Patients with periprosthetic hip fractures who are not candidates for surgery opt for conservative treatment modalities, i.e., closed reduction, bed rest, and waiting for the fracture to heal on its own. As the patient is bedridden for a long time, it may lead to a series of complications such as lung infection, urinary tract infection, pressure sores, deep vein thrombosis, and the fracture may also heal malformed, posing a great challenge for the later existence of revision. Patients suitable for surgery are analyzed for the type of periprosthetic fracture, the area involved in the fracture, and the quality of the local bone to select the appropriate treatment modality for the patient. If the joint prosthesis is stable, there is only a simple fracture around the prosthesis, and the bone quality can tolerate the fixation procedure, then the fixation modality is chosen for fracture treatment. If the fracture is accompanied by loosening of the prosthesis, the fracture is fixed while the prosthesis is being revised. It is recommended to go to a regular hospital and seek professional guidance from a specialist for the specific choice of treatment and fixation.