Abstract : Intertrochanteric fractures are often common in elderly patients and make more than a third of cases of proximal femoral fractures, and we need surgical fixation through implants which achieve good stability of the fracture so that the patient can move early. The use of proximal femur nail in Syrian hospitals has increased in recent years in the treatment of this type of fracture, and the success of intertrochantric fracture fixation is related to making and maintaining good stability of the fracture fixation, and the quality of the fracture reduction is one of the important factors affecting the stability of the fracture. A prospective, descriptive cohort study of a group of patients admitted to Al-Mouwasat University Hospital in Damascus, of both sexes and with intertrochantric fractures and who were treated with proximal femoral nail in the period from April 2021 to April 2022 with a follow-up period of one year with intervals of 1.5months, 3 months, 6 months, and a year. Patients were divided into three groups according to the quality of the fracture reduction according to Ghang criteria and Baumgartner criteria. The study was completed by 89 patients, according to the Baumgartner criterion, 66 cases of good reduction, 14 cases of acceptable reduction and 9 cases of bad reduction. According to the Chang criterion, the sample distributed 50 cases of good reduction, 26 cases of acceptable reduction and 13 cases of bad reduction. According to the Baumgartner criterion, headscrew migration cases were distributed into one case from the good reduction group, two cases from the acceptable reduction group, and 9 cases from the bad reduction group. According to the Chang criterion, the cases of head screw migration were distributed to 3 cases in the acceptable reduction group, 6 cases from the bad reduction group, and no case from the good reduction group. According to the Baumgartner criterion, the cases of nonunion were divided into one case from the good reduction group, one case from the acceptable reduction group, and 4 cases from the bad reduction group. According to the Chang criterion, the cases of nonunion were divided into one case from the acceptable reduction group and five cases from the bad reduction group. From our study, we find that the Chang criterion is more reliable than the Baumgartner criterion in assessing the quality of the intertrochanter fracture reduction.