Abstract: Management of unstable intertrochanteric femur fractures in elderly provides various challenges. Our study takes into account 20 patients with unstable intertrochanteric femur fractures treated with primary cemented bipolar hemiarthroplasty rather than the traditional internal fixation procedures. All results obtained showed a favorable outcome with respect to early mobilization, reduction in hospital stay and prevention of comorbidities related to prolonged bed rest post operatively.