[Objective] To introduce the surgical technique and preliminary clinical results of open reduction and internal fixation (OR- IF) of femoral neck fractures via supercapsular percutaneously assisted total hip approach (SuperPath) . [Methods] Twenty one patients re- ceived ORIF through the SuperPath for femoral neck. After a lateral incision above the greater trochanter was made, the posterior edge of the gluteal medius was separated to expose the upper capsule by separation of the space between the gluteus minimus and piriformis. Capsuloto- my was conducted to expose the fractured site of the femoral neck, and identify the fracture compression and bone defect of the posterosuperi- or femoral neck. Reducing fracture to restore the neck shaft angle and anteversion with a strut bone block autograft harvested form the iliac crest packed into the bone defect, the fractures were fixed by 3 cannulated screws. [Results] All patients had the surgical procedures per- formed smoothly without serious complications, such as neurovascular injuries, and were followed up for 12~26 months. Except one patient who had revision total hip arthroplasty due to necrosis of femoral head accompanied with screw withdrew during the follow-up, all patients got satisfactory functional recovery with Harris score of (85.0±9.4) at 12 months postoperatively. Radiographically, all patients got solid frac- ture healing without significant changes of femoral neck shortening transversely and vertically at 12 months postoperatively compared with those before full weight-bearing activity (P＞0.05) . [Conclusion] This ORIF combined with bone autografting via SuperPath does reduce the possibility of femoral neck shortening, improve fracture healing, and achieve satisfactory clinical outcome for femoral neck fractures.