Patient: Description of condition (onset, main symptoms, hospital visited, etc.): female 82 years old; 10 days of embedded fracture of the left femoral trochanter after trauma, with 2 cm shortening of the lower limb; inoperable due to severe cardiac arrhythmia; bedridden with external fixation for 10 days after fracture, with decubitus ulcers. How to achieve 1.Good fixation without decubitus ulcers? 2.Good fixation without deep vein embolism? I hope to get some advice from experts, thank you! Chen Jinhong, Department of Orthopedics, Fuyang Hospital of Traditional Chinese Medicine and Orthopedic Injury: From your description, you can only say that it is very difficult. No one can guarantee that complications such as decubitus ulcers, deep vein embolism, urinary tract infections, and pneumonia will not occur regardless of conservative surgery, and the incidence of these is very high. Furthermore, geriatric coarctation fractures, often accompanied by many medical conditions, often die early from complications without surgery. To improve survival and quality of life, one can only take the risk of surgery!!! But as the patient and all family members, must be unanimous in their opinion, they are willing to bear all the risks and consequences of this surgery, to have the psychological preparation of not coming out of the operating room or during the treatment on the dead, otherwise no doctor would dare to take this risk themselves. If the expected survival period is not more than 3 months, there is no need to take this risk. This is my personal opinion. Thank you.