Methodology: This is a retrospective observational study carried out during duration of 2 years (April 2020 - March, 2022 at the Traumatology Department of college. All consecutive adult patients admitted with subtrochanteric or shaft fractures were evaluated with respect to the following inclusion and exclusion criteria. Inclusion criteria are based on the clinical and radiological features of AFF as defined by the American Society for Bone and Mineral Research major criteria. During the study period, 90 patients with subtrochanteric or femoral shaft fractures treated in the hospital that met the inclusion criteria. Of these, 10 patients had bilateral fractures on presentation. Surgeries were performed by trauma surgeons, and patients underwent standard rehabilitation following the procedure. Demographic information and surgical details were recorded from the hospital electronic records. The quality of reduction was evaluated by the