Hip Fracture Surgery in Nonagenarians-The Devil's Advocate?

Hip fractures are on the rise globally. With increased life expectancy, many will be in their nineties. These nonagenarians may require particular attention because of their age and comorbidities, the former long accepted to be strongly associated with mortality 1 . Unlike many parts of the world where surgery is almost always advocated, this is often not the case for elderly Singaporeans, especially nonagenarians. We analyzed and compared the mobility, morbidity and mortality in nonagenarians with hip fractures treated both conservatively and surgically in recent years.