To compare the outcomes of the treatment of unstable intertrochanteric fractures in elderly patients who underwent cemented and cementless bipolar hemiarthroplasty. 65 patients who had AO type 31-A1 and 31-A2 fractures were divided into two groups; group 1 included 30 patients who underwent cemented hemiarthroplasty, and group 2 included 35 patients who underwent cementless hemiarthroplasty. Demographic findings, intraoperative blood loss, operation duration, hospital stay duration, blood transfusion amount, intraoperative and postoperative complications, preoperative and postoperative serum hemoglobin values, and new mobilization scores (NMS), Harris Hip Score (HHS), Likert pain scales were all assessed. Mean age of 39 (40%) female and 26 (60%) male patients was 80.86 years. The mean operation duration was 69.66 (SD 7.53) minutes for group 1 and 60.00 (SD 8.04) for group 2 and statistically different (p<0.001). HHS and Likert scores following both techniques were statistically similar between both groups (p=0.195, p=0.380, respectively). Blood loss, blood transfusion amounts, radiologic and clinical complication rates, hospital stay durations were all similar between both groups. The results show that cemented and cementless hemiarthroplasty are both viable treatments for intertrochanteric femur fractures, yielding similar clinical outcomes and complication rates. In need of revision, cemented prosthesis revisions may be more complicated, and complications may be more frequently seen.