A total of 15 randomized controlled trials with 2052 elderly patients who sustained femoral neck fractures were included in this meta-analysis comparing cemented and uncemented hemiarthroplasty. Outcomes of interest included length of stay, operation time, incidence of re-operation, incidence of residual pain, intra-operative and post-operative blood loss, incidence of mortality, Harris Hip Scores, and the incidence of complications. Pooled results revealed no significant differences between the groups in length of stay, incidence of re-operation, intra-operative and post-operative blood loss, incidence of mortality in the short-term, at 2 years and at 5 years, Harris Hip Scores at 3 months, 6 months, and 1 year. Furthermore, no significant differences in the pooled incidence of cardiovascular complications, the incidence of local complications, and the incidence of general complications was observed between the two groups. The uncemented group had significantly lower pooled operative time, whilst the cemented group had significantly lower pooled incidence of residual pain, post-operative mortality at 1 year, and implant-related complications.