Neck of femur fracture its common fracture but Ipsilateral fractures in the neck and trochanteric region of the femur are very rare in both young and elderly patients. Case was seen in 28 years old female who presented with ipsilateral fracture of the femoral neck and unstable comminuted pertrochanteric fracture after history of a motor vehicle accident. Patient underwent PFAP method of fixation. patient had good outcome clinic and on radically. Patient was followed up for five years.