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This document is a letter to the editor in response to an article titled "Geriatric distal femoral fractures: post-operative complications and nine-year mortality—a retrospective analysis of two tertiary trauma centres." The authors of the letter express their gratitude to the original authors for their research but also raise some concerns and issues that need further exploration. They question the impact of postoperative nursing care and convalescent sites on patient mortality, the accuracy of statistical analysis regarding gender as a predictor of mortality, and the lack of a clear postoperative weight-bearing protocol. The authors hope that their interpretations and observations will contribute to the readers' understanding of the topic. [Extracted from the article]