Introduction: Femur injuries and fractures annually kill many elderly. The present study aimed to evaluate the one-year survival of
patients with proximal femur fractures from 2012 to 2018 in Semnan. Materials and Methods: This retrospective study was performed
on 134 patients with proximal femur fracture. Patients were first studied for their one-year survival and then the results were
statistically evaluated. Results: The study showed that 69 and 65 patients were male and female with mean age of 85 years,
respectively. 36.7% of those who underwent surgery survived more than one year and 63.3% died within one year. Also, 80% of
those who did not undergo surgery survived more than one year. Mortality rate was significantly higher in those who had not
surgery (p = 0.01). Conclusion: The results of this study showed that surgery has a direct relationship with their one-year survival and
attention to factors such as the correct time of surgery is very important in the survival of the elderly.
Keywords: Injury, Femoral Fractures, Elderly, Surgery, Survival Rate