Introduction: Intertrochanteric fractures like femoral neck fractures, are commonly encountered in the practice of orthopaedic surgery. Intertrochanteric fractures usually occur in patients over 60 years of age commonly and are three times more frequent in women than men because women tend to be less active and develop postmenopausal osteoporosis. Methodology: 40 elderly patients who were admitted and operated between July 2014 to July 2016 and had fulfilled the inclusion criteria, were enrolled for this study. Patients operated with PFN were allocated to Group A and operated with Bipolar prosthesis were allocated to Group B.20 patients each were allocated into 2 groups A and B according to randomized tables. Results: Majority of patients in study were between 60-85 years with a mean age of 70 years. Sixty percent of patients were female. Trivial fall was most common mode of injury. T3 fractures constitute 55% and T4 fractures constitute 45%. PFN required shorter incisions and less blood loss and operative time. Conclusion: Both modalities, PFN and Bipolar Hemiarthroplasty have shown good functional outcome.

Keywords: Proximal Femoral Nailing; Cemented Hemiarthroplasty; Intertrochanteric Fractures.