This document discusses therapeutic options for subtrochanteric fractures, including traction, plating, biological plating, and intramedullary nailing. Intramedullary nailing is often the preferred option, but good reduction is essential due to the deforming muscular forces. The correct entry point for nailing is also crucial. Open reduction is frequently required to obtain an adequate reduction for nailing. Plating may be a better option than attempting a poorly reduced nailing.