Hip fractures demand urgent attention in low- and middle-income regions as much as in the West. Their global burden is enormous: over 10 million hip fractures occurred worldwide in people ≥55 years in 2019, and projections suggest they will nearly double by 2050. Hip fracture projections in Nepal estimate ~6,900 cases in 2015 (age ≥50) rising to ~23,400 by 2050. Treatment of hip fractures have evolved slowly over the centuries. The first successful internal fixations appeared in the 1870s with steel wiring to unite a femoral neck fracture. The 20th century saw dramatic advances in the treatment of hip fractures. Key categories of modern fixation techniques include cannulated cancellous screws, sliding hip screws, cephalomedullary nails, and Arthroplasty.
 This article discusses historical context, evolution of hip fracture treatment, pioneers in hip fractures treatment and currently available fixation devices for hip fractures