Objective      To compare the clinical efficiency of percutaneous compression plate (PCCP) and dynamic hip screw (DHS) in the treatment of osteoporotic intertrochanteric femoral fractures in elderly patients.       Methods      A retrospective study was c

arried out on 143 elderly patients with intertrochanteric femoral fractures undergoing PCCP or DHS in our center from January 2008 to June 2011. Sixty-seven patients

27 males and 40 females

with an average age of 81.3 (ranging from 60 to 106) were treated with DHS

including 17 cases of type A1

43 cases of type A2 and 7 cases of type A3. Another 76 patients

30 males and 46 females with an average age of 80.7 (ranging from 61 to 100)

were treated with PCCP

including 20 cases of type A1

47 cases of type A2 and 9 cases of type A3. The operation time

blood loss

hemoglobin decrease

blood transfusion

hospitalization time

fracture healing

Harris score of the hip joint and changes in neck-shaft angle were observed and compared in the 2 groups.       Results      There was no significant difference between the PCCP group and DHS group in the age

gender

fracture type

pre-operative ASA score and blood transfusion (

P

＞0.05). The average operating time (50.45±16.22 vs 76.04±13.30 min)

intra-operative blood loss (43.33±16.49 vs 240.00±108.56 mL)

hemoglobin decrease (12.38±5.37 vs 15.73±5.80 g/L)

and hospitalization time (9.95±4.13 vs 16.15±6.34 d) was significantly lower in PCCP group than DHS group(

P

＜0.05). All patients were followed up for more than an average of 17 months (ranging from 12 to 28 months). No statistically significant difference was found in fracture healing between the 2 group (

P

＞0.05). But PCCP group was superior to DHS group in Harris hip score and changes in neck-shaft angle(

P

＜0.05).       Conclusion      PCCP is an approach of stable efficiency and minimal invasion in the treatment for osteoporotic intertrochanteric hip fractures

and superior to DHS in operative trauma and function recovery.