Background: The most common hip fracture is an intertrochanteric femur fracture, which is more likely in older population with osteoporotic bones and with a male preponderance. The proximal femoral nail (PFN), developed by the AO/ASIF group, has demonstrated its stability as an implant in femoral fractures with peritrochanteric, intertrochanteric, or subtrochanteric fractures [6]. So, the current study was conducted with the aim of assessing the role of proximal femoral nail in the management of intertrochanteric femur fracture and its functional outcome.