Due to the unique location of the hip joint, treatment after a fracture is often difficult. Because of this, some elderly people who suffer a hip fracture prefer to stay in bed for the rest of the day rather than undergo surgery to give them a chance to get back on their feet, out of fear of surgery. This is a very dangerous practice, and both the patient and his or her family should have a better understanding of hip fractures. Why are hip fractures the most dangerous? Fractures rarely lead to the immediate death of the patient, and a hip fracture is one of them. Hip Bone If it is purely a matter of the surgical technique itself, any trained orthopedic surgeon can take this surgery in 1-2 hours and can guarantee a perfect result. But the real difficulty is the various complications that occur around this condition, which is the root cause of the patient’s death. Because this fracture occurs in people, are older, physical condition is relatively poor, many people will have some high blood pressure, high blood cholesterol, diabetes, heart disease and other basic diseases, if this time because of the hip fracture does not do the operation, then you need to be bedridden for a long period of time, and at the minimum will take 3 months, the patient because of the pain, can only lie down, turn over and sit up can not be realized. Not only is the patient in great physical and mental pain, but also the secretions (phlegm) from the lungs cannot be expelled smoothly, and over time, it is very easy to form a pneumonitis, which can lead to systemic infections. In addition, there are also complications such as urinary tract infections, deep vein thrombosis, and bed sores that can easily develop after lying in bed. Any of these complications can be fatal. How to deal with hip fracture? Depending on the type of fracture, different surgical methods are used. For elderly femoral neck fractures, prosthetic replacement (artificial femoral head, total hip) or internal fixation surgery (hollow screw, power hip screw) is mostly used. For intertrochanteric femoral fractures in the elderly, closed reduction intramedullary nailing or lateral nail plate system is mostly used for fixation. These minimally invasive procedures can be performed in about 30 minutes and are well tolerated by most elderly patients. Demonstration of hip replacement prosthesis The advantages of surgical treatment include: 1. After fracture fixation or joint replacement, pain can be effectively eliminated; 2. After surgery, patients can sit up and turn over, which is conducive to the recovery of heart, lungs and other vital organs, and reduces the complications; 3. It is conducive to the care of bowel and skin; 4. If physical strength allows, patients can stand up and practice walking under the protection of the bed at an early stage after the surgery; 5. About 1/2 of the patients will be able to walk within 2~3 months after functional exercise. About one-half of the patients can return to the pre-fracture activity state in 2~3 months after functional exercise. The main factors affecting the treatment effect: For the treatment effect of elderly hip fracture, patients and their families should also understand that when the patient is in the following situations, the effect of the patient’s post-surgical restoration of function will be reduced: 1, the patient’s advanced age, more than 80 years of age, the body’s low reserve force, the decline in the ability to rehabilitate; 2, more medical comorbidities, there are important vital organ comorbidities (cardiopulmonary) or the number of comorbidities is greater than 3; 3, mental retardation, the number of patients with mental retardation. 3; 3, intellectual disability (dementia), it is difficult to cooperate with the functional rehabilitation; 4, before the fracture of the ability to live independently, such as eating, dressing, bathing, toileting, etc., the more independently to complete the recovery, the better, and vice versa, the effect will be reduced; 5, before the fracture of the walking ability, such as the ability to go out in the community activities, than can not go out in the indoor activities of the physical conditions, the latter the effect of the recovery will be poorer; 6, nutritional status (hemoglobin, albumin); 7, other bone and joint diseases, such as with serious knee disease of the lower limbs, will also affect the patient’s walking function recovery. If an elderly person has a hip fracture, which method of treatment should be chosen, it should be analyzed and evaluated by a professional specialist, and then the family and the patient should choose with the doctor’s professional judgment as a reference.