With the aging trend of our society’s population, the incidence of fractures among the elderly is also gradually increasing. Due to the osteoporosis of the elderly, hip fractures are most likely to occur after a fall, and such fractures account for about 30-40% of elderly fracture patients. The occurrence of hip fracture has a great impact on elderly patients, who often have a variety of underlying diseases and are prone to various complications due to long-term bed rest, resulting in a high mortality rate in elderly patients. According to clinical reports, the mortality rate of such elderly patients is 50% within one year, and the 5-year survival rate is only 20%. Therefore, hip fracture is known as the “ghost gate” for elderly patients. The treatment of hip fracture is divided into conservative treatment and surgical treatment. Conservative treatment is mainly for patients of advanced age with severe underlying diseases, which cannot be treated surgically and therefore must be bedridden for a long time. In elderly patients, prolonged bed rest increases the risk of deterioration of the underlying disease and increases the incidence of complications, including lung infections, bed sores, urinary tract infections, etc. Surgery is the preferred treatment option for hip fractures in these patients. Clinicians need to develop a thorough surgical plan according to the specific situation of each senior patient, shorten the operation time, prevent the occurrence of surgical complications, and ultimately achieve the goal of early functional exercise and reduction of complications for the patient. Therefore, the clinical treatment of hip fracture in elderly patients requires a treatment plan based on the specific situation of each patient to minimize the time of bed rest and improve the survival rate.