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Objective To explore the the incidence and clinical characteristics of hip fractures in the elderly over 50 years old in Harbin, and provide a theoretical basis for the prevention of hip fractures in the elderly . Methods The medical records of 16 16 patients with hip fractures from January 2008 to December 2019 were collected retrospectively, and the basic conditions of the patients were counted . Results In the past 12 years, the number of elderly cases of hip fracture increased year by year, and the overall male-to-female ratio of hip fracture wasl: 1. 45. The average age of the patients was ( 70. 27 ± 11. 41 ) years, and the average age of females was significantly higher than that of males( P< 0. 00 1) . The number of femoral neck fractures was 1. 44 times higher than that of intertrochanteric fractures. The average age of femoral neck fracture was ( 67. 03 ± 11. 41 ) years in males and ( 70. 61 ± 10. 73 ) years in females. The average age of intertrochanteric fracture was ( 68. 69 ± 11. 93) years in males and ( 74. 16 ± 10. 86) years in females. The average age of patients with femoral neck fracture increased by 0. 88 years per year in males ( P = 0. 003) and 0. 55 years in females ( P = 0. 03) . The average age of male patients with intertrocbanteric fracture decreased by 0. 91 years per year ( P