Background: Severe hip or thigh pain, difficulty or incapacity to bear weight on the affected leg, swelling, bruising, and leg deformity or shortening are all possible symptoms of an intertrochanteric femur fracture. The present study evaluated use of proximal femoral nail in intertrochanteric femur fracture patients. Materials & Methods: 70 patients of intertrochanteric femur fracture of both genders were treated with proximal femoral nail. Parameters such as mode of injury, side, fracture subtype, complications and outcome were recorded. Results: Out of 70 patients, males were 40 and females were 30. The mode of injury was RTA in 46, fall in 20 and others in 4. Side was right in 28 and left in 42. OTA fracture type was 31 A1 in 30, 31A2 in 23 and 31 A3 in 17 cases. Complications were inadequate reduction in 2, failure to insert distal screw in 1 case, Z- effect in 3 and varus deformity in 1 patient. The difference was non- significant (P> 0.05). Outcome was excellent in 56, good in 12, fair in 1 and poor in 1 case. The difference was significant (P< 0.05). Conclusion: Patients who had proximal femoral nailing for intertrochanteric femur fracture demonstrated acceptable functional results.