Both intertrochanteric fractures and femoral neck fractures are hip fractures, and both occur mostly in the elderly. The average age of inter-rotor fractures is 5-6 years higher than that of femoral neck fractures, and the clinical manifestations and systemic complications are roughly similar. The main differences between these two fractures are as follows: 1. The fracture sites are different: although both are hip fractures, inter-rotor fractures are fractures occurring from the base of the femoral neck to above the level of the lesser trochanter, while femoral neck fractures are fractures in the junction area of the femoral head and neck up to the base of the femoral neck The fracture is between the base of the femoral neck and the base of the femoral neck. Comparatively speaking, a femoral neck fracture is more medial, i.e., closer to the central part of the body. It was also often said before that femoral neck fracture belongs to intracapsular fracture and intertrochanteric fracture belongs to extracapsular fracture; 2. Different clinical manifestations: although both have symptoms such as hip pain after trauma, inability to stand and walk, shortened leg and a little bending, intertrochanteric fracture, because of rich local blood flow, obvious swelling, extensive petechiae, sometimes even causing anemia and requiring blood transfusion treatment, pressure point at the greater trochanter and the foot is more markedly inverted outward. In contrast, the bruising and swelling of femoral neck fracture is lighter, the pressure point is at the midpoint of the groin, and the foot is sometimes not so obvious; 3. Complications are different: intertrochanteric fractures are prone to hip inversion deformity and occasionally fracture non-union, but femoral neck fractures have two more difficult complications of fracture non-union and ischemic necrosis of the femoral head, and the incidence of orthopedic complications is significantly higher than that of intertrochanteric The incidence of orthopedic complications is significantly higher than that of intertrochanteric fractures, often requiring reoperation; 4. There is a difference in treatment options: intertrochanteric fractures are treated by the preferred method of surgical repositioning and internal fixation, and artificial femoral head replacement can also be considered in super advanced age or in certain cases. In contrast, for femoral neck fractures, internal fixation is generally preferred for patients under 65 years of age, and for patients over 65 years of age with significant misalignment of the femoral neck fracture, artificial total hip replacement or artificial femoral head replacement surgery should be preferred.