Secondly, we could use frailty assessment as a routine pre-operative evaluation. The findings reveal that pre-operative frailty assessment have been becoming an essential concerning in managing postoperative complications, short or long-term adverse outcomes, along with mortality in all older surgical patients. However, frailly identification as a pre-operative routine in hospitalized older adults with musculoskeletal conditions still have many boundaries. In this study, we found some barriers as scarcity studies of frailty assessment especially in orthopedic surgical patients, and language barriers. In orthopedic setting, our findings shed the light on that the advantage of pre-operative frailty assessment in effective managing and alleviating
