Objective To discuss the curative efficacy of locking compression plate (LCP) in the treatment of elderly femoral intertrochanteric fracture. Methods A total of 94 patients with femoral intertrochanteric fracture were assigned to two groups. 29 patients were given DHS internal fixation as DHS group, and 65 patients were given LCP fixation as LCP group. Postoperative hip joint functions in the two groups of patients were assessed. Results There was no signifi-cant difference of general conditions compared between the two groups of patients during the surgery. As for the post-operative complications, LCP group was better than DHS group. As for postoperative Harris curative effects of joint hip and the treatment of A3 type of fractures, the total curative effect in LCP group was better than that in DHS group. Conclusion DHS and LCP are effective internal fixation methods in the treatment of femoral intertrochanteric fracture. They both have merits and demerits. LCP in the treatment of elderly femoral intertrochanteric fracture is better than DHS, and LCP should be the first choice for A3 type of elderly fractures.