Fracture neck of femur is a complex injury that predominantly affects young adults. Surgical management options include the use of dynamic hip screw (DHS) or multiple cancellous screw (MCS) fixation techniques. However, the optimal choice between these two approaches remains a subject of debate. This study aims to compare the effectiveness and outcomes of using DHS versus MCS in young adults with fracture neck of femur. The study design was a comprehensive comparative analysis involving a thorough evaluation of medical records, patient demographics, surgical technique, and post-operative data collected over a specific period. Several clinical outcomes, including surgical time, perioperative blood loss, functional recovery, implant failure rates, and patient satisfaction ratings, were considered in the analysis. Results demonstrated that both DHS and MCS techniques yielded satisfactory outcomes in young adults with fracture neck of femur. However, certain differences were observed. The DHS technique exhibited advantages in terms of biomechanical stability and load sharing capacity, which can promote early mobilization and enhanced recovery. On the other hand, the MCS approach offered an alternative procedure that is less invasive, demands shorter surgical time, and presents minimal risk of avascular necrosis. A comparison of functional recovery indicated that patients treated with DHS achieved improved ambulation and quality of life compared to those treated with MCS. However, both techniques yielded similar rates of implant failure and overall patient satisfaction. These findings suggest that the optimal choice between DHS and MCS should be tailored to the individual patient, considering factors such as age, fracture pattern, bone quality, and surgeon expertise.