There is traditionally been a standard of care for a displaced femoral neck fracture that involves a partial replacement of the hip. This concept is being questioned with the review of results particularly in more active elderly individuals who fracture their hip. There is a movement to utilize total hip replacement for these individuals to try and improve function and decrease the revision rate of partial hip replacements. The benefit of complete hip replacement is better pain relief, better function, and better durability. The downside of this is an increased rate of dislocation. With the use of larger femoral heads the dislocation risk can hopefully be decreased and the improvement in function and pain relief realized without the price of increased dislocation. These are options that should be discussed with your surgeon when you or a family member is faced with this problem.