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Nonagenarians who had delayed surgery had higher mortality rates compared to nonagenarians with early surgery (15.2% vs 4.2%; 02). Patients aged 65-75 had higher complication rates with delayed surgery (12.9% vs 4.1%; 01) as did those aged 76-89 (9.0% vs 3.2%, 004). Early surgical intervention of isolated hip fractures in the nonagenarian population within 24hours is associated with good clinical outcomes as well as a lower inpatient mortality that approaches significance. Early surgical intervention of isolated hip fractures in the nonagenarian po