The purpose of this research was to assess and contrast the effects of proximal femur nail antirotation-II and trochanteric fixation nails on unstable intertrochanteric femur fractures in terms of complications, union time, surgical length, and intraoperative blood loss. Trochanteric fixation nail or proximal femur nail antirotation-II was used to treat 100 patients with unstable intertrochanteric femur fractures. The analysis was done retrospectively. The following information was documented and compared between the two groups: demographics, surgical specifics, functional outcomes evaluated using the Harris Hip Score on several occasions, complications, and union times. The groups' demographic features were found to be similar. Proximal Femur Nail Antirotation-II and Trochanteric Fixation Nail had comparable operating durations, union times, and rates of complications. Over multiple follow-up periods, both groups demonstrated an increasing improvement in the Harris Hip Score, a measure of functional outcomes.