The three areas of the body that are usually more susceptible to injury in the elderly are the hip, the lower back and the wrist. For wrist and waist injuries, patients can still move around on their own, and family members can administer home care more easily. However, if the hip is injured, commonly known as the big crotch, the patient immediately severe pain, bedridden, unable to move, can not take care of their own urine and feces, family members accompanying people in the process of giving assistance to defecate, stuffing the potty, will aggravate the patient’s pain. Every day, the patient and his family spend their time in this painful and depressing mood, hoping that after a few days or 1-2 months can usher in the patient’s improvement, but often the end is not what we hoped for, why? Elderly people are very afraid of falling big crotch, because of senile osteoporosis, very easy to cause fractures, even if very slight violence, such as sitting on the horse sitting empty, sitting up to get something, this very slight action, can also cause fractures, the formation of neck of the femur fracture, intertrochanteric fracture, due to the pain and the nature of the fracture site of the patient needs to be bedridden for long periods of time, which gives rise to a series of complications: pneumonia in a series of fall, Decubitus ulcers, urinary tract infections, and so on. Despite the best efforts of the family and companions, the problem could not be solved. A large number of antibiotics were used, but still could not control the patient’s fever. In fact, all these are the complications of the fracture itself, and it is precisely these complications that can take the patient’s life, but the fracture itself does not directly threaten the patient’s life. What should be done then? This part of the fracture, it can be said that there is no young, “70” after “80” is very common, “60” can be said in this patient population is considered to be “I have performed several cases of 90 year olds. I have performed several surgeries on 90-year-olds and one on a 100-year-old, with good results. The lesson learned is that if the patient was able to take care of himself or herself before the fall, and if his or her cardiopulmonary function can be effectively improved with medication after objective evaluation, surgery can be considered, and age is not a contraindication to surgery. Surgical treatment therapy has the following advantages: 1. The day after surgery, the patient can be relieved of pain. The accompanying person can boldly assist by tucking in the commode through the diseased side to help defecation. 2. On the second day after surgery, the patient can sit up to 30° by shaking the head of the bed, and then gradually sit up to 90° within 1 week. 1 week later, the patient can sit on the edge of the bed. After 1 week, the patient can sit at the edge of the bed. If the patient has good physical strength, he can walk on the floor with the help of a walker. As long as the elderly can sit up early, do not lie down, can effectively prevent cardiopulmonary complications. Reduce the accompanying psychological, physical and economic burden. 3, if the operation goes well, the patient that can be successfully recovered, and even can be said that basically no sequelae. Does not affect the patient’s natural life, the hip fracture known as the last fracture of life, into other. In this age group of hip fracture, surgical treatment has perfect superiority, but this advantage can be played out also need to synthesize the functional status of the patient’s various systems to make the overall physical evaluation, you can ignore the age factor, but can not ignore the risk of surgery. Carefulness, prudence, comprehensive adjustment of body functions, and excellent ability to deal with medical and surgical diseases are the keys to ensure the success of surgery.