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内固定目前仍是老年Garden Ⅰ、Ⅱ型股骨颈骨折的标准治疗方式，但内固定治疗后再手术率较高，因此识别内固定失败的高危因素有助于指导初次治疗方式的选择。近年来，许多研究认为术前股骨头后倾的程度会影响内固定失败率及再手术率，并且已有研究开始尝试对老年Garden Ⅰ、Ⅱ型股骨颈骨折推荐初次关节置换术。但是不同研究所采用的测量方法及结果并不一致。本文通过对该领域的相关研究进行文献回顾分析，阐明目前股骨头后倾的各种测量方法、股骨头后倾与内固定治疗预后的相关性及内固定与关节置换的疗效对比，以期对老年Garden Ⅰ、Ⅱ型股骨颈骨折的临床治疗提供参考及依据。“,”Although internal fixation is still a standard treatment for geriatric Garden Ⅰ/Ⅱ femoral neck fractures, it is reported to lead to a high rate of reoperation. Therefore, identification of risk factors for internal fixation failure can help a sensible decision-making in initial treatment. In recent years, many studies have suggested that posterior tilt of the femoral head before surgery may affect the rates of internal fixation failure and reoperation. Some studies have even recommended hip arthroplasty for geriatric Garden Ⅰ/Ⅱ femoral neck fractures. However, different studies adopted different measurement methods and thus obtained inconsistent results. By literature review, this article expounds on various measurement methods for femoral head tilt and correlation between posterior tilt of femoral head and prognosis after internal fixation, and compares therapeutic efficacy between internal fixation and hip arthroplasty, hoping to provide useful information and data for clinical treatment of geriatric Garden Ⅰ/Ⅱ femoral neck fractures.