneath the synovium along the neck, which they penetrate proximally both anteriorly and posteriorly;2) The interosseous circulation crossing the marrow spaces from distal to proximal; and3) Unreliably, the ligamentum teres artery.">