Elderly diabetic patients, hip joint rupture need to perform total hip arthroplasty, preoperative surgery in the postoperative period should be good control of blood glucose, to prevent poor healing. Elderly diabetic patients with hip joint rupture should have total hip arthroplasty, because the patients are old and in poor physical condition, and they are afraid of being bedridden for too long, which may lead to the emergence of deep vein thrombosis in the lower limbs and pneumonia, etc. Therefore, it is recommended to have total hip arthroplasty, which will help the patients to restore their mobility at the earliest time, and prevent all kinds of complications. At the same time, it is important to control blood glucose before, during and after the operation, and to adjust the work routine and diet structure to prevent complications from high blood glucose and poor wound healing due to prolonged high blood glucose. It is recommended that once an elderly diabetic patient is found to have a hip fracture, he or she should be taken to a regular hospital in time to complete the relevant examinations and standardized treatment.