Abstract: Objective:To compare the curative effects of two surgical technique in the treatment of intertrochanteric fracture of elderly patient. Methods:Twenty-two elderly patients(age more than or equal to 76 years) with intertrochanteric fractures were treated with open reduction and internal fixation(locking anatomic plate or proximal femoral nail)(11 cases),and femoral head arthroplasty(11 cases).The intraoperative bleeding volume,operation time,hospitalization time and bed time,healing time of fracture and adverse reactions between two groups were compared.The postoperative functional recovery in all cases were evaluated using Harris Score system,the excellent and good rate of each group was calculated.Results:The femoral intertrochanteric fractures in 22 patients healed during the following period.The differences of intraoperative bleeding volume and operation time between two groups were not statistical significance(P>0.05).The hospitalization time and bed time in internal fixation group were longer than those in femoral head arthroplasty group(P<0.05 and P<0.01).Excellent in 7 cases,good in 3 cases,fair in 1 case and no error case in internal fixation group were found,the excellent and good rate of which was 90.9%.Excellent in 9 cases,good in 1 case and fair in 1 case in femoral head arthroplasty group were found,the excellent and good rate of which was 90.9%.Conclusions:The clinical effects of two treatment methods are good,surgical method is selected according to the stability degree of the femoral intertrochanteric fracture and condition of patients.