There is a lot of disagreement surrounding the management of femoral fractures in the elderly. Currently, the alternatives accessible to an orthopedic surgeon include cannulated cancellous screw fixation, unipolar hemiarthroplasty, bipolar hemiarthroplasty, and complete hip arthroplasty for treating such fractures in the elderly. Bipolar hemiarthroplasty is one of the most popular treatments for Garden type II & III femoral neck fractures in the elderly in developing countries. This study was carried out to assess the functional results of cemented versus uncemented femoral neck fracture hemiarthroplasty. Compare the practical results of cemented and uncemented hemiarthroplasty in the future. Materials and Methods: Multicentered non-randomized quasi-experimental prospective study has been conducted in Islami Bank Medical College in Rajshahi, Bangladesh, and tertiary-level hospitals. From July 2016 until July 2018. Cemented bipolar femoral prostheses were used to treat 269 patients with 274 displaced femoral neck fractures. Results: At the end of the three-year post-surgery period, all data was collected in an ACCESS (Microsoft Co) database and exported for analysis into SPSS-14 vs. (SPSS, Inc.) All patients were aged 50-85 years. Males and females averaged 62.09 years, and women 69.42 years. 48 percent of patients had radiological sub-capital fractures, whereas 52 percent had transcervical. In 68% of instances, the manner of injury was minor. The complications noted were surface surgery site infection (1%), moderate side-hip discomfort (15%), L.L.D. < 1.25%, and postoperative dislocation in another patient within 3 months. There were outstanding outcomes of 64%, decent results of 28%, and fair results of 8%. There have been no abnormal findings in our investigation. Anesthesiologists' grade, operating time, anesthetic duration, use of peri-operative b-blockers, blood loss estimations, and intraoperative fracture ratios are all examples of preoperative or intraoperative characteristics. Hemoglobin level, transfusion rate, discharge, and acute complication rate did not change post-operatively. There were no clinically or statistically significant changes with 30-day, 60-day, and 1-year follow-up in mortality, disposal, ambulatory relief needs, older resources, and daily living service activities subscales. Conclusions: Cemented and uncemented femoral components are also used and linked with equivalent working results for 1 year when no pathologic femoral neck fractures are treated. Practitioners can use these similarly good results to inform their clinical selection.