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Discussion The falls in elderly are on rise and taking the shape of an epidemic. Prevention of these falls is far better than the management. Safe living environment of the elderly people helps in prevention of these falls. The management of the falls should focus on the causative factors, apart from treating the injuries caused by the falls. © Indian Orthopaedics Association 2020.Background This systematic review is an attempt to provide an evidence-based analysis of literature on management of severely displaced radial neck fractures