Winter is the peak time for fractures to occur in older adults. Many people think that fractures are common and there is no big deal about them in winter. Fractures of the femoral neck, hip and spine are three types of fractures that have a high rate of disability and mortality in older adults with various chronic diseases. Femoral intertrochanteric fracture is an unstable fracture and hip arthroplasty is one of the most effective treatment options. Performing this type of surgery on elderly patients must go through several critical stages, and the perioperative risks are much higher than in younger patients. Winter is the most common time for fractures in the elderly. Fractures in the elderly are not a trivial problem and should be taken to the hospital immediately for regular treatment, otherwise they will have serious consequences. Once the elderly have fallen, pick them up and ask and check carefully for any injuries. If the pain is heavy, local swelling, and deformity, can not move, should be suspected of fracture or dislocation, should first take the nearest material for simple fixation, and then sent to the hospital for examination and treatment, can take x-ray to help confirm the diagnosis. Fractures in the elderly mortality rate of up to 40% Many people think that winter fractures in the elderly is a very common thing, there is no fuss, in fact, this is a misunderstanding, experts, the femoral neck, hip and spine these three fractures, for the elderly in advanced age, suffering from a variety of chronic diseases, the proportion of disability and mortality are quite high. According to studies, the mortality rate after hip fracture in the elderly is as high as 40%, and the 5-year survival rate is only 20%. Therefore, hip fracture is known as the “last disaster” of the elderly, and some elderly people’s health condition deteriorates rapidly after hip fracture, and they can only be bedridden for a long time, or even die within a year. The fracture of the elderly is also prone to a variety of complications. After the fracture of the elderly, the healing rate is slow, causing a lot of pain, and about 20% of the elderly fracture, due to the original heart failure, brain infarction and other serious diseases, can not be operated, can only take the conservative treatment of bed. Once an elderly person is treated in bed, it is difficult to avoid the erosion of complications, which include urinary tract infections, bedsores, pneumonia, etc. Commonly, hip femoral neck fractures are difficult to heal and femoral head necrosis can also occur in a significant percentage of patients due to the difficulty in treatment. More seriously, it is more common for fractures in the elderly to be accompanied by cardiovascular disease, which is also an important cause of death due to deterioration of cardiovascular disease. Long-term bed rest, slow blood flow, increased cerebral ischemia and hypoxia, causing central nerve and autonomic nerve dysfunction that govern the heart, can also cause cardiac conduction and autonomic changes, arrhythmia. Therefore, fractures in the elderly are a fatal event and need to be brought to the attention of patients and families, especially in winter, to actively prevent fractures in the elderly. How to prevent fractures in the elderly in winter 1. Outdoor exercise and more sunshine. In winter, the elderly should adhere to outdoor sports, strengthen exercise, more sunshine, if necessary, calcitonin (such as salmon calcitonin) can be used. Calcitonin has the effect of reducing bone loss, inhibiting bone resorption and improving osteoporosis, which can reduce the occurrence of winter fractures in the elderly to a certain extent. 2, indoor comfort, dress appropriately. Winter days are colder, so improving indoor conditions is also an effective way to prevent fractures. You can increase the indoor temperature and reduce the clothing to prevent overly bulky clothes from affecting the activities. The bathroom floor should be kept dry to prevent water and ice accumulation, and crutches can be used if necessary. Wear shoes that are light, soft and non-slip, especially it is best to wear cloth shoes, or warm shoes, which are warm and non-slip. 3.Careful care and careful walking. Strengthen the care for the elderly and try not to let them live alone. Older seniors should be accompanied when they go out for activities. At the same time, the elderly should be extra careful when walking, watch the road when walking, do not talk to others, and do not go out in the rain or snow. 4.Balanced diet and reasonable medication. Older people should eat more food rich in protein and vitamin C to improve the immune system and try to slow down the aging process and reduce the degree of aging; they should eat more food containing calcium, such as dairy products (milk, cheese, etc.) and soy products. To drink less or no alcohol. It is also necessary to use drugs rationally, especially those commonly used by the elderly, such as blood pressure lowering drugs, which can cause postural hypotension and lead to falls.