Abstract: Hip fractures in the elderly are often referred to as “the last fracture of life” and with the aging of the population, the incidence of hip fractures has become a serious social problem. Studies have shown that hip fractures affect 18% of women and 6% of men worldwide, with 30% of cases originating from China. This report presents a case of an elderly femoral neck fracture patient treated in the Department of Sports Medicine at Weifang Traditional Chinese Medicine Hospital in July 2023, highlighting the perioperative multi-timing, multi-modal analgesic anesthesia plan. The patient was an elderly female, 76 years old, who was admitted to the hospital with a fall injury resulting in swelling and pain in the left hip and limitation of activities for 10 days. After a clear diagnosis at a local hospital, she received conservative treatment for 10 days. During this period, she suffered from unbearable pain and severe restrictions on sleep and food intake, and the treatment outcome was unsatisfactory, so she was admitted to Weifang Traditional Chinese Medicine Hospital for further treatment. Through the perioperative multi-timing, multi-modal anesthesia intervention for this patient, we achieved the goal of comfortable perioperative care. The patient recovered and was discharged from the hospital, with a high degree of satisfaction from the patient and his family.

Key words: fracture of neck of femur, multimodal perioperative analgesia, five-tone therapy in traditional Chinese medicine, comfort medicine, case report