The present invention relates to the technical field of medical devices, and proposes a proximal femoral fixation steel plate, comprising a steel plate body and a first screw, wherein the first screw comprises a nail tube, a rotating cylinder and a
drill rod, wherein the nail tube penetrates and is slidably arranged in the steel plate body, and the
peripheral side of the nail tube is provided with an annular groove and a first through hole that are interconnected; the rotating cylinder is rotatably arranged in the annular groove, and the
peripheral side thereof is provided with an interconnected reinforcement groove and a second through hole; the
drill rod is fixedly arranged on the rotating cylinder, and its length direction is parallel to the axial direction of the nail tube, and the side away from the axis of the nail tube is spaced from the
peripheral side of the rotating cylinder. The present invention arranges a rotating cylinder and a
drill rod on the nail tube, and when the nail tube is screwed into the
femur, the drill rod can be driven to move along the axial direction of the nail tube, so as to open a line groove for storing
bone cement on the inner wall of the femoral borehole, which not only improves the degree of fixation of the first screw and the
femur, but also reduces the damage area of the
femur to the drill rod.