Objective To establish a green passage for elderly patients with hip fracture, and explore the feasibility and nursing mode of establishing an independent orthopedics unit for elderly patients with hip fracture. Methods From January 2017 to June 2018, a total of 391 cases of elderly patients with hip fracture in the Second Affiliated Hospital of Wenzhou Medical University were selected. The patients were divided into two groups according to their admission to the ward. The 213 patients in the elderly hip fracture independent orthopedics unit group were admitted to the emergency green channel; 178 patients in the general orthopedics ward were given routine treatment and nursing. The time interval from admission to operation and the prognosis were compared between the two groups. Results 77.46% of the elderly patients in the independent orthopedics unit group received operation within 36 hours after admission, while only 29.21% in the general orthopedics ward group, with statistical significance (P<0.01) . Rehabilitation and discharge rate of independent orthopaedic unit group was 89.20% and 77.53% in control group within one week after operation. The difference was statistically significant (P=0.009) . Conclusions The establishment of independent orthopedics unit with green channel in geriatric orthopedics reduces the waiting time, bed rest and hospitalization time of patients, and saves medical and nursing resources. Key words: Aged; Hip Fractures; Perioperative nursing; Orthopedics; Green channel; Independent orthopedics unit