股骨粗隆间骨折是骨外科的多发病,多发于老年患者,其中四部分骨折最为严重,手术固定困难,预后相对较差~([1])。同时,由于老年人生理功能减退,合并慢性病较多,加上面临能否恢复或致残的心理压力,增加了手术期的护理难度~([2])。本研究对28例股骨粗隆间四部分骨折的老年患者均采用Sanatmetal锁定加压钢板手术治疗,通过实施系统化的整体护理,给予循序渐进地康复训练指导及出院后延续护理,取得满意效果, Intertrochanteric fractures are frequently-occurring in orthopedic surgery and occur frequently in elderly patients. Among them, the fractures are the most serious in four parts, and the surgery is difficult to fix with relatively poor prognosis ([1]). At the same time, due to the decline of the elderly physiological function, combined with more chronic diseases, coupled with the face of the psychological pressure to restore or disability, increasing the difficulty of surgical care ~ ([2]). In this study, 28 elderly patients with four-part intertrochanteric fractures were treated with Sanatmetal compression-locking plate surgery. With systematic holistic nursing care, gradual rehabilitation training guidance and follow-up care after discharge were obtained, with satisfactory results.