In winter, when the roads are cold and slippery, a little carelessness can lead to a fall. A fall in a young person may only cause pain and swelling, but a fall in an elderly person can often lead to serious consequences. When patients are transferred from the emergency room, the first question they often ask is “Doctor, is it okay to not operate on this fracture?” The last fracture in life is a difficult decision In the regular medical books, there is no such thing as “the last fracture in life”, but after spending a long time in the hospital, you will gradually understand that this fracture is extremely dangerous. Hip fracture in the elderly hip fracture refers to a range, mainly refers to the intertrochanteric fracture and femoral neck fracture, this fracture has a characteristic, that is, “time does not wait for people”, if not surgery, the fracture requires bed traction for at least 8-12 weeks, for the elderly, this period of bed rest is tantamount to paralysis, a long period of bed rest For the elderly, this period of bed rest is tantamount to paralysis and prolonged bed rest often results in fatal complications such as crushing pneumonia, urinary tract infections, decubitus ulcers, etc. Without waiting for the fracture to heal, the person is often no longer there. Clinical studies have pointed out that – under the existing medical conditions – only about a quarter of elderly hip fracture patients can fully recover, and another 50% can only recover to the level of relying on crutches or walkers to maintain daily walking; the most terrible thing is that more than 20% of patients over 50 years old will die within a year. Thus, it is no exaggeration to say that once an elderly person suffers a hip fracture, he or she faces a life and death test! This is where the concept of “the last fracture of life” comes from. At this time, surgery is often a difficult decision. Older adults often have a combination of many underlying conditions, including hypertension, heart disease, diabetes, cerebral infarction ….. When faced with the painful expressions of 80, 90 or even 100 year olds, the decision to operate at this time often requires a lot of determination and courage for the family, a huge test for the doctor, and a 100 meter sprint for the patient. With the progress of medicine, there are many minimally invasive treatment methods for elderly hip fractures, which are shorter, less bleeding and less devastating to patients than traditional surgery, such as closed reduction PFNA internal fixation, artificial joint replacement, etc. This has greatly improved the survival rate of elderly hip fractures, but the risks still exist, and there are still many patients and families who eventually choose to go straight home in clinical practice.