A porous tantalum metal hollow screw comprises a screw shaft and a screw head. The screw shaft and the screw head are integrally formed. A thread is disposed on the outer surface of the front end of the screw shaft, and the ratio of the length of the thread to the length of the screw shaft is 1:1.7-2.3. The screw head is a conical screw head having a cylindrical screw top, and the included angle between the conical surface of the conical screw head and the central line of the screw shaft ranges from 44° to 46°. Grooves symmetric about the central line of the screw shaft are formed in the outer surfaces of the two sides of the cylindrical screw top; the included angle between the two inclined surfaces of each groove is 60°. A through hole is formed in the central shaft of the screw shaft. A smooth sliding shaft is disposed between the thread and the screw head. By means of the structure of the hollow screw, screwing-in and firm fixation of the hollow screw are facilitated, secondary displacement at a bone fracture part is avoided, the defect of deformation of the tail part of the screw when the screw is screwed in is overcome, and force can reach the front end uniformly, thereby reducing the possibility of deformation and cracking of the screw.