Background:Intertrochanteric fractures frequently occur in the elderly, imposing considerable financial strain on both patients and their families. The anatomically contoured proximal femur locking compression plate (PFLCP) represents a recent advancement in addressing these fractures, forming an angular stable construct. Theoretically, this innovation aims to reduce the likelihood of failure due to issues such as screw cut-out and varus collapse, which are commonly associated with Dynamic Hip Screw (DHS) failures.Methods:This study aimed to conduct a prospective comparison of various factors, including the union rate, complications, operative risks, and functional outcomes, in the treatment of intertrochanteric fractures using Dynamic Hip Screw (DHS) versus Proximal Femur Locking Compression Plate (PFLCP). Additionally, the research sought to assess the effectiveness of PFLCP compared to DHS in managing intertrochanteric fractures. The data for this investigation were gathered from the examination of 60 cases of intertrochanteric fractures, with 30 cases treated using PFLCP and another 30 cases treated with DHS.Results:The assessment of functional outcomes was quantified using the Harris Hip Score. Within the Proximal Femur Locking Compression Plate (PFLCP) group, 14 cases (46.67%) achieved an excellent result, 10 cases (33.33%) showed a good outcome, and 6 cases (20%) demonstrated a fair result, with no instances of poor outcomes. The average score in the PFLCP group was 86.4. In contrast, within the Dynamic Hip Screw (DHS) group, 14 cases (46.67%) exhibited an excellent result, 8 cases (26.67%) displayed a good outcome, 4 cases (13.33%) indicated a fair result, and another 4 cases (13.33%) reported poor results.Conclusion:The Proximal Femur Locking Compression Plate (PFLCP) emerges as a favorable choice for intertrochanteric fracture management, showcasing a noteworthy combination of a high union rate, a low incidence of complications, and excellent functional outcomes. Additionally, there is the notable advantage that PFLCP procedures may potentially be conducted without the need for a C-Arm, enhancing the feasibility and accessibility of this treatment approach.