Fractures of the femoral neck are relatively common in clinical practice and are usually treated surgically. A large number of studies have been conducted to determine which is the best treatment option for femoral neck fractures: internal fixation, hemi-arthroplasty, or total hip. The majority of researchers recommend total hip replacement for patients with femoral neck fractures, while a small group of scholars maintain that hemi-arthroplasty is more effective and relatively simple to perform. Although there has been a steady stream of research and investigations into the surgical approach to femoral neck fractures over the past two decades, there has been no uniform conclusion on the prevailing trend. Currently, BenjaminJ et al. used a relatively novel approach to analyze whether there are subtle changes in the current surgical approach to femoral neck fractures and whether there are differences between regions. In addition, whether the selectivity of surgical approach is related to the age of the patient and the expertise of the orthopedic surgeon, published the latest findings in the latest JBone Joint Surg Am. The investigators queried the US orthopedic database and censored and counted the utilization rates of all internal fixation, total hip replacement, and hemi hip replacement between 1999 and 2011. All target patients were categorized by age at surgery (younger than 65 years, between 65 and 75 years, and older than 80 years), and inclusion criteria were used to ensure that the operator was well-trained and had a strong theoretical basis for the procedure. The inclusion criteria and detailed study methodology are described in the original article. A total of 19,686 patients with femoral neck fractures were enrolled in the study, and 145 patients were excluded because they were unsure of the surgeon’s grade to perform the procedure, for a total of 19,541 patients and 4,450 participants. The results of the study showed a 7% increase in total hip replacement from 1999-2011 (0.7% to 7.7%, p<0.001). Hemiprosthetic replacement decreased from 67.1% to 63.1% in 1999 (P=0.20), and internal fixation devices also decreased from 32.2% to 29.2% in 1999 (P=0.064). And the rate of total hip replacement use increased to varying degrees in different regions. The number of patients aged less than 65 years who received total hip replacement increased from 1.4% to 13.1% (P<0.001). The propensity of orthopedic surgeons for total hip replacement also varied by orientation, with the adoption rate of total hip replacement by surgeons in the joint group ranging from 4.3% between 1999 and 2002 to 21.1% between 2009 and 2011 (p<0.001), and the adoption rate of internal fixation devices by surgeons in the trauma group ranging from 40.9% between 1999 and 20002 to 32.9% between 2009 and 2011. < p=""> The final results of this study show that the use of total hip replacement for femoral neck fractures is an increasing choice among experienced operators, with a particularly significant upward trend in its use among patients younger than 65 years of age with femoral neck fractures. The preference for total hip arthroplasty among joint reconstructionists has also climbed each year. These changes indicate that a larger proportion of orthopaedic surgeons are judging total hip arthroplasty to be superior to hemiarthroplasty in their choice of clinical procedure in certain patient groups. Currently, more junior physicians are performing femoral neck fractures than in the past, which may signal increasing individual and institutional specialization.