Osteoporosis is a systemic, metabolic disease of the skeletal system characterized by reduced bone mass, destruction of bone microarchitecture, increased bone fragility, decreased bone strength, and increased risk of fracture. Orthopedic surgeons are very concerned about osteoporotic fractures, probably due to their professional habits, and often neglect how to fight osteoporosis, so today we will share some key points. The characteristics and treatment difficulties of osteoporotic fractures: 1, osteoporotic fracture patients with accelerated bone loss after bed braking, osteoporosis will aggravate; 2, the fracture is mostly comminuted, it is difficult to obtain satisfactory fixation; 3, the internal fixation is easy to loosen, the bone graft is easy to be absorbed; 4, the fracture healing time is long, prone to delayed healing, non-healing; 5, the risk of re-fracture is high; 6, mostly elderly, often combined with multiple organ diseases, systemic 7. High disability and mortality rates, which seriously affect the quality of life and life expectancy.