[Objective] The aim of this retrospective study was to compare the supine position without traction table and with traction table in the management of petrochanteric fractures (AO/OTA 31A1 and A2) treated surgically with Proximal Femoral Nail Antirotation(PFNA) in eldly people. [Methods] From January 2016 to August 2018,62 elderly patients with AO/OTA 31A1 and A2 intertrochanteric fractures treated surgically with PFNA were included in this study:32 in supine position without traction table and 30 with traction table. No significant difference was observed between the two groups regarding demographic characteristics such as sex,age, injured side and AO/OTA classification.The setup time for surgery,surgery time,number of fluoroscopy shoots during surgery,blood loss, collodiaphyseal angle(CDA), Tip-apex distance(TAD), Harris hip score,fracture healing, complications during surgery and postoperatively were evaluated . [Results] All fractures healed regullarly without any serious complications such as delayed unions,malunions,deep infection, deep vein thrombosis. The preparation time of non-traction table group is shorter than traction table group(P＜0.05). No statistical differences were observed between groups regarding operation time, number of fluoroscopy shoots, blood loss, CDA, TAD,Harris hip score (P＞0.05).[Conclusion] The same clinical effects and shorter preparation time were obtained in supine position without traction table comparing with traction table for treatment of petrochanteric femur fractures (AO/OTA 31A1 and A2) with PFNA in eldly people.