A 58 year old female presented with history of fall at home. She sustained injury to her right shoulder. She had a Previous history of IHD.

X ray of Right shoulder showed Four Part Right Proximal Humerus Fracture.

FACTORS IN CONSIDERATION :

• Age of the patient
• Low Demand
• Comminution
• Osteoporosis
• In view of the above factors HEMIARTHROPLASTY was offered to the patient.

OPERATIVE PEARLS

• Separation and preservation of Greater and Lesser Tuberosity
• Modular Prosthesis for achieving perfect fit and tension
• After the prosthesis was fit the tuberosity were fixed with each other and to the prosthesis
• Bone graft from the head was packed at the Shaft Tuberosity junction