Background: management of intertrochanteric femur fractures is challenging, different method of fixation used such as gamma nail, proximal femur locked plate.
Aim of study: to compare the intraoperative complications between gamma nail and proximal femur locked plate in treatment of intertrochanteric femur fractures
Subjects and methods: fifty patients with intertrochanteric femur fractures were enrolled in a prospective study and divided into two groups, each group included 25 patients; group (A) fixed with proximal femur locked plate and group (B) fixed with gamma nail. The recorded intraoperative data: amount of bleeding, operative time , image fluoroscopy exposure , varus malposition and lag screw cut out.

Results the intraoperative blood loss in the group A (322 ±66 ml) was significantly greater than that in the group B (136 ±103 ml; p value < 0.05). Image fluoroscopy exposure in the group B was (82.12 ±8.66) and in group A was (20.24 ±4.3 (p value < 0.05). varus malposition in 5 (20%) cases in group A compared to 6 cases (24%) in group B. Operative time was similar.
Conclusion: the Gamma Nail achieve lesser blood loss than gamma nail, although the higher exposure to image fluoroscopy