Objective To investigate the treatment options of hip osteoporotic fractures in patients over 80 years old. Methods The results of operation or non-operation in 97 patients who were over 80 years old with hip osteoporotic fractures, were reviewed. Results Sixty-four patients underwent operations and 10 patients died in the first 3 weeks after the operation. Three of them died of heart failure, 2 of them died of septicemia and multiple systemic organ failure induced by incision infection, 1 of them died of intracranial hemorrhage induced by hypertension, 1 of them died of respiratory failure, 1 of them died of liver failure, 1 of them died of multiple organ failure, and 1 of them died of cardiorespiratory arrest due to aspiration during eating. The left 54 patients who received operations were discharged. They were followed up for 1 year, and 9 of them died of various reasons. Hip function of the living 45 patients was evaluated by Hip Joint Harris Score. One case was excellent, 7 cases were good, 15 cases were moderate, and 22 cases were bad. Thirty-three patients in non-operation group were followed up for 1 year. Twelve of them died in 3 months after injury and 9 of them died in 1 year after injury. Nine patients with intertrochanteric fractures treated by lying up in bed healed in malunion. Three patients with femoral neck fractures without operation did not heal. According to Hip Joint Harris Score, 2 cases were moderate and 10 cases were bad. Conclusion The conditions of patients over 80 years old with hip osteoporotic fractures are complex. Complications are various and managements are difficult. Surgery can reduce mortality and should be considered as primary choice of the treatment. |