We are referring to the elderly over 80 years old, prone to falls and more prone to fractures after a fall, most commonly femoral neck fractures and intertrochanteric fractures, and often encounter a very contradictory choice when they go to the hospital, should they have surgery? The reason for not doing it: the family is worried that the old man is too old to withstand the blow of surgery, and there is a considerable amount of money to pay to save lives or have a very good result the family is still willing, but the doctor is not likely to give you this promise. If you spend money to save your life because of the surgery, it will be empty, and the family is not very acceptable. The conservative treatment is less expensive, less risky, and the elderly do not require high activity, so conservative treatment is also the choice of many people. Reasons for doing: The family believes that it is unacceptable for the elderly to be bedridden for a long time, the elderly also hard to bear, the family also hard to bear, long pain is better than short pain, bo a record, success, all happy, failure, also resigned to the fate. Reasons: 1, the elderly hospitalized, doctors will do a lot of tests, including blood tests, electrocardiogram, dynamic electrocardiogram, blood gas analysis, cardiac ultrasound, ultrasound of the lower extremities to assess the physical condition of the elderly, but also requires anesthesiology, monitoring room routine consultation, its requirements than the average patient to high, and in our hospital, but also requires the medical department and the president to sign the patient to do surgery, so the preoperative preparation and assessment is quite adequate The This minimizes the risk of surgery. 2, the operation is quite simple, usually a hemi hip arthroplasty, the operation time is at most half an hour, bleeding will not exceed 100ml, if an experienced doctor does it, the time and bleeding can be cut in half, so the operation risk is small, but the risk is big is anesthesia, so the regular anesthesia consultation, a good anesthesiologist is the key to the operation. 3. Patients with femoral neck fractures are quite painful, at least for 1-2 months, and the pain is obvious when turning and relieving the second stool, which makes care very difficult and brings great pain to the patient and family. If the care is not good, the patient will have four major complications of bed rest (pneumonia, urinary tract infection, bed sores, blood clots), each of which may be fatal. Even if they survive the 3 months, they will not be in much pain, but will definitely have generalized osteoporosis, muscle atrophy, and basically cannot walk after the fracture deformity has healed. As long as you survive the surgery, you will be able to return to your pre-injury state in about 1 week after the surgery, and those who can walk before the injury will be able to walk after the surgery and improve their quality of life in a short period of time. Those who could not walk before the injury can also have pain relief and easy care after surgery. So who can do the surgery? 1, usually healthier, able to live on their own, older, even 90 years old, check down no particularly serious substantial disease, highly recommended to do surgery, the risk of surgery for such people is much, much smaller than the risk of not doing surgery. 2, general anesthesia has a greater image of the lungs, so lung function does not work, blood gas examination does not work, general anesthesia can not be on. Half-body anesthesia has cardiovascular effects, so those with serious heart disease cannot go on half-body anesthesia, and those with serious lumbar spine hyperplasia cannot play half-body anesthesia. So people with both lung, heart and serious lumbar spine degeneration can’t do the surgery, but the people with both are a minority after all. 3, usually bad health, after surgery may not be able to walk, but as long as not accompanied by serious lung, heart and lumbar spine disease, can also do surgery, at least immediately after surgery pain disappeared, in bed days are not so difficult, care is very convenient. 4.Some people worry about infection and dislocation after surgery. According to our experience, with the improvement of surgical technology, we can basically eliminate infection by shortening the operation time, and dislocation can be basically eliminated by joint capsule repair. Some people worry that medical diseases such as diabetes and hypertension will have an impact on the surgery, but in fact, they can be controlled during hospitalization, so it is not an important consideration at all. 5. The attitude of the family and the patient is an absolute influence on the surgery, because this kind of surgery for the elderly directly faces life and death if complications arise. If the patient and the family do not have a very positive attitude, no doctor will operate on you in this kind of medical environment in China, and some doctors will even put the blame on the patient.