This study aimed to investigate the histopathological changes occuring in the femoral head and joint capsule of the hip in 15 patients with intracapsular femoral fracture. The mean age of patients was 69,5 and, 14 had undergone hemiarthroplasty with Thompson endoprosthesis while 1 patient had total hip arthroplasty. Femoral heads and joint capsules were removed for histopathological investigation intraoperatively. Early findings evident of ischemic necrosis were discovered in 12 patients (80%). The fracture age was not found to be related with these changes (5 day-9 month). Hemiarthroplasty indications in elderly patients with femoral neck fractures were discussed and emphasized.