Background and Objectives: Fracture of the proximal humerus is associated with severe morbidity to the patient condition. The incidence of this fracture is anticipated to rise as population longevity with the same causing osteoporosis of bones increasing the susceptibility to fractures. From a practical and aesthetic perspective, achieving effective fracture realignment is crucial. There is a lot of confusion about the best way to treat different types of fractures due to the wide range of treatment options available for these injuries. Open reduction with Proximal Humerus Interlocking System is presently the gold standard. The goal of this study was to evaluate the outcome of PHILOS plating for proximal humerus fractures

Methods: The current study was a prospective analysis of 20 proximal humerus fracture cases that were admitted to Dr. B. R. Ambedkar Medical College between September 2020 and August 2021. Patients with proximal humerus fractures over the age of 18 were included as cases, and cases were chosen in accordance with inclusion and exclusion criteria. Patients who were medically unfit, unwilling for surgery, or who had open fractures when they arrived were excluded from the study.

Results: This  study  comprises  the  sample  of  20  patients,  in  which  12 were females  and  8 were  males.  The  age distribution  was  varied  from 18 years  to  74  years  with  an  average  age  of  51  years.

Out  of  20  patients, 6  patients  were  victim  of  road  traffic  accident  in  which  one  associated with  fracture  neck  of femur  on  ipsilateral  hip, 10 patients  had  self  fall,  4 patients were fell from height (minimum 10 feet)  and one was victim of an  epileptic  attack.

Longest duration of follow up was 21 months with a mean follow up of 12 months. final follow up assessment with ‘The Constant Criteria’ Of the 20 cases,7(35%) patients had excellent result, 10(50%) good , 2(10%) moderate , 1 (5%) poor

Conclusion: Open reduction and PHILOS plating for proximal humerus fractures has shown to achieve good anatomical and functional outcome. The complications arising from the procedure were within acceptable limits. The surgical procedure continues to be at the forefront of the management of Proximal Humerus Fractures.