[Objective] To explore the diagnosis, treatment and management of senile hip fracture during COVID-19 epidemic situation, and to evaluate the effect of the co-management mode of orthopedics and emergency surgery in the treatment of senile hip fracture in our hospital. [Methods] Since January 2020, our hospital has adopted the co-management mode of orthopedics and emergency surgery to unify and standardize the management of hip fractures in the elderly (≥ 60 years old), and optimize the process of diagnosis and treatment. From January 2020 to February 2020, 31 elderly patients with hip fracture were treated with co-management mode. Compared with the data before the implementation of co-management mode, it is divided into co-management mode group and pre-co-management mode group. The two groups were compared and analyzed from three aspects: general data, operation-related indexes and perioperative complications. [Results] During the epidemic period, there was no missed diagnosis or misdiagnosis of febrile patients, and there was no hospital cross infection among general doctors and nurses. The incision length of PFNA operation in the co-management mode group was better than that in the former group, and there was significant difference between the two groups (P < 0.05).There was no significant difference in general data and other operation-related indexes between the two groups (P > 0.05). In terms of complications, the incidence of pulmonary infection in the co-management mode group was significantly higher than that in the pre-co-management mode group (P < 0.05), but there was no significant difference in the incidence of other perioperative complications (P > 0.05). [Conclusion] Under the epidemic situation of COVID-19, through the co-management mode of orthopaedics and emergency surgery, multi-disciplinary cooperation and other coping strategies to ensure that various prevention and control measures are in place and effectively avoid cross-infection, it can shorten the preoperative waiting time of hip fracture in the elderly and improve the efficiency of treatment.