Abstract: Objective：To compare the surgical procedures and postoperative effects of PFNA and DHS in the treatment of intertrochanteric fracture in elderly patients. Methods：The clinical data of 30 elderly patients with intertrochanteric fracture treated in our department from March 2013 to March 2017 were retrospectively analyzed. 15 cases were treated with PFNA internal fixation and 15 cases with DHS internal fixation. The average length of operation, the amount of bleeding during operation, the time of hospitalization and the difference of postoperative functional recovery were compared between the two surgical procedures. Results：The intraoperative bleeding of the DHS group was more than that of the PFNA group, and the difference was statistically significant (P<0.05). There was no significant difference in length of operation, time of hospitalization or postoperative hip function between the two groups. Conclusions：DHS is similar in clinical efficacy to PFNA in the treatment of intertrochanteric fracture in elderly patients, especially for intertrochanteric fractures with simple fracture types and intact lateral wall of the femur. DHS has the advantages of anatomical reduction and simple operation, which is worthy of clinical promotion.