Objective To observe the use of percutaneous pin fixation for the treatment with TCM three dialectical effect of femoral neck fractures. Methods 82 patients with femoral neck fracture over 60 years old were randomly divided into the fixation and traditional in old aged patients chinese medicine group(A group)and simple internal fixation group (B group), curative effect was observed. Results A 1-year postoperative Harris scores were(87. 9 8 ± 3.21) scores, B 1-year postoperation Harris scores were (68.35 ± 4. 01) scores, cutaneous pin fixation with TCM three two groups had significant difference(P＜ 0. 05). Conclusion Perdialecticaltreatment of femoral neck fracture can be avoided not only affect the fracture healing and functional recovery factor, reduce the long-term use of western medicine side effects, improve the quality of life of elderly patients.