Background: Basicervical fractures of femur represent an intermediate form of injury between the neck femur fractures and intertrochanteric fractures, with no clear-cut guidelines for fixation. The purpose of this study was to evaluate the effectiveness of dhs and derotation screw fixation in the management of basicervical fractures of femur. Methods: This was a prospective observational study conducted on 26 patients of either sex with an average age of 52.46 years, presenting to the orthopaedics department of shkm government medical college hospital, nalhar, nuh, haryana between January 2016 and January 2018, with a diagnosis of basicervical neck femur fracture. All the patients underwent closed reduction and internal fixation with dynamic hip screw (dhs) and derotation screw. The patients were followed up for a period of 1 year. The patients were analysed for union and functional results using the modified Harris hip score. Results: All the fractures united and the average time of union was 14.4 weeks. The modified Harris hip score at follow up was excellent in 14(53.84%), good in 8(30.77%), fair in 3(11.54%) and poor in 1(3.85%) patients respectively. Conclusions: Thus results of our study demonstrate that closed reduction and internal fixation with dhs and derotation screw is a safe and effective surgical procedure for the treatment of basicervical neck femur fractures. Level of evidence: therapeutic level IV.