Intertrochanteric fracture is common in elderly population and approximately, 90% of cases result from a simple fall with reported mortality rates ranging from 15% to 30%.Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. Average patient age of incidence is 66 to 76 years and women to men ratio ranges from 2:1 to 8:1 likely because the postmenopausal metabolic changes in bone.The proximal femur consists of the femoral head, femoral neck, and the trochanteric region. An intertrochanteric hip fracture occurs between the greater trochanter, where the gluteus medius and minimus muscles (hip extensors and abductors) attach, and the lesser trochanter, where the iliopsoas muscle (hip flexor) attaches. Fractures of the femoral neck are proximal or cephalad to intertrochanteric fractures, and subtrochanteric fractures are distal or below (sub) to the trochanters. Extracapsular fractures primarily involve cortical and compact cancellous bone. Because of the complex stress configuration in this region and its non-homogeneous osseous structure and geometry, fractures occur along the path of least resistance through the proximal femur. Bone is stronger in compression than in tension. Cyclic or repetitive loading of bone at loads lower than its tensile strength can cause a fatigue fracture. Each load causes microscopic damage to the osseous structure, essentially forming microscopic cracks that can coalesce into a single macroscopic crack, which in turn functions as a stress riser. Failure can thus occur if healing of these micro-fractures does not take place. In repetitive loading, the fatigue process is affected by the frequency of loading as well by as the magnitude of the load and the number of repetitions.