RÉSUMÉ
Introduction: The proximal humerus fractures are a relatively common entity and are very difficult to treat as the shoulder jointis a versatile joint with high degree of motion. The fracture comprises 4–5% of all fractures and as high as 45% of the humerusfractures.Materials and Methods: A total of 19 patients of complex fractures of proximal humerus and fracture-dislocations of proximalhumerus, who were managed with proximal humerus internal locking system plating were included in the study.Results: In 11 patients, the right-sided injury was seen and in eight patients, injury was left sided. The age of the patients rangedfrom 28 years to 56 years with a mean age of 42.7 years. Most of our patients were Neer’s three-part and four-part fractures,and fracture-dislocations as two-part fractures were again managed differently (conservatively or J nails, cross K-wires, Rushnails, and external fixators). We had five fracture-dislocations, 12 patients with comminuted three- and four-part fractures, andtwo patients with two-part fractures.Conclusion: Proximal humeral fractures are relatively common fractures and difficult to treat entities for the age; they occurfrequent comminution and difficulty in achieving reduction and hardware application.