Hip fracture ORIF using a Dynamic Hip Screw (DHS) or an Intramedullary (IM) Nail is a surgical treatment for fractures of the upper femur (thigh bone), most commonly occurring after a fall, trauma, or in patients with weakened bone from osteoporosis. These fractures can severely limit mobility and require prompt surgical stabilization to relieve pain, restore function, and reduce complications from prolonged immobility. Before surgery, the patient undergoes urgent evaluation, including X-rays and sometimes CT scans, to determine the exact location and pattern of the fracture. Blood tests, cardiac evaluation, and medical clearance are often performed, especially in older adults, to ensure the patient is stable for surgery. Pain control, hydration, and temporary immobilization are provided while preparing for the procedure, which is typically performed within 24 to 48 hours when medically feasible. The surgery is performed under general or regional anesthesia. The choice between a Dynamic Hip Screw and an Intramedullary Nail depends on the fracture type and location. For fractures near the femoral neck or intertrochanteric region, a DHS may be used. This involves placing a large screw into the femoral head, connected to a side plate along the femur, allowing controlled compression at the fracture site as the bone heals. For certain fracture patterns, especially those extending further down the femur or involving instability, an IM nail may be selected. In this approach, a metal rod is inserted into the center of the femur through a small incision near the hip, with screws placed above and below the fracture to hold the bone securely in alignment. After surgery, patients are monitored closely in the recovery area and may remain hospitalized for several days. Early movement is a key part of recovery, and many patients are encouraged to sit up, stand, or begin walking with assistance within a day of surgery. Pain is managed with medications, and blood clot prevention measures are initiated. Weight-bearing status depends on fracture stability and fixation type but is often allowed partially or fully with support. Rehabilitation plays a critical role in recovery. Physical therapy focuses on restoring mobility, strength, balance, and confidence with walking. Occupational therapy may also help patients safely return to daily activities. Recovery timelines vary, but healing typically progresses over several months, with gradual improvement in independence and function. Hip fracture ORIF with DHS or IM nail is designed to stabilize the fracture, promote reliable healing, and allow patients to return to mobility as safely and quickly as possible, reducing the risks associated with prolonged bed rest and preserving long-term hip function.