| Objective To investigate the epidemiological characteristics of fractures in elderly patients in the Second People's Hospital of Fujian Province, to infer the epidemiological characteristics in Fuzhou, and to provide a theoretical basis for the prevention and treatment of osteoporotic fractures in the area．Methods Data of elderly patients (>50 years old) with fractures in the Second People's Hospital of Fujian Province from June 2012 to June 2017 were retrospectively collected. The proportion of each fracture site and its trend with age and gender were analyzed. Results A total of1535 fractures in the elderly were collected, including 467 fractures in males (30.42%) and 1068 in females (69.58%), with a M/F ratio of 1:2.29. The most amount of fractures occurred in 75-79 years old patients. The most proportion of fracture site was at the thoracolumbar (36.48%), and followed by the proximal femur (20.65%), the intertrochanter (11.01%), the femoral neck (9.19%), and the distal radius and ulna (7.23%). In females, the most proportion was 40.17% of thoracolumbar fractures, followed by 10.21% of intertrochanteric fractures and 9.74% of distal radius and ulna fractures. In males, the most proportion was 28.05% of thoracolumbar fractures, followed by 12.85% of intertrochanteric fractures and 8.35% of femoral neck fractures. The proportion of osteoporosis in elderly patients with fracture was 59.54%, including 47.82% females and11.72% males. The fractures were mostly caused by falls (68.62%). Conclusion There are more fractures in elder females than in elder males in Fuzhou area. The fractures are mainly located at the thoracolumbar vertebrae, proximal femur, and distal ulna and radius. Falls are an important cause of fractures in the elderly. Postmenopausal osteoporosis increases the risk of fractures in elderly women. Prevention should mainly strengthen the anti-osteoporosis treatment for the elderly, strengthen the nursing care, accompany, and take corresponding protective measures. |