(Disclaimer: This article is for scientific purposes only, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: 65 years old elderly woman, in the process of bathing due to slippery ground fell on the bathroom floor, at that time the left wrist on the ground, followed by severe pain in the left wrist, obvious swelling and deformity, unfortunately this accident caused the patient’s left side of the lower end of the radius bone fracture, which is a kind of common brittle fracture of elderly people, this patient was treated with fracture osteotomy reduction anatomic locking titanium plate internal fixation. The patient was treated with anatomical locking titanium plate internal fixation with fracture incision and reduction, and the fracture healed 3 months after the operation, and the function of the left wrist joint was restored. Basic information] Female, 65 years old [Type of disease] Left lower radius fracture [Hospital] Liaocheng Second People’s Hospital [Time of consultation] November 2021 [Treatment plan] Fracture osteotomy and reduction with anatomical locking titanium plate internal fixation [Treatment cycle] 14 days of hospitalization, followed by outpatient visits in 1, 3, and 6 months [Effect of treatment] Fracture healing, recovery of the function of the left wrist joint. At nine o’clock in the evening, an elderly female patient with a painful face and a right hand supporting her left wrist entered the orthopaedic emergency room. After asking about her medical history, we learned that the patient had accidentally fallen due to the slippery ground during her bath at home and her left hand was supporting the ground at that time, and then she experienced severe pain in her left wrist, and she got up from the floor and found that her left wrist was obviously deformed and swollen, and her left wrist could not be moved, so her family members urgently sent her to our hospital. Family members sent the patient to our hospital urgently. On visual examination, the patient’s left wrist was found to be obviously swollen, presenting a “silver fork, spear-like” deformity. The patient refused palpation and percussion due to the severe pain in the left wrist, and was considered to have a fracture of the lower end of the radius, so the patient was immobilized with a brace for the left wrist and a positive and lateral X-ray film of the left wrist was taken, which showed a comminuted fracture of the lower end of the radius on the left side (see the figure below). The results of the X-ray were explained to the patient and his family, and he was informed of the available treatment options, either conservative treatment or surgical treatment. Conservative treatment requires manipulation and traction reduction of the fracture and external fixation with a small wrist splint. The patient needs to come to the hospital for radiographs at 1, 4, 8, 16 days and 1 month after the injury, and the fracture may be dislocated in the course of the treatment, which may lead to the conversion to surgical treatment in the second stage. Surgical treatment requires internal fixation of the fracture with an anatomical titanium plate of the lower end of the radius under anesthesia with incision and reduction, which is a reliable method of reduction and fixation, and the patient can perform early functional exercises of the wrist joint. The patient was engaged in literature and art work, which required high wrist function, so she decided to undergo surgery after discussing with her family, and was admitted to the hospital. After admission, the patient was given symptomatic treatment such as elevating the left wrist, applying local ice packs, and applying anti-swelling and analgesic drugs. On the second day after admission, the patient underwent CT examination of the left wrist joint (see the following figure), and blood tests, coagulation six items, and four preoperative items were performed to actively prepare for surgery. On the third day after admission, the patient underwent left lower radius fracture incision and reduction anatomical titanium plate internal fixation under brachial plexus anesthesia. Cephalosporin antibiotics were applied to prevent infection for 24 hours after surgery, and the patient was asked to actively practice flexion and extension of each finger of the left hand after 48 hours, and the patient was asked to actively practice flexion and extension of the left wrist joint for 7 days after surgery, and the sutures were removed and discharged from the hospital for 14 days after surgery. The patient’s comminuted fracture of the lower end of the radius was well repositioned and firmly fixed after surgical treatment (see the following figure); the surgical incision healed well and the sutures were removed smoothly; the swelling of the left wrist joint subsided significantly when the patient came to the hospital for review 1 month after discharge, and the function of flexion and extension of the left fingers returned to normal, so the patient was asked to gradually practice the rotational activities of the left wrist joint; the fracture basically healed and the left wrist joint flexion and extension of the left wrist joint was normalized when the patient came to the hospital for review 3 months after discharge; the fracture was basically healed and the left wrist joint flexion and extension of the left wrist joint was normalized. When the patient came to the hospital for review 3 months after discharge, the fracture was basically healed, and the left wrist flexion, extension and rotation activities were basically restored to the pre-injury level, and then the patient was asked to start weight-bearing activities on the left side of the wrist gradually. For patients with serious malalignment or patients with high requirements for wrist function like the patient in this article, surgical treatment can basically restore the wrist function to the pre-injury level, which is recommended by most clinicians at present, and we are very glad that the patient’s surgical treatment was successful and he was discharged from the hospital smoothly. However, the patient needs to be followed up regularly and regularly after discharge from the hospital, and under the advice and guidance of the doctor, safe and effective functional exercises should be carried out gradually. And for this common fragility fracture in the elderly, it is necessary to actively carry out anti-osteoporosis treatment, including calcium and vitamin D supplementation, as well as attention to fall prevention. V. Personal insights 1. When pain, swelling and deformity of the wrist occur after a fall in the elderly, it is necessary to consider the possibility of a fracture of the lower end of the radius, and it is recommended to actively seek medical attention to clarify the injury so as to obtain standardized treatment measures. 2.When choosing the treatment plan, it is necessary to choose according to the degree of dislocation, comminution and stabilization of the fracture, and at the same time, it is also necessary to take into account the patient’s requirements for the function of the wrist joint. 3.The fracture of the lower end of the radius in the elderly is mostly in patients with osteoporosis, which occurs under low-energy external forces (such as falls), and is a common fragility fracture, and the incidence of this fracture has a tendency to increase gradually with the progression of aging, so for the elderly, especially when accompanied by osteoporosis, active supplementation of calcium and vitamin D, such as anti-osteoporosis, and the adoption of the necessary anti-fall measures, can effectively prevent the fracture from Therefore