Fracture neck of femur: Outcome of results of fixation with 3 cancellous screws versus 2 cancellous screws and fibular graft in cases presenting late

Introduction: Intracapsular neck of femur fracture is a semi-emergency in patients below 60 years (mostly due to RTA) the precarious nature blood supply, kinking vessels between bone fragments, presence angiogenesis inhibiting factors, and absence cambium layer. Immediate internal fixation along with preservation femoral head this age group mandatory prevent non-union avascular necrosis. Materials Methods: 26 18-60 year Garden type III IV 1-3 weeks old were included prospective study 1 (May 2020 May 2021). Each 13 treated 3 CC screws 2 fibular graft respectively. Results: The mean duration surgery intraoperative loss was more cases (80minutes; 90mL) than (55 minutes; 60mL). Mean time union 22.75 15 (P=0.028). Good excellent results (Harris hip score Kyle’s criteria) obtained 56% 100% graft. 4 had (P=0.025). Conclusion: optimum alternative presenting late as it provides an osteogenic environment, structural support, biological healing minimal complications.   Keywords: Fracture femur, Fibular graft, Harris score, criteria.