223 patients (with 230 fractures) were randomized to either an uncemented femoral stem or cemented femoral stem in hemiarthroplasty for a displaced femoral neck fracture. While outcomes at 3 months and 1 year were demonstrated to be similar, this study reported on functional outcome, health-related quality of life, and complications at a median of 5 year follow-up. Harris Hip Scores were significantly higher in the uncemented group at 5 years, while the incidence of periprosthetic fracture was also significantly higher in this treatment group. Health-related quality of life outcomes were comparable between cemented and uncemented stems.