Background: Intertrochanteric femur fractures are one of the most common fractures around hip in elderly population. These fractures are commonly treated with intramedullary nailing. Different designs of intramedullary nails are available. Proximal Femoral Nail Anti-rotation 2 is a newer nail design introduced for Asian population. Aim of this study is to analyse clinical and functional outcome of intertrochanteric femur fractures treated with PFNA2 in patients with osteoporosis.