Traction, revision and fixation after femoral stem fracture are the basic principles of treatment, and active functional training is also an important factor to ensure the treatment effect. 1. The training method is assisted by the nurse to do functional training for the patient. In the early stage of resetting (within 2 days), patients generally find it difficult to train due to pain and post-injury fear. The nurse should patiently do the ideological work of the patient, explain clearly the purpose of traction and the importance of training, and obtain the cooperation of the patient. The training method is: the nurse holds the heel of the affected foot with one hand and holds the metatarsophalangeal joint with the other hand, assisting the patient to do dorsiflexion exercises, from little to much, gradually increasing. At the same time, start to practice the contraction of the quadriceps and the dorsiflexion and plantarflexion of the ankle joint. Initially, the patient should be taught on the healthy side first. The training movements are gradually increased from one set of 20 reps per day to four sets per day. From the fourth week, the patient should start to sit up, bend the knee of the healthy limb, stir the foot on the bed, support the bed with both hands and lift the hip to make the limb leave the bed in order to achieve the purpose of hip and knee joint activities. From the fifth week onwards, train the two hands to hold the hoop, the healthy foot to support the bed, the abdomen and the buttocks to make the thighs and calves into a horizontal line, so as to increase the range of motion of the hip and knee joints. 2.After the fracture, it is easy to cause constipation because of the braking and prolonged bed rest, therefore, a high fiber diet should be given to keep the stool open. Increase appetite and strengthen nutrition is the basic guarantee to promote early healing of fracture, such as: bone soup, fish, eggs and other high calcium, high protein, high vitamin food. The physical exertion of daily practice is easy to hunger, so a small amount of food should be added between the three meals to facilitate the formation of bone scabs. 3, care because the number of training increases, the patient sweats more, every day after training, with warm water scrub the whole body, which not only makes the patient feel comfortable, but also can promote better rest. 4, precautions actively deal with the problems that arise during training. As the functional training makes the splint of the femoral stem often loose, so that the fracture is not well protected, causing pain and affecting the training. The nurse should pay attention to the observation and correct it in time to make it relieved. The swelling of the foot is due to the local soft tissue pressure caused by the long-term fixation of the splint, which causes poor blood circulation. The splint should be loosened regularly two to three times a day, and the tightness of the splint fixation should be based on the hand pinching the cloth belt to move up and down 1cm. After bed training, no change in the fracture end by x-ray or fluoroscopy, you can practice standing with the bed frame from the 7th week. After the release of traction, an abduction splint was added for patients with fractures above 1/3 of the femoral stem to prevent outward angular displacement of the fracture end. After 1 week of bed activity, the patient should walk on the ground with double crutches, and the degree of weight-bearing should be gradually changed from light to heavy, and when there is continuous bone scab at the fracture end and the fracture heals well, the patient can switch to single crutch. Except for slight pain, if there is no other discomfort, you can be discharged from the hospital. 5. Summary In the process of femoral stem fracture rehabilitation, traction, repair, fixation and functional training are all important parts of treatment, especially for patients with poor repositioning or those who cannot be successfully repositioned at one time. In order to promote the reset and healing, the functional recovery and functional training of the lower limb are more important. The current study concluded that: ① isometric contraction of the muscles around the fracture without driving the joint activity in the early stage of functional training can increase the compressive stress at both ends of the fracture while eliminating swelling, which effectively promotes fracture healing. (2) The isometric contraction of the muscles around the fracture in the middle and late stages of functional training can promote the circulation of blood and Qi in the limb, which can facilitate the healing of the fracture and improve the motor function of the limb to shorten the course of the disease. ③Avoid osteoporosis and joint adhesions, and prevent muscle atrophy of the affected limb.