中文摘要：

股骨粗隆间骨折是老年人的常见骨折之一，患者存在骨质差、内固定稳定性差、内科合并症多，术后易发生内固定松动、断裂等诸多问题。对于老年粗隆间骨折患者I期采用内固定还是人工关节置换手术目前存在争议。正确评估患者的骨折稳定程度，个性化选择治疗方式是保证患者早期活动，减少并发症的关键，也是治疗的金标准。

英文摘要：

Intertrochanteric fractures are common fractures occurred in the elderly. Because of the elderly patients with osteoporosis and fixation instability, postoperative prone to fixation loosening, fracture, more medical complications and many other issues exist. Therefore, for elderly patients with treatment of internal fixation or the use of artificial joint replacement surgery is currently in dispute. Correct assessment of the stability of the fracture, personalized treatment options is not only the key to ensure patients with early activity and reduce complications, but also the gold standard of intertrochanteric fractures treatment.