Abstract: Objective: To explore the clinical effect of InterTAN intramedullary nail in the supine position of the traction bed and the lateral position without the traction bed in the treatment of elderly femoral intertrochanteric fractures. Methods: A total of 46 patients with femoral intertrochanteric fractures from JAN/2018 to JUN/2019 were collected and randomly divided into 23 cases in the supine group with traction bed and 23 cases in the lateral group without traction bed. Close reduction InterTAN intramedullary nail fixation was performed. Comparison of the posture placement time, the mumber of intraoperative fluoroscopy, operation time, intraoperative blood loss and fracture healing time, hip Harris score and VAS score of last follow-up of two group patients, we ev-aluate the advantages and disadvantages of the two methods. Results: Compared with the group of supine traction of the traction bed, the posture placement time, the mumber of intraoperative flu-oroscopy, operation time and intraoperati-ve blood loss of patients in the lateral position without the traction bed were all lower, the difference was statistically significant (P<0.05); There were no stat-istically significant differences in the fracture healing time, hip Harris score an-d VAS score of last follow-up between two groups (P>0.05), and the efficacy of the last follow-up was evaluated according to standard of hip Harris score, there was no statistically significant difference between the two groups in the good rate (P>0.05). Conclusion: Close reduction InterTAN intramedullary nail fi-xation has a satisfactory clinical effect in the treatment of elderly femoral intertrochanteric fractures. The lateral lying position has a clear exposed operation area, reduced surgical difficulty, shortened postural placement time and surgical time, reduced intraoperative bleeding volume, reduced C-arm exposure times and other advantages, and avoiding the limitations of traction bed, it is worth further promoting in primary hospitals.