Intertrochanteric hip fractures are among the most common types of fractures, and their numbers are increasing as the population ages. Most intertrochanteric fractures are treated surgically. It is therefore important that the treatment methods are effective and have minimal risk of complications. The goals of treatment include a predictable union, unrestricted early weight bearing, and avoidance of fixation failure or excessive deformity of the proximal femur. Careful attention to the fracture pattern (obliquity or other hallmarks implying instability) can guide fixation device selection. Regardless of the device, accurate reduction and implant placement are important for a good outcome.