The hip is what the people call the crotch. It is the proximal part of the femur, connecting the trunk to the lower limbs, and is an extremely important transmission structure for the lower limbs when they are burdened with body weight. The hip is mainly made up of cancellous bone, the strength of which is greatly reduced when the bone is osteoporotic, and a simple fall can cause fractures, the most common of which are two: femoral neck fractures and intertrochanteric fractures. How far away is the culprit, osteoporosis, from us? On October 10, 2013, the World Osteoporosis Foundation (IOF) issued a bulletin – there are already 200 million women with osteoporosis worldwide. There is a one-in-three chance that a woman will suffer a fracture after age 50 in her lifetime, and for men, a one-in-five chance of fracture, as long as she lives to the average lifespan. And for those who have broken a bone before, the risk of another fracture doubles again compared to before. Hip fractures are the most dangerous of all osteoporotic fractures. There are four major killers of hip fractures, each with a high level of martial arts skills. In order from head to toe, I will introduce them to you in turn. The first killer: pneumonia. With prolonged bed rest, the patient’s ability to cough and cough up sputum is reduced, and often prone to and to the occurrence of crushing pneumonia. In addition to causing sepsis, toxemia, and respiratory distress, it may also increase the burden on the heart and cause pneumogenic heart disease. The second killer: bedsores. The elderly are bedridden for a long time and cannot turn over, which compresses the skin at the sacrum and can easily cause bed sores, which can lead to uncontrollable infections and sepsis. The third killer: urinary tract infections. Due to long-term bed rest, urination inconvenience and care difficulties, elderly people are particularly prone to urinary system infections, and the resulting development of sepsis has claimed the lives of countless elderly people. The last one to make an appearance was lower extremity deep vein thrombosis. The blood itself is in a hypercoagulable state after a fracture, and with the inability to move the legs, the probability of DVT in the lower extremities increases in vain. Once the embolus is formed in the blood vessel, it is like a time bomb, once it is dislodged and blocked in the heart and lungs, it is easy to cause sudden death, and even the chance of resuscitation will not leave the doctor. The four killers mentioned above are all vicious and deadly, often one after the other, plus the fact that elderly people are often combined with chronic diseases such as hypertension, diabetes, coronary heart disease, emphysema, etc., which makes the treatment of hip fracture in the elderly more complicated. Hip fracture not only brings great physical pain to the elderly, but also takes away their last dignity in life. Imagine an old man who is bedridden for a long time and depends on others to take care of his urine and stool, how can there be any dignity to speak of. This torment is worse than death for the elderly is a heavy blow. For the family, the elderly bedridden, eating, drinking, pooping, scattering have to be taken care of, the burden can be imagined, especially for the current single family, but also a heavy burden. If an elderly person suffers a hip fracture, children are often caught in a dilemma: if they have surgery, they are afraid that the elderly person will not be able to bear it; if they do not have surgery, they are afraid that the best time will be delayed, so how do they choose? Stay tuned for my article that will take you closer to hip fracture.