Abstract:Hip fracture in the elderly is the most common osteoporotic fracture, which has a high disability and mortality rate, and brings a high financial burden and living burden to patients and their families. As an osteoporotic fracture, its basic principles are reduction, fixation, functional exercise and anti-osteoporosis treatment. Clinical understanding of anti-osteoporosis treatment after hip fracture surgery in the elderly is not enough, and the treatment is not standardized. By summarizing the progress of anti-osteoporosis drugs, the author hopes to combine antiosteoporosis drugs with fracture reduction, fixation and functional exercise to guide clinical work.