Introduction: In this genre of AO principles, most of the fractures are fixed surgically unless it's a hairline fracture or a very high risk patient with co-morbidities. Material & methods: Our study involves 23 patients visiting a remote government medical college with hip intertrochanteric fracture (IT) which were managed non-operatively due to co-morbidities and/or patients not willing for operative management. All those patients were applied de-rotation boot cast and applied 10% traction of their body weight over it. Clinical and functional outcome was measured by Harris hip score at admission, 6, 12 and 18 months follow-up. Radiological evaluation done by radiographs of hip-AP and lateral views