The history and concept of sliding fixation is presented. Treatment results of 72 cases with 76 intertrochanteric fractures treated with DHS were analysed. Fractures were classified according to the Kyle scale into 4 different types. 61 males and 11 women age ranging from 46 to 72 years (average age: 65 years) were treated surgically. In 48 cases good results were achieved, in 22 cases results were satisfactory and in 6 cases results were poor. The use of DHS screws is an effective way of treating intertrochanteric fractures among patients with osteoporosis, as well as young patients requiring anatomic reduction of bone fragments. This technique allows early mobilization and weight bearing.