Objective To compare the clinical efficacy of the femoral neck system(FNS)and inverted cannulated cancellous screws(ICCS)in the treatment of femoral neck fractures.Methods The clinical data of 92 patients with femoral neck fractures were retrospectively studied;46 patients were treated with FNS,and 46 patients were treated with ICCS.The fracture type,opera-tion time,intraoperative bleeding,postoperative hospital stay,and quality of fracture reduction were compared between the two groups;postoperative follow-up was 10-15 months(mean of 11.3 months),and the fracture healing time,complications,and Harris hip scores at the last follow-up were compared between the two groups.Results There was no significant difference be-tween the two groups in terms of gender,fracture type,intraoperative bleeding,quality of fracture reduction,and hospital stay(P>0.05).Compared with the ICCS group,the FNS group had shorter operation time(t=-5.661,P<0.05),shorter postopera-tive fracture healing time(Z=-4.339,P<0.05),lower postoperative complication rate(Z=5.361,P<0.05),and higher posto-perative Harris Hip Score(Z=-2.510,P<0.05).Conclusion Internal fixation of femoral neck fractures is clinically more ef-fective with FNS than with ICCS.