Abstract:[Objective] To evaluate the clinical outcomes and surgical technique of skeletal tractor which is applied in close reduction and internal fixation with proximal femoral nail anti-rotation(PFNA)for femoral intertrochanteric fractures.[Methods] From june 2015 to January 2018,76 patients with femoral intertrochanteric fractures were treated by closed reduction and interal fixation with proximal femoral nail anti-rotation(PFNA) in which skeletal tractor was used.There were 29 men and 47 women,with an average age of (69.55±5.12) years.[Results] All 76 patients were successfully closed reduction.The time for patient positioning was averaged(8.06±1.41)minutes,the number of fluoroscopy during operation average( 42.13±5.63),the average time of operation was (50.04±5.86)minutes,and the average amount of bleeding during operation was (192.34±35.63) ml. Five patients were not followed up completely because of death and other reasons.Two patients underwent second total hip arthroplasty after anti-rotation screw cut out from femoral head. 69 patients were followed up for 12 to 18 months,with an average of (14.23 ±2.17) months. All fractures healed within 12 months,with an average healing time of (11.77 ±3.17) weeks. At the last follow-up,according to Harris scoring criteria,the function of the affected hip effect was evaluated: excellent in 15 cases, good in 47 cases,fair in 7 cases,the excellent and good rate was 89.86%.[Conclusion] Skeletal tractor assisted closed reduction and PFNA internal fixation for the treatment of intertrochanteric fracture of femur does not require open reduction, has short patient positioning time,fewer fluoroscopy times, and satisfactory clinical results.