A femoral neck fracture is a break occurring in the narrow section of the femur (thigh bone) just below the ball of the hip joint. This type of fracture is common in older adults, often due to falls or osteoporosis, but it can also occur in younger individuals due to high-impact trauma, such as car accidents or sports injuries. Symptoms typically include severe hip pain, difficulty bearing weight, and limited mobility. Open Reduction and Internal Fixation (ORIF) is a surgical procedure used to treat femoral neck fractures. The goal of ORIF is to realign the fractured bone (open reduction) and secure it in place using hardware like screws, pins, or plates (internal fixation). This method promotes proper healing and restores the structural integrity of the hip joint. The procedure begins with the surgeon making an incision near the hip to access the fracture site. The fractured bone fragments are carefully repositioned and stabilized with internal fixation devices. Once the hardware is in place, the incision is closed, and the patient begins a rehabilitation program to regain mobility and strength. ORIF is often the preferred treatment for younger or active individuals to preserve the natural hip joint. For older patients, particularly those with compromised bone health, alternative treatments like hip replacement may be considered.