To explore the clinical efficacy of Chinese medicine adjuvant hip replacement in the treatment of elderly femoral neck fracture patients.Methods:A total of 107 cases of elderly femoral neck fracture patients in Traditional Chinese Hospital of Luan were selected and divided randomly into a control group(n=53)and an observation group(n=54).All patients were treated with hip replacement.After operation,the patients in the control group were given routine treatment,while the patients in the observation group were treated with traditional Chinese medicine for promoting blood circulation and removing blood stasis on the basis of the control group.The clinical efficacy of the 2 groups after 6 months was statisticsed,and the hip joint function score and recovery rate of 2 groups were evaluated and compared by Harris score system; The recovery of patients in the 2 groups during postoperative follow-up was compared.Results:The total effective rate of the observation group was 92.59% in 6 months post-operation,which was significantly higher than that 77.36% of the control group significantly(P<0.05); Compared with pre-operation,the scores of pain,malformation,mobility in Harris score system of 2 groups and the function score of the observation group increased significantly(P<0.05 or P<0.01),and the observation group was higher than the control group significantly(P<0.05); The hip joint function recovery rate of the control group and the observation group in 3 months post-operation were 9.43%,24.07%,and 6 months post-operation were 28.30%,48.15%.Compared with pre-operation,the hip joint function recovery rate of 2 groups in 3 and 6 months post-operation increased significantly(P<0.05 or P<0.01),and the observation group was higher than the control group(P<0.05); The result of following-up showed that,the fracture healing time of the observation group shortened significantly compared with the control group(P<0.01),the occurrence rate of femoral head necrosis in observation group was lower than that in control group(P<0.01),while the occurrence rates of nonunion and bone collapses in the 2 groups had no significant difference(P>0.05).Conclusion:Activating blood circulation and removing blood stasis of Chinese medicine adjuvant hip replacement can improve the hip joint function of elderly femoral neck fracture patients,promote the fracture healing,enhance the clinical efficacy and reduce the occurrence of femoral head necrosis.