A 35-year-old male sustains a high-energy trauma resulting in a displaced Garden's Type III fracture of the femoral neck. The most appropriate initial management strategy for this patient, considering his age and fracture type, would be:

Explanation

In young patients (typically <60 years old) with femoral neck fractures, the primary goal is to preserve the native femoral head due to their long life expectancy and high activity levels. Displaced fractures (Garden's Type III and IV) require urgent anatomical reduction and stable internal fixation (usually with cannulated screws) to maximize the chances of union and minimize the risk of avascular necrosis (AVN). Hemiarthroplasty and THA are typically reserved for elderly patients or young patients with failed internal fixation or established AVN/non-union, as they are associated with higher revision rates in younger, active individuals. Non-weight bearing and observation are not appropriate for a displaced fracture.