Abstract: Osteoporotic fracture is the most serious outcome of osteoporosis，the morbidity of osteoporotic fracture has been linked to age, gender and races. The characteristic of osteoporotic fracture include reduced bone quality, a delay in bone fracture union process, and a high incidence of re-fracture. The therapy of osteoporotic fracture include surgical management and osteoporosis treatment. Osteoporosis treatment can improve bone quantity and bone quality, also can decrease the rate of fracture. The rule of surgical management is simpleness, safety, and efficacy. Because of bad bone quality, internal fixation and implant are easy loss. Ideas for future research, such as development of a new implant which rigidity and elasticity be close to bone, development of a new drug which can improve bone mass and quality quickly. Regardless of surgical management for osteoporotic fracture, it is essential to stress out that pharmacological treatment of osteoporosis should also be done. In order to get good outcome of osteoporotic fracture treatment, both surgical management and osteoporosis treatment are important.