As is known, for fractures of the femoral neck over the age of 60, the operation of choice is hip arthroplasty. It should be noted that after surgical treatment the number of complications and unsatisfactory functional results remains very high and reaches 30%. All patients in the preoperative period underwent Multiline computed tomography and X-ray densitometry studies. All 67 patients underwent hip arthroplasty. For comparison, patients were divided into 2 groups with this injury using total and bipolar arthroplasty in this age aspect. Total arthroplasty was performed in 32 patients, bipolar arthroplasty in 35 patients. End prosthetics for fractures of the proximal femur in elderly patients is the most optimal method of surgical treatment in terms of the fastest restoration of the support ability and function of the lower limb in this category of patients. The use of femoral components with a bipolar head MERIL (India) in old age helps to reduce the volume and duration of surgery in patients with concomitant somatic diseases