Treatment of sub-trochanteric fractures, or those extending to the trochantero-diaphyseal lesion are difficult. We treated seven such tractures with a long gamma nail. In 4 cases the fragments were displaced, and we used the Dall-Miles cable system. According to Seinsheimer's classificantion, 2 cases were type IIb, there was one case each of type IIc and type IIIa, and there were three type V cases. Long gamma nail permitted early weight bearing, but in one patient with osteoporosis (Singh's classification, Grade I), the Lag Screw moved to the cephalic upper side at operation. Despite the patient remaining non-weight bearing for three weeks, the cephalic screw was Cut out and the patient was reoperated upon. All patients healed and had no mechanical complications. The long gamma nail extends the indication that sub-trochanteric, trochantero-diaphyseal, pertrochanteric and diaphyseal fractures, especially if unstable with no contact at the cortex of the lesser trochanter, can be treated with early weight-bearing.