INTRODUCTION: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low–energy trauma like simple falls. The present study was undertaken to assess outcome of 30 patients of intertrochanteric fractures treated with proximal femoral nail.

MATERIAL AND METHODS: 30 cases of intertrochanteric fractures in adults treated by proximal femoral nail were studied. Results assessed by Harris Hip Score at the end of 12 weeks. Maximum age was 87 years and minimum age was 34 years. 12 patients were male and 18 were female.

RESULT: Most common type of intertrochanteric fracture was AO type 31A3. Average time for union was 12.75 weeks. 84 % excellent and good results were obtained among all cases as per Harris grade. One patient had post–operative complications of superficial wound infection and one patient had implant failure.

CONCLUSION: Results of the study concluded that the functional outcome of unstable intertrochanteric femur fractures treated with proximal femoral nail were similar to stable fractures. In addition, the PFN requires shorter operative time and a smaller incision, it has distinct advantages in the treatment of intertrochanteric fractures.