With the age of our population advancing, the number of elderly osteoporotic patients with comminuted intertrochanteric fractures of the femur has increased dramatically. Intertrochanteric fractures of the femur usually occur in a more elderly age group than femoral neck fractures of the femur usually occur in a more elderly age group than femoral neck fractures. Intertrochanteric fractures are best treated by intenal fixation, since this mehod provides satisfactory positioning of the fragments and obviates the hazards of recumbency. However, in some caces with severe osteoporosis, arthroplasty is an excellent altemative to the internal fixation.