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serum NO and ET-1 on the first day after operation can predict the necrosis of femoral head. To retrospectively analyze the clinical efficacy of external fixation in the treatment of femoral neck fracture with two different pin layout. From April 2000 to April 2018, 140 cases of femoral neck fracture were treated with closed reduction and percutaneous pin external fixation, among them 121 cases were followed up for more than 1 year, including 31 cases in traditional group, 12 males and 19 females, aged 45 to 74(65.4±8.4) years;90 cases