INTRODUCTION:–This study analyze the role of primary hemiarthroplasty in unstable osteoporotic intertrochanteric fractures.

Materials and Methods: We analyzed 12 cases of primary cemented bipolarhemiarthroplasty for osteoporotic unstable intertrochanteric fractures (Boyd and Griffin type II, Evans type I Group III, IV). There were 6 females and 6 males with  mean age of 61 years (range, 51–73 years). 

Results: one  patients died due to myocardial infarction within 2 months of surgery, remaining 11 patients were followed up to an average of 8.9  months (range,6–14 months). A total of 2 out of 11 patients had excellent prognosis, 5 has good prognosis, 2 has fair prognosis and 2 has poor prognosis,  accessed by Harris Hip Score. (average 80, range 25–102).

Conclusion: Hemiarthroplasty for unstable osteoporotic intertrochanteric fractures results in early ambulation, good functional results, cost effective, decreased hospitalization, improved nursing care and improved function.