Objective To investigate the development of dynamic hipscrew (DHS) internal fixation in the treatment of intertrochanteric femur fractures. Methods The latest relevant articles were reviewed extensively, including biomechanics and clinical application research. Results DHS is the effective selection for the treatment of intertrochanteric femur fractures, especially by the innovation of DHS structure, operative manipulation.Conclusion Treatment of intertrochanteric femur fractures with DHS is still a gold level, but strict selection of patients, proficiency operation and invasive manipulation are the most essential principles.