Background: Orthopaedic traumatologists continue to face the difficult problem of subtrochanteric fractures. Potential concerns like as delayed union, nonunion, malunion, and implant failure make it challenging to obtain satisfactory outcomes in complex fractures, even with recent technical breakthroughs and better implants. These challenges arise due to specific anatomical and mechano-biological characteristics of this region. The subtrochanteric portion of the human skeleton is exposed to the most significant compressive and tensile loads, which pose a danger to stability and increase the likelihood of implant failure. The motivation behind this review research was to perceive how subtrochanteric hip breaks treated with cephalomedullary nails fared as far as mending and intricacies after open decrease with cerclage wire. This region is particularly challenging due to reduced contact area, decreased blood supply to the cortical bone, and the presence of strong deforming muscular forces. Materials and Methods: Between January 2022 and December 2022, we analyzed every single patient who had surgery at Vinayaka Mission Medical College and Hospital's Department of Orthopaedic Surgery in Karaikal, Puducherry. The two groups were compared using a comparative analysis. Group A had cerclage wire therapy, whereas Group B did not. Type of fracture, amount of time in the hospital, time spent operation, blood transfusions, alignment, bone union, and consequences including infection rates, non-union, and the necessity for more procedures were among the several aspects that were investigated. Result: The research included a total of 58 individuals. Twenty patients made up Group A, while thirty-eight patients made up Group B. With a p-value of 0.0004, 3A fractures were the most prevalent kind of break. The average length of stay in the hospital for the two groups was the same (9 vs. 10.6 days, p=0.81). Despite the fact that group A required more time for surgery and received more blood transfusions than group B, the differences were not statistically significant (p=0.58). Both groups were somewhat more likely to have unionized than the other (90% vs. 92.1%; p=0.09). Exclusively in group B was malalignment seen, with a frequency of 5% to 13.5% (p < 0.01). A comparable number of issues happened (15% versus 18.4%) and reoperations were essential (15% versus 15.8%) (p=0.99). All in all, subtrochanteric hip cracks treated with cephalomedullary nails and cerclage wire altogether protracted the careful cycle and diminished misalignment rates. Although not statistically significant, it resulted in a decreased re-operation rate.