Objective To evaluate the Results and complications of femoral neck fractures in elderly patients treated with close reduction plus percutaneous cannulated screw fixation. Methods We retrospetively Ⅳely studied 145 patients older than 60 years who presented with femoral neck fractures that underwent cannulated screw fixation between 2003 and 2011. The Results of 145 patients that had 2-year follow-up included postoperative complications and hip joint function which was evaluated according to the Harris score. Garden classification was use for the patients, 22 of whom were typeⅠ, 55 were type Ⅱ, 52 were type Ⅲ, 16 were type Ⅳ. Results The incidences of nonunion or avascular necrosis were 4.5% , 3.6% , 15.4%, and 31.3% in the patients who were classified as Garden Ⅰ, Garden Ⅱ, Garden Ⅲ, and Garden Ⅳ respectively. There were no statistical differences in the rate of postepercativeive complications in the patients with Garden classification. The rate of postepercativeive complications in the patients with ASA Ⅲ was higher than thsse in ASA Ⅰ and ASA Ⅱ. Conclusions Close reduction plus percutaneous cannulated screw fixation is an effectiveive method for treating femoral neck fractures in the patients more than 60 tears old and is a prior method in the patients of Garden Ⅰ and Garden Ⅱ types.