Background: Bipolar hemiarthroplasty is an effective option for unstable intertrochanteric fractures in the elderly. This study__ampersandsignnbsp; evaluated the functional and radiological outcome following uncemented hemiarthroplasty in elderly unstable intertrochanteric fractures Methods: 25 hips were followed for a period of 1 year after hemiarthroplasty with a blast coated revision stem (Orthovasive). The mean age was 77 and mean follow up 16 months. The modified Merle D__ampersandsignrsquo;Aubigne score was assessed for function and radiological results were assesses using a range of indices. Results: At the last follow up the mean Merle D__ampersandsignrsquo;Aubigne score was 14.5. Twenty cases (80%) regained their preoperative walking ability postoperatively. Radiologically, there were 15 cases (60%) of bone in growth and 10 cases (40%) with stable fibrous fixation. Endosteal new bone formation was found in 10 (40%) patients. There were no cases with progressive subsidence or significant changes in alignment. Conclusions: The functional and radiological outcome after 1 year followup in unstable intertrochanteric fractures in elderly patients with uncemented bipolar arthroplasty was satisfactory.