108 patients with femoral neck fractures were treated with bipolar hemiarthroplasty in Qinhuangdao First Hospital from January 2002 to June 2008. All patients were followed up. The length of stay and operation, and the quantity of bleeding during operation were retrospectively analyzed; the results of X-ray before and after operation and the Harris hip scores after operation were assessed during follow-up to assess the clinical outcome. All patients were followed-up for 6 months to 5 years (average 3.4 years). According to the Harris hip score, 42 cases rated as excellent, with mean score of 96.4; 50 as good, with mean score of 85.7; 10 as fair, with mean score of 74.5; 6 as poor; the excellent and good rate was 85.2%. No prosthetic loosening or subsidence occurred according to X-ray results. Bipolar hemiarthroplasty for femoral neck fractures can reduce operation time, risk and blood loss during operation, and effectively improve quality of life, which is a satisfactory therapy for femoral neck fractures.