Background:The morphology of the proximal femur, specifically the relationships among the head, neck, and proximal shaft, has been a subject of interest and debate in orthopaedic literature dating back to at least the middle of the 19th century. The present study was under taken to fix all the intertrochanteric fractures of femur with two screw PFN and single helical screw PFN with a view of comparing results and clinical outcomes of two. Materials & methods:A total of 40 patients of intertrochanteric fractures of skeletally mature adults out of which thirty each were operated upon with two screw proximal femur nail and single helical screw proximal femoral nail and were followed up for 6 months postoperatively. Complete demographic and clinical details of all the patients was obtained. A Performa was made and detailed radiographic findings were recorded. Operations were performed on a fracture table under anaesthesia. All patients had suction drains for 48 hours and were given antibiotic and thromboembolic prophylaxis. Full weight bearing was allowed as tolerated and where fixation stability is thought to be adequate. Patients were discharged after primary complications are excluded. Follow up was done for 4 visits in 6 months. Results:Mean age of the patients of the double screw and helical screw as 61.2 years and 60.8 years respectively. Mean time for partial weight bearing was 18.23 days in double helical screw and was 14.88 days in helical screw. Significant better results were obtained in terms of functional outcome as assessed by Harris hip score at 6 months follow-up. Conclusion:Significant better results were obtained among patients with helical screw group in comparison to double screw.