Materials and Methods: We conducted this prospective study in Govt. Bone and Joint Hospital Barzulla an associated Hospital of Govt. Medical College Srinagar. A total of 18 paediatric patients with proximal humeral fractures were enrolled in this study between July 2019 and June 2022. The mean age of the study population was 10.98 (range 7-15) years.

Results: Average time to union was 5 and a half week with a range from 4 and a half to 6 and a half weeks. Average time to pin removal was 5 (range 4-6) weeks.

As per Constant- Murley scoring criteria 13 (72.22%) patients were excellent, 3 (16.67%) were good and 2 (11.11%) were fair. Among 18 patients, 16 (88.89%) had no pain at the end of the follow-up. 13 (72.22%) patients had active flexion above 150⁰. There were 15 patients with full muscle strength. In this study superficial wound infection was seen in 3 (16.67%) patients which subsided with oral antibiotics. In 1 (5.56%) patient of stiffness physiotherapy was done and achieved good result. 14 (77.78%) patients showed no complications.

Conclusion: Closed reduction and percutaneous pinning gives more stability for the severely displaced proximal humeral fractures with rotational or angular instability in paediatric population.