Recently, the Orthopedics/Sports Medicine Department of the Second Hospital of Shandong University admitted a 72-year-old patient with a femoral neck fracture. The patient was promptly provided with a green channel for multidisciplinary joint treatment (MDT). Within 24 hours, a hip joint replacement surgery was performed, enabling the patient to walk within 24 hours after the operation, achieving a satisfactory recovery.

The patient, Mr. Li, suffered a fall resulting in left hip pain and immobility while walking. He was urgently brought to the Emergency Medical Center of the Second Hospital of Shandong University, where an X-ray revealed a left femoral neck fracture. The Emergency Medical Center immediately contacted the Orthopedics/Sports Medicine Department and Trauma Orthopedics for consultation, leading to the decision to proceed with a hip joint replacement surgery. Due to the patient's additional complications of old myocardial infarction, old cerebral infarction, and a recent COVID-19 infection within the last three weeks, coupled with his frail constitution, the case presented complex challenges and elevated surgical risks. Therefore, the Respiratory and Critical Care Medicine Department, Cardiovascular Department, Neurology Department, and Anesthesiology Department conducted a comprehensive MDT assessment. Risks were evaluated, contraindications were ruled out, and it was determined that prompt surgical intervention was necessary.

During the surgery, the Anesthesia Department and the surgical team at the Second Hospital of Shandong University closely monitor various vital signs. Professor Wang Shaojin from the Orthopedics/Sports Medicine Department led the orthopedic team to successfully complete a total hip replacement surgery. On the same day after the operation, following the Enhanced Recovery After Surgery (ERAS) principles, a rehabilitation therapist guided the patient through rehabilitation exercises, and the patient was able to walk within 24 hours.

To promote standardized diagnosis and treatment of elderly hip fractures and improve the health of the elderly population, the Orthopedics/Sports Medicine Department at the Second Hospital of Shandong University actively responds to the national "Guidelines for the Diagnosis and Management of Elderly Hip Fractures." They have established a "Green Channel for Elderly Hip Fractures," integrating concepts such as rapid emergency examination, preoperative multidisciplinary joint consultation, and postoperative rapid recovery. This significantly reduces patient waiting times before diagnosis, ensures timely and comprehensive preoperative assessments, and enables surgery within 48 hours for those without surgical contraindications. Postoperatively, hospitalization time is shortened, effectively reducing postoperative stress reactions and complications, lowering mortality rates, and expediting patient recovery. Currently, dozens of hip fracture patients have received timely treatment through the "Green Channel for Elderly Hip Fractures."

Hip fractures are referred to as the "final fracture of one's life" due to their high disability and mortality rates. Approximately 35% of hip fracture survivors are unable to regain independent mobility, and 25% require long-term home care. The mortality rate within six months after the fracture is 10%-20%, and the one-year mortality rate is as high as 20%-30%, exerting a significant impact on the health of the elderly population.