 The objective of this study was to compare the functional results and complications of open reduction internal fixation and hemiarthroplasty performed in near three-part and four-part proximal humorous fractures. Retrospective analysis of 48 patients revealed that 30 patients were treated with open reduction internal fixation using anatomical locking plates and 18 patients were treated with hemiarthroplasty. There were no significant differences in the mean constant Merley and University of California at Los Angeles shoulder scores between the two groups. However, the mean visual analog scale score was significantly higher in group A compared to group B, P equals 0.021. Additionally, the degree of forward flexion and abduction of the glenohumeral joint was similar in both groups. No major complications were observed in either group. This article was authored by Bari's Peaker, Isess and Pallett, Engin Karksy and others.