Aim: To assess the functional outcome of elderly patients with unstable comminuted intertrochanteric fractures who had primary bipolar hemiarthroplasty. Material and methods: Present Study was conducted at LHMC and associated Hospital during May 2016 to may 2017. This was an interventional prospective randomised control trial study was conducted in the Department Of orthopaedics. Data collected from patients presenting with unstable intertrochanteric fractures satisfying inclusion and exclusion criteria who are treated with Cemented Bipolar Hemiarthroplasty. Patient with age group >60 years of either sexes who are able to walk before injury and Intertrochanteric fracture classified as unstable fracture according to Boyd and Griffin classification (type II, III, IV) were included in this study. Polytrauma patients, Patient <60 years of age, Compound intertrochantric fractures, Patients medically unfit for surgery and Patients with immunocompromised status were excluded from the study. Results: Out of the 50 patients, 15 (30%) achieved an excellent outcome according to the Harris Hip Score. 16 patients (32%) had a good outcome. This means that a slightly higher proportion than those with excellent outcomes showed significant improvement and functional recovery, but with some minor limitations.13 patients (26%) were categorized as having a fair outcome. 5 patients (10%) had a poor outcome, indicating minimal improvement in hip function. These patients likely continued to experience significant pain, discomfort, or limited mobility post-surgery. There was 1 patient (2%) who did not survive, highlighting the serious nature of the conditions being treated and the risks involved in surgery for an elderly population. Conclusion: Intertrochanteric fractures of femur are very common among old age patients, females being more commonly affected. The most common mode of injury is domestic fall. According to our results, we believe that Cemented Bipolar Hemiarthroplasty is of choice in freely mobile elderly patients above sixty years of age with an intertrochanteric femoral fracture. In elderly patients with intertrochanteric fractures of the femur treated with hemiarthroplasty gave early mobilization, early return to pre injury level, superior the quality of life and gave a long term solution.