Hip fractures especially intertrochanteric fractures are among the most common fractures in elderly population. Due to comorbidities such as diabetes, cardiovascular diseases or hypertension, the risk of perioperative mortality rate is high. Open reduction and internal fixation that is known as the gold standard for treatment of such fractures leads to more bleeding during operation and elevated risk of surgery. Decreased compliance of old patients with such medical morbidities make the fatal complications inevitable. So, most surgeons hesitate to do open surgeries.