The treatment of femoral neck fracture in the elderly can generally take the following methods: 1. If the fracture is an embedded fracture of the femoral neck, the fracture is less displaced or the fracture is more stable, conservative treatment can be taken. Conservative treatment methods can be lower limb traction or wearing thong shoes, taking drugs to promote fracture healing, calcium supplementation, taking Chinese medicine can be; 2, femoral neck fracture displacement is more obvious or femoral neck fracture location is closer to the lower part of the head, the patient is more than 65 years old, it is recommended that patients can take joint replacement surgery. If the age is relatively young, just over 65 years old, and the usual activity is high, it is recommended to have total hip replacement. If the patient is too old and in poor general condition, it is recommended to perform hemi hip replacement, i.e. artificial femoral head replacement, which is relatively less invasive. After hip replacement, patients can move to the ground at an early stage, which can prevent complications such as deep vein thrombosis, decubitus ulcers and crushing pneumonia caused by prolonged bed rest; 3. Elderly people with femoral neck fracture, with more ideal bone quality, no displacement near the base and no obvious osteoporosis, can be considered for hollow nail internal fixation treatment in this case.