Background: Even while femoral neck fractures are more common in the elderly, high-energy induction's nature leads to worse clinical consequences in the young. This study aimed to do a meta-analysis to assess the clinical results of internal fixation with cannulated screws in the treatment of fracture neck femur in young adults, including the rate of union, rates of revision surgery, surgical complications, and general medical issues. Subjects and methods: Utilizing research databases from 2000 to 2021, pertinent publications were found. The following keywords were used in the search: young adults, cannulated screws, internal fixation, and femoral neck fractures. To ascertain the impact of internal fixation of femoral neck fractures in young adults by cannulated screws and rates of postoperative complications, revision, function, operating time, Harris hip score, and follow-up time in young adult patients with a femoral neck fracture, six published randomized controlled trials involving a total of 231 patients were suitable for inclusion in the review. With the Revman 5.1 program, studies' demographic data were extracted, including the number of patients, their ages, and their gender.   Result: 231 patients were treated with cannulated screws for internal fixation. A follow-up period of 21.6 6.0 months was typical for all patients. In contrast, 171 patients (74.3%) had a satisfactory union without any problems. Nonunion occurred in 27 patients (11.6%), fixation failure in 8, and AVN in 22, respectively. Conclusion: Young patients with femoral neck fractures who are relatively healthy and independent can benefit from internal fixation with cannulated screws.