Background: Standard Proximal femoral nail (PFN) was introduced by AO/ASIF in 1996 for inter trochanteric (IT) fracture fixation and it is the reference nail for other varieties of PFN. Anthropometric measurements of proximal femur in the Indian population are smaller than western population. Hence to suit Indian patients, modified short PFN (MS – PFN) was introduced by Yogeshwar implants private limited. Many times it is also called TFN (Trochanteric fixation nail) 7. It has smaller dimensions suitable for Indian patients and works on the principles of PFN. There are limited studies on MS-PFN (TFN). This study aims at evaluating functional and radiological outcome of MS-PFN in IT fractures. Methods: This is a prospective study conducted on patients of intertrochanteric fracture reported to a tertiary health care center. After obtaining informed and written consent, patients who met inclusion and exclusion criteria were involved in the study and surgical fixation of fracture with MS-PFN is performed. Operating time, intraoperative blood loss is analysed. Patients are followed up till 1-year post op in different intervals, functional outcome using Harris hip score, fracture union, incidence of anterior thigh pain and complications are assessed.Results: In our study, the average age of the patients is 71.29 years with male predominance and right-side predominance. Majority of the fractures belong to type1 group 2 and type 1 group 4 of Evan’s classification. The average operating time is 78.00 minutes and average intraoperative blood loss is 66.80 minutes. Average fracture union time is 14.92 weeks. The average Harris hip score at post op 6 weeks is 65.54, 3 months is 71.78, 6 months is 81.69 and at 1 year it is 86.18. There is no incidence of post-operative anterior thigh pain. Two patients had shortening >1cm, 1 patient had surgical site infection and 2 patients had varus collapse with Z effect.Conclusion: MS-PFN is one of the implants of choice for the treatment of IT fracture extending not beyond lesser trochanter with less intraoperative blood loss, less operating time, good Harris hip score, zero incidence of post-operative anterior thigh pain and significant less complication rates.