Background and Purpose: Femoral neck fractures in the elderly are frequent, represent a great health care problem, and have a significant impact on patient’s life. If not treated early and adequately they can lead to prolonged immobility which in turn can either cause co-morbidities like pressure sores, constipation, deep vein thrombosis, pulmonary embolism, depression, muscle and joint stiffness or make it difficult for patient to regulate pre-existing diseases such as diabetes and hypertension which are rather common in old age group. Reconstruction options used for hip Arthroplasty include unipolar hemiarthroplasty, bipolar hemiarthroplasty and total hip Arthroplasty (THA). Total hip Arthroplasty (THA) is one of the most consistently successful surgeries performed in orthopaedics. THA provides reliable outcomes in terms of pain relief, functional restoration, and overall improved quality of life. The purpose of this article is to contemplate the outcomes of total hip Arthroplasty (THA) in fracture neck of femur. Method and materials: All the patients were treated with total hip Arthroplasty with Moore approach. 30 patients of age >60 years underwent THA due to fracture neck of femur. Harris hip score (HHS) and Visual analogue scale (VAS) was used to assess the outcome on follow up after a minimum of 6 months. Conclusion: The use of THA in patients of age ≥60 years of age described here yielded favorable results and a relatively low rate of complications. On follow up after 6 months there was significant increase in Harris Hip score and patients were able to carry out their day to day activity.