The Gamma Nails are combination of advantages of the sliding screw with the intramedullary nail, represents an efficient technique in the management of these fractures. There are an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method. The nails are designed to provide stability in intertrochanteric and subtrochanteric fractures with diaphyseal fracture extension. They are used for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft fractures. The Gamma Nails are very effective.