Minimally Displaced Femoral Neck Fracture Pilot Study

Inclusion Criteria: * Patients 60 years of age or older. * Complete fracture of the femoral neck (AO/OTA 31B) confirmed with anteroposterior and lateral hip radiographs, computed tomography, or magnetic resonance imaging (MRI). * Minimally displaced fracture that could be, in the judgment of the attending surgeon, optimally managed with either arthroplasty or in situ internal fixation without reduction. * Low energy injury mechanism defined as a fall from standing height. * Informed consent obtained from patient or proxy. * Surgeons with expertise in total hip arthroplasty, hemiarthroplasty, and internal fixation are available to perform surgery. Note: Surgeons do not need to be experts in all techniques. Exclusion Criteria: * Unable to ambulate 10 feet pre-injury with any assistance. * Associated lower extremity injury that prevents post-operative weightbearing. * Retained hardware around the hip that precludes either study treatment. * Infection around the hip (soft tissue or bone). * Pathologic fracture with a lytic lesion in the femoral neck that precludes internal fixation. * Patient is too ill, in the judgement of the attending surgeon, for internal fixation. * Patient is too ill, in the judgement of the attending surgeon, for arthroplasty. * Unable to obtain informed consent due to language barriers. * Problems, in the judgment of study personnel, with maintaining follow-up with the patient. * Currently enrolled in a study that does not permit co-enrollment. * Prior…