Objective To explore the application effect of WeChat platform on family nursing of elderly patients with hip fracture.Methods A total of 100 elderly patients with hip fracture treated from May 2018 to March 2019 were enrolled and divided into control group (n=50) and observation group (n=50) according to random number table.The control group was given routine discharge guidance.The observation group was additionally given nursing after discharge using WeChat platform.The satisfaction of discharge guidance, compliance of follow-up visits, understanding of nursing intervention related knowledge, and complications were compared between the two groups.The patient’s self-care ability after intervention was evaluated.Results The complication rate of the observation group at 6 months after discharge (8.00%) was significantly lower than that of the control group (36.00%) (P<0.05).The Barthel index score of the observation group was significantly higher than that of the control group (P<0.05).Moreover, the medication compliance, follow-up compliance, guidance satisfaction, and understanding of knowledge of nursing intervention of the observation group were better than those of the control group (P<0.05).Conclusion Using WeChat platform for follow-up and family nursing of elderly patients with hip fracture can increase their follow-up compliance, reduce the incidence of complications, elevate self-care ability, and effectively improve prognosis and clinical efficacy, which is worthy of popularization and application.