The elderly are prone to femoral neck fractures, especially those aged 50-70. Because of osteoporosis and fragility of the femoral neck in the elderly, fractures can occur with a slight fall. If the fracture is not treated in a timely and appropriate manner, it may lead to non-healing fracture or ischemic necrosis of the femoral head and traumatic arthritis, which can seriously affect the life of the elderly. The traditional treatment is skin traction or bone traction, and most of the surgical treatment is internal fixation with a limited nail plate system, but none of the patients can get up early, and a considerable number of elderly hip fracture patients are bedridden for a long time leading to serious complications or even loss of life. Surgical treatment of femoral neck fractures in elderly patients not only enables patients to get out of bed early, reduces the complications caused by bed rest, and significantly reduces the mortality rate, but also reduces the burden of life care for patients’ families, and significantly improves the quality of life of patients with ultra-high-age femoral neck fractures. Patients should be thoroughly examined as soon as possible after admission, and their coexisting medical diseases, such as cardiovascular disorders, respiratory diseases, diabetes, mental and neurological diseases, chronic liver and kidney insufficiency and urinary system diseases, should be actively treated. For patients who have been identified for surgical treatment, the preoperative preparation time should be shortened as much as possible, emphasizing “two shortenings”: first, shorten the time between injury and surgery (preferably not more than 1 week), and second, shorten the time of bed rest after surgery (should be out of bed 3-5 days after surgery). This is because any unnecessary examination and delay may deprive the patient of the opportunity of surgical treatment. As long as there are no absolute contraindications to surgery, surgery should be performed as soon as possible, and from this point of view, time is life.