In systemic inflammatory arthropathies, Ankylosing spondylitis (AS) is a major disease whose pathogenesis is not understood completely, but positive involvement of HLA-B27 markers is observed. It effects, hip in 30-50% patients with systemic inflammatory arthropathies. Primary THA (total hip arthroplasty) has shown long-term betterment of hip function in patients with AS (ankylosing spondylitis).

Inter-trochanteric fracture of femur are common in geriatric population. Urbanization & sedentary life style are the primary cause of increased incidence of these fracture's. Distribution of Inter-trochanteric femur fracture's is limited in male population compared to female due to osteoporosis. Aim is to compare inter-trochanteric fracture's treated with DHS (vs) PFN. We performed a narrative review to evaluate the outcome of DH (Dynamic hip) Screw (VS) PF (Proximal femoral) Nail for inter-trochanteric fracture of femur. Extensive electronic search of article's were done in Google scholar, reference checking and PUB-MED for deciding which implant is better. Some studies' reveal PF Nail to be better than DH Screw, while some studies' show vice versa. Both surgeries' are time tested, absolute & require reasonable amount of skill. Final decision depends on operative surgeon's preference to specific technique.

No abstract