To analyse the curative effects of intertrochanteric fractures of the femur in elderly using different methods. There were 63 cases of intertrochanteric fractures. Eight cases were treated with conservative therapy. Fifty-five cases were operated, 42 of them performed with using the DHS (Dynamic Hip Screw). The patients were followed up for 6~30 months, with an average of 10 months. There were not any infection and nonunion cases. Screw perforated the femoral head in 2 cases of the DHS internal fixatinon. Coxa vara was found in 7 cases. The excellent and good rate of hip joint function was 86.5%. [Conclusion] Operation is the first selection for treating intertrochanteric fractures of the femur in elderly and the DHS is an ideal internal fixation method.