Objective To investigate the preliminary effects of femoral neck fractures treated with percutaneous compression plate (PCCP).Methods Closed reduction and internal fixation with PCCP was carried out in treatment of 74 patients with femoral neck fracture between December 2010 and April 2013.Thirty-eight patients were males and 36 were females with age of (51.3 ± 17.2) years.According to the Garden classification,there were 6 patients with type Ⅰ,39 with type Ⅱ,20 with type Ⅲ,and 9 with type Ⅳ fractures.Results Duration from injury to operation was (5.7 ± 2.2) days.Operation time lasted for (73.4 ± 31.5) minutes and intraoperative blood loss was (116.4 ± 99.2) ml.Seventy patients were operated on without blood transfusion.Sixty-six patients were followed up for (18.9 ± 8.4) months.Harris score was (92.9 ±5.0) points at final follow-up,with the excellent-good rate of 99％.Sixty-five patients could walk independently,but one walked with the help of crutches.Partial weight-bearing time was (3.6 ± 1.7) days and full weight-bearing time was (2.1 ± 1.4) months.All fractures healed in a period of (3.9 ± 1.6) months.Two patients had delayed union; two developed avascular necrosis including 1 with displaced fracture and 1 undisplaced fracture.Conclusions Internal fixation with PCCP has advantages of decreased trauma,rigid fixation,early weight bearing,good function outcome,and low risk of complications.