Introduction: Hip fractures always cause short-term pain, disability and a longer-term pain, disability or Deformity. Only a small number of reports on the incidence of hip fractures in the Asian population exist. Intertrochanteric fractures in osteoporotic bones with gross comminution are highly unstable and are associated with a high risk of morbidity and mortality. Material and Methods: To compare the functional and clinical outcomes of cemented bipolar arthroplasty and proximal femoral nailing in unstable intertrochanteric fractures, this multicenter prospective study was initiated from Aug’12 to Dec’14on 70 patients with unstable (Evans type III and IV) intertrochanteric fractures with minimum 2 years follow-up. Harris Hip Score was used to assess functional outcome.