临床骨科杂志 Journal of Clinical Orthopaedics 2022 Apr; 25(2) ・197・ doi: . issAll patients were followed up for 12 months. Incision length,intraoperative blood loss, time to get out of bed and length of hospital stay in the anterior approach group were significandy shorter (less) than those in the posterolateral approach group (P <0. 001) , while the operative time was significantly longer in the anterior approach group than the posterolateral approach group (P <0. 001). There were no significant differences between the two groups in postoperative acetabular abduction angle and its ratio of safe zone, acetabular anteversion angle and its ratio of safe zone, offeel and its recovery rate, and double lower extremities length difference (P > 0. 05). The incidence rate of postoperative complications in the anterior approach group was significandy lower than that in the posterolateral approach group (P < 0. 05 ) . Harris scores of the hip: the anterior approach group was significandy higher than the pos terolateral approach group at 6 months after surgery (P < 0. 05 ) ,but there was no statistical difference between the two groups at 12 months after surgery (P > 0. 05 ). Conclusions In the treatment of femoral neck fracture, both anterior approach and posterolateral approach can restore the