Inclusion Criteria:  Patients >18 years of age AO/OTA 31-A fractures who the surgeon deems eligible for treatment with a cephalomedullary nail Open and closed fractures Ambulatory prior to injury (with or without walking aides) Native (non-fractured, no implant) contralateral hip Willing and able to sign consent (substitute decision maker) Able and willing to answer patient-reported outcome questionnaires and attend standard-of-care clinical visits  Exclusion Criteria:  Contralateral hip fracture or hip arthroplasty Fracture not amenable to treatment with a cephalomedullary nail Non-ambulatory patient Fractures >14 days (time of injury to OR) Bilateral pertrochanteric hip fractures Non-unions Pathologic fractures Periprosthetic fractures Patients with spinal injury Incarceration Pregnancy Limited life expectancy due to significant medical co-morbidities or medical contra-indications to surgery Dementia Unable to complete patient-reported outcome measures Likely problems, in the judgement of the investigators, with maintaining follow-up (i.e., patients with no fixed address, report a plan to move out of town, or intellectually challenged patients without adequate family support).