The postoperative care of femoral stem fracture is mainly divided into psychological care, dietary care and some specific nursing operations of orthopedics. Firstly, psychological care requires understanding the patient’s emotion, and comforting and encouraging them to enhance their confidence in overcoming the disease, so that they can treat the disease correctly and cooperate with the treatment and care in the best state of mind. Second, in terms of diet, a high-calorie, high-protein, nutrient-rich, calcium-rich and collagen-rich diet should be given. Third, the postoperative care of femoral stem fractures depends on the type of treatment taken by the patient. If the treatment is bone traction, we should pay attention to skin care. During bone traction, the patient is often in a head-down position for a long period of time and is prone to pneumonic pneumonia. So at this time we should encourage the patient to do whole body exercises, such as coughing, deep breathing and lying on the bed to do some exercises of both upper limbs. The area under pressure should be protected with cotton pads to avoid pressure sores on the skin. The nursing staff should give the patient decubitus care every two hours to prevent the occurrence of decubitus ulcers. Fourth, in the bone traction bone needle eye, avoid touching and pollution, traction bone needle can not casually move from side to side, bone needle appear blood crust also do not remove, twice a day with 70% alcohol drops needle hole, until the bone needle removed, if found traction needle to one side of the offset, do not push back the traction needle, should use iodine, alcohol closely disinfected before correcting the offset. Fifth, it is to maintain effective traction, the weight of traction should not be changed at will, pay attention to whether the traction force and counter-traction force are balanced, whether the direction of traction is correct, achieve early traction and early reset, diligently patrol the ward, maintain the position of the limb required for treatment, and prevent the fracture end of the femoral stem from forming an angle to one side. Sixthly, it is necessary to keep the traction limb warm in winter and support the cotton pad externally with a homemade brace, but not to compress the traction cord so as not to destroy the traction line, and to pay attention to the close observation of whether the peripheral fixation of the affected limb is too tight and the blood flow at the end. In the case of patients treated with internal fixation, the patient should be allowed to sit up early and perform functional exercises of the hip, knee and ankle in bed. If the patient’s physical condition permits, the patient can be allowed to hold the crutches and perform activities on the ground. The affected limb should not step on the ground for the time being.