The patient, a 39-year-old male, was involved in a car accident in the afternoon of April 28, 2011, and had a fracture of the left femoral neck and a fracture of the left greater trochanter taken at the local hospital (no X-ray is available at this time, so we will add it when the patient comes for the next review). On June 2, 2011, the CT scan showed that the left femoral neck fracture was poorly repositioned and the internal fixation failed. The postoperative X-ray showed good fracture repositioning and fixation, normal neck stem angle and anterior tilt angle, restoration of femoral neck length, and continuous Shenton’s line, and the axial film showed stable anterolateral femoral neck flap implantation. Postoperatively, he was treated with Chinese and Western symptomatic medications, routine surgical dressing changes, and functional exercises for active and passive hip and knee flexion and extension in bed, and the incision healed and stitches were removed in one phase, and he was discharged after 22 days of hospitalization. The patient was discharged after 22 days of hospitalization. Due to the second surgery, the bone of the head and neck remained the nail path of the first surgery, so to prevent the loosening of the internal fixation and fracture dislocation, the patient was temporarily prohibited from supporting the crutches to get out of bed. The fracture of the neck of the femur in young adults or even such a fracture (fracture of the neck of the femur combined with a greater trochanter fracture) should be treated? I will upload the film of the patient’s later review in time.