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 will not be able to accept it. 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. The reason for doing it: the family believes that it is unacceptable for the elderly to be bedridden for a long time, the elderly also suffer, the family also suffer, long pain is better than short pain, bo a record, success, all happy, failure, also resigned to fate. If you have a fracture of the neck of the femur at an advanced age, do the surgery as soon as possible! Reasons: 1. After the elderly is hospitalized, the doctor will do many tests, including blood tests, ECG, ambulatory ECG, blood gas analysis, cardiac ultrasound, ultrasound of the lower limbs, etc. to assess the physical condition of the elderly, and also require routine consultation with the anesthesia department and the monitoring room, which is more demanding than the average patient, and in our hospital, we also need 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 surgery is quite simple, usually a hemi hip arthroplasty is done, the operation time is half an hour at most, the bleeding will not exceed 100ml, if an experienced surgeon does it, the time and bleeding can be cut in half, so the risk of surgery is small, but the risk is big is the anesthesia, so the routine anesthesia consultation, a good anesthesiologist is the key to surgery. 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, and they will definitely develop generalized osteoporosis, muscle atrophy, and basically cannot walk after the fracture deformity heals. 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. Those who are relatively healthy and can take care of themselves on a regular basis, and are even older, even 90 years old, with no particularly serious and substantial diseases under examination, are strongly recommended to have surgery, and the risk of surgery for such people is much, much smaller than the risk of not having surgery. 2. General anesthesia has a greater image of the lungs, so general anesthesia cannot be used for people whose lung function is not good and whose blood gas examination is not good. 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 also cannot go on 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. Those who are usually in poor health may not be able to walk after surgery, but as long as they are not accompanied by serious lung, heart and lumbar spine diseases, they can also have surgery, at least the pain disappears immediately after surgery, and the days in bed are not so difficult, and the care is very convenient. 4. Some people worry about infection and dislocation after surgery. According to our experience, with the improvement of surgical techniques, 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 and are not a major 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.