With the development of an aging population, the number of femoral neck fractures is increasing day by day, causing a huge burden to society and the economy. Internal fixation and arthroplasty are currently the common treatment options for femoral neck. Factors such as age, degree of fracture displacement, and time from injury to surgical treatment can influence the choice of treatment options. It is generally accepted that for Garden type I and II femoral neck fractures younger than 65 years of age, they can be treated with internal fixation. However, the treatment options for nondisplaced femoral neck fractures remain controversial. While some believe that surgery during internal fixation is the best way to treat this type of fracture, others recommend artificial femoral head replacement, and the final treatment plan is often determined by the surgeon. The literature reports a mortality rate of between 20% and 36% 1 year after femoral neck fracture surgery. Whether the time lag between injury and surgical treatment affects mortality is also a controversial issue, as McGuire et al. found that delayed admission to hospital after fracture and surgery beyond 2 days of injury significantly increased mortality, but Smektala et al. concluded that early surgery had no effect on mortality, although it reduced the incidence of postoperative complications. There was no effect on mortality. Therefore, a retrospective study conducted by Dr. JiWanKim in Korea found excellent clinical outcomes in elderly nondisplaced femoral neck fractures older than 65 years with early surgical treatment and full weight bearing, the results of which were published in the July 2014 issue of ArchivesofOrthopaedicandTraumaSurgery. Retrospective study of patients with nondisplaced femoral neck fractures treated surgically by the same physician between 1999 and 2011, inclusion criteria:Garden type I and II femoral neck fractures; age greater than 65 years; treatment with multiple screws for internal fixation; and follow-up of more than 1 year. Exclusion criteria: pathological fracture; multiple trauma; high-energy trauma; follow-up time less than 1 year. Fifty-eight patients met the study criteria for inclusion in the study, 18 (31%) males and 40 (69%) females, with a mean age of 77.5 years (range 65 to 96 years) and a mean follow-up of 46.8 months (range 12 to 151 months), with 28 fracture types of Garden type I fractures and 30 type II fractures, respectively. According to the American Society of Anesthesiologists ASA classification, 66% of the patients were grade 2 and 31% were grade 3. The mean BMDT score was -3.0, with 71% of the patients having a score less than 2.5 standard deviations. The mean time interval from injury to surgery was 84 hours (range 6 hours to 432 hours), and the mean time interval from admission to surgery was 22 hours (range 1 hour to 84 hours). 86% of patients underwent surgical treatment within 48 hours of admission, and the mean operative time was 46 minutes (range 20 to 95 minutes). The procedure was performed by inward traction of the affected limb on an orthopedic traction bed and fluoroscopically guided closed 3 hollow screws with inverted triangular fixation. Depending on the patient’s health, early standing and ambulation were encouraged after surgery, with passive movement of the lower extremity and weight bearing in a wheelchair given on the first postoperative day, and full weight-bearing standing, in which the affected extremity assumed 50% to 100% of the body weight, on the third postoperative day, with the guidance of a rehabilitation therapist. At 6 weeks postoperatively, full weight-bearing standing with crutches on the opposite side of the injury was performed, and at 12 weeks postoperatively, full weight-bearing standing with crutches was removed. The patients were divided into two groups according to the time interval between admission and surgery: one group was operated within 24 hours of admission and the other two groups were operated after 24 hours of admission. 43 patients (74%) were operated within 24 hours of admission and 15 patients were operated after 24 hours of admission. Four patients required blood transfusion, and the mean time to start ambulation was 5.2 days postoperatively, with a mean length of stay of 14.7 days. The mortality rate of patients 1 year after surgery was 6.9%, and 4 patients died within 6 months after surgery (mean 3.2 months). 5 patients developed complications, and the incidence of complications was 9.3%, including 4 cases of femoral head necrosis and 1 case of internal fixation fracture. Among the patients with complications, all four patients underwent total hip replacement surgery, except for one patient with femoral head necrosis who was not treated with secondary surgery because of mild hip pain under close observation. The incidence of secondary surgery was 7.4% (4/54). The standing and walking functions of the patients in this group before the injury were as follows: 48 patients (88.9%) could walk independently, 2 patients (3.7%) needed to walk with the aid of aids, and 4 patients (7.4%) needed to walk with the aid of an indoor walker. In contrast, 35 patients (64.8%) were able to walk independently after internal fixation, 10 patients (18.5%) required an assistive device, 5 patients (9.3%) required an indoor walker, and 4 patients (7.4%) had limited walking ability. 72% of patients (39/54) returned to their pre-injury level of walking ability after surgery. A comparison of the two groups of patients operated within 24 hours of admission and those operated after 24 hours showed a mortality rate of 4.7% for patients operated within 24 hours compared to 13.3% for the latter, but there was no statistical difference between the two. The incidence of femoral head necrosis was 7.0% and 6.3%, respectively, and the recovery rate of walking ability after surgery was 73.2% and 66.7%, respectively, with no statistical difference. The mortality rate of 6.9% at 1 year after surgery in this group was much lower than the 16% to 22% previously reported in the literature. The authors concluded that adjustment of the patient’s physical condition to early surgery was one of the reasons for the reduced mortality, as well as the very early postoperative exercise, and that early exercise and continuous passive movement of the lower extremities were also responsible for the excellent recovery of the patient’s ambulatory function. From this study, the authors concluded that early internal fixation and early full weight-bearing standing and walking in elderly patients with nondisplaced femoral neck fractures reduces mortality and the incidence of reoperation within 1 year after surgery and restores patients’ ambulatory function.