Increased life expectancy has led to a considerably increased incidence of proximal femoral fractures. The standard of peritrochanteric fracture treatment is stable fixation, which allows early full weight-bearing mobilization of the patient. A prospective, observational and randomized study was carried out with a total of thirty patients with intertrochanteric femur fractures admitted in Govt. Medical College and Rajindra Hospital Patiala after fulfilling the inclusion criteria and were treated with osteosynthesis with proximal femoral nailing antirotation-2 (PFNA-2) and proximal femoral nailing (PFN) after dividing them into two groups randomly i.e. Group A and Group B with 15 cases in each. Harris Hip Score was used as criteria for evaluation of results and functional outcome was graded accordingly. The authors conclude that PFNA2 gives better results than PFN in intertrochanteric fractures in terms of the amount of blood loss during surgery, duration of surgery, postoperative complications. However, there is no difference between the two modalities in terms of duration of hospitalization, fracture union, and early rehabilitation (mortality and morbidity).