Abstract:[Objective] To introduce the surgical techniques and preliminary clinical results of combined minimally invasive hemiar- throplasty (HA) of the hip for intertrochanteric fractures in the elderly. [Methods] A 95-year-old female received abovementioned surgical treatment for comminuted intertrochanteric fracture of the right femur. The patient was placed in lateral decubitus and a small incision was made superior to the right hip to expose the piriformis fossa, superior aspect of the femoral neck, and margin of the femoral head. After open- ing the medullary cavity at the piriform fossa, the femoral reamer was placed into the cavity for reamming in seral. A wedge osteotomy was conducted on the femoral neck with two cuts within the capsule, the wedge bone block was removed firstly, followed by remove of the femo- ral head. After the bipolar heed component was place into the acetabulum, the femoral stem was inserted with a specific- designed mini plate attached with it. As the stem was pushed in place, the greater trochanter fracture was fixed by screw with the plate. Finally, the femo- ral stem was reduced into the bipolar femoral head component. [Results] The patient was successfully operated without intraoperative com- plications, whereas with operation time of 50 min, incision length of 6 cm, and intraoperative blood loss of 50 ml. The patient resumed ac- tive hip activity including active hip flexion and abductive function training in bed 3 hours after the operation, ambulation the next day, and walking easily out room 1 month later. [Conclusion] This novel technique permits placement of HA prosthesis and fixation of the intertro- chanteric fracture in the same stage through the small incision. It takes the advantages of reducing iatrogenic trauma, intraoperative bleed- ing and fluoroscopy without traction table, as well as achieving good postoperative stability to allow early weight-bearing walking and wide range of motion.