A 76-year-old man with 2 old fractures of the ribs should decide whether surgery is needed on a case-by-case basis. If the fractures are not significantly displaced and are not combined with hemothorax, pneumothorax, or internal organ injury, they can be treated without surgery. Stale rib fractures are rib fractures that are more than 3 weeks old. If there is no obvious displacement of the rib fracture, and the lung and pleura are not damaged, you can choose the conservative treatment of drugs, anti-inflammatory and analgesic drugs such as ibuprofen, calcium supplements such as calcium carbonate tablets, drugs to promote the absorption of calcium such as vitamin D3, and you can also take Chinese patent medicines, such as the injured bone tablets, the bones of the bones of the seven CI tablets, bone Kang capsule. If the displacement of old rib fracture is obvious and there is thoracic collapse, then it is recommended to take surgical treatment after comprehensive consideration of the patient’s situation, and carry out rib repositioning and fixation. If the old man is determined to be old rib fracture, it is recommended to choose the treatment according to the condition under the guidance of the doctor.