Objective: To evaluate the results of cannulated screw fixation for subcapital neck of femur fractures in our unit.

Materials and Methods: 104 patients underwent the above procedure in our unit over a two year period (Jan 2006 – Dec 2007). The case notes and xrays of these patients were reviewed retrospectively. The age group varied between 31 and 100 years.

Results: There was 20% incidence of complications. There were 9 cases of AVN and 10 cases of screws backing out and I case of subtrochanteric fracture. Of the 9 cases of AVN 3 were below 73 years of age and the rest had a mean age of 90.3 years.

Conclusion: There is a high incidence of AVN in geriatric group requiring further surgery and cannulated screws fixation is not the optimal choice in geriatric group for varied reasons. Further review is to be carried out looking for the specific reasons of failure.