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The development and utilization of implantable devices for the treatment of femoral neck fractures altered the natural history of the hip fracture ‘‘disease’’ from a veritable death sentence to a condition that, after surgery, could allow one not only to survive, but to thrive. These hip fractures, however, still cause considerable morbidity, and they do not affect all patients equally [1]. The 80-year-old woman who fractures her femoral neck after a trip and fall hurrying to catch a bus is not the same as the one who fell because she forgot to reach for her walker in an urgent shuffle to the bathroom after an episode of incontinence. Colloquially, we say that one woman is a ‘‘young 80’’ and the other is ‘‘old.’’ The concept of ‘‘frailty’’ described in the report by Patel and colleagues helps to explain the physiological difference, and allows for a more objective assessment of health in much the same way that Charlson [2] quantified comorbidity to explain how house officers would often look at a patient and his or her history and conclude he or she was ‘‘sick’’ or ‘‘healthy.’’ [4]. The population is aging, but staying healthier than previous generations [3, 5]. Although the implication of this finding is that the rates of significant injury are lower than they were in past years, the increase in the population considered to be elderly may actually lead to an increase in the occurrence of such injuries. A better understanding of frailty will have an impact on the practice of orthopaedic surgery in many important ways.

CORR Insights®: Association of a Modified Frailty Index with Mortality After Femoral Neck Fracture in Patients Aged 60 Years and Older