Introduction : Unstable intertrochanteric femoral fractures are common in the elderly, and the incidence of these fractures is continuously increasing worldwide. The aim of the surgical treatment of these fractures is to achieve stable fracture fixation that will allow early weight bearing. Intramedullary device like the proximal femoral nail antirotation has shown a superior cut-out resistance, which may translate into fewer cut-outs in the clinical setting and better functional outcome