Background: Aging is an undefiable process and as the population ages, the incidence of hip fracture is anticipated to increase exponentially. Prolonged bed rest further worsens the morbidity and mortality after a hip fracture. Intertrochanteric femur fracture management in elderly needs more attention to reduce malunion and increase early mobilisation to reduce mortality and morbidity. Ideal choice of treatment is internal fixation by intramedullary or extra medullary devices. Intramedullary devices provide more stable proximal femoral anatomical fixation. Between PFN and PFNA; helical blade in PFAN provides more stability, better compression and rotational control with lower cut-out rate.