Ipsilaterral intracapsular and extracapsular fracture of the hip is rare and is clinically difficult. We managed three patients who had had a primary fixation using a Gamma locking nail, out of 107 cases of femoral neck fractures from October 1993 to July 1995. Two of three cases had excessive sliding of their screws, and screws cutting through the femoral head. After treatment, they were finally able to walk with their pre-trauma gait, with or without hemiarthroplasty.