Inclusion Criteria:  Patients greater than or equal to 22 years of age who undergo treatment of an intertrochanteric hip fracture with an intramedullary nail. Fluoroscopic views of the final fixation construct or a post-operative radiograph taken within 24 hours must be available.  Exclusion Criteria:  Non-ambulatory prior to injury (patient must do more than only transfers) Cognitive deficiencies that prevent the patient from providing their own informed consent Inability to follow-up at the discretion of the investigator (incarceration, moving out of area, no permanent housing) Prior fracture to injured hip Prior surgery to injured hip Basi-cervical fracture pattern (fracture that begins above the lesser trochanter and exits medial to the greater trochanter) Patients not treated within 48 hours of admission Chronic or acute infection at site of surgery Language barrier preventing completion of study forms in English Open fracture Fracture related to neoplasm