Fracture is an important factor that leads to disability and affects the quality of life of the elderly. Only by actively taking effective measures in terms of fracture prevention and treatment can we reduce the pain caused by fracture and improve the quality of life of the elderly. Common fractures in the elderly include distal radius fracture, intertrochanteric fracture, femoral neck fracture, lumbar spine compression fracture and osteoporotic fracture in the elderly. When an elderly person falls accidentally, the hand supports the force on the ground, thus causing a distal radius fracture; if the fall, the hip lands on the ground, the impact force of the lower limb will cause a hip fracture; if the fall is bent over while carrying weight, it is likely to cause a fracture of the thoracolumbar vertebrae; in addition, the elderly have serious bone calcium loss and are very prone to osteoporotic fractures such as lumbar compression fractures. How to treat common fractures in the elderly? I. Distal radius fracture Ordinary fractures can be treated by manual repositioning plus external fixation; severe comminuted fractures, obvious displacement, distal radius joint surface destruction and unstable fractures should be treated by surgery. Second, hip fracture The hip fracture area is different, divided into intertrochanteric fracture and femoral neck fracture, non-operative methods are bone traction or skin traction, but in recent years, with the improvement of medical level, total hip replacement, half hip replacement, hollow nail, PEN-A, DHS, locking plate and other surgical treatment have been widely used. Surgery is preferred for elderly hip fractures that are not contraindicated to surgery, so as to shorten the time of bed rest, resume the activities of the affected limb as soon as possible, and reduce the mortality rate and other complications. Compression fracture of the thoracolumbar vertebrae The main cause of this fracture is osteoporosis, so patients who cannot be treated surgically must be absolutely bedridden, with family members doing appropriate functional exercises, using anti-inflammatory and analgesic drugs to reduce the patient’s pain, and also need to be treated for osteoporosis. Elderly people who are not contraindicated to surgery can be treated with arch nail internal fixation surgery, percutaneous vertebroplasty and percutaneous vertebral body retroversion surgery.