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Abstract
Ninety percent of these fractures occur in patients older than 50 years. The goal of treatment of these fractures is fracture reduction so that near anatomic alignment and normal femoral antiversion are obtained. Internal fixation is the treatment of choice for treating intertrochanteric femoral fractures of the femur with the following aims: to obtain best possible anatomic reduction, to get stability for early mobilization and early weight bearing, to reduce the complication associated with prolonged recumbency, and for maximal functional restoration. Intramedullary fixation devices, which combine a hip screw with either a short or long intramedullary nail such as the Gamma nail, have the theoretical advantages of percutaneous insertion, a lower bending moment on the fixation device, and an intramedullary buttress that precludes excessive medial migration of the shaft. The intramedullary devices transmit progressively decreasing loads to the proximal femur with increased instability of the fracture