72 year old male had slip in bathroom at his home early morning. He had a badly comminuted fracture proximal humerus right side. Under normal circumstances, a plan for locking plate fixation of this fracture would have been made. However, this patient was evaluated for osteoporosis, which was marked. Further a ct scan of the shoulder confirmed that the head of humerus had split. So keeping in view his age, weak bones, and fracture geometry, a plan for prosthesis replacement of his head was done. The approach used was anterior to the shoulder. Final implant used was cemented shoulder hemiarthroplasty made by zimmer. The cementing was done using manual impaction with concerns of embolization and cement reaction in mind. Care was taken to attach the greater tuberosity and lesser tuberosity fragments to implant using thick strong sutures, so that post mobilization could be done. In post op period, patient had hematoma at local site probably due to not using a drain at surgical site. However, the hematoma didn’t cause many problems in wound healing and patient could be discharged safely.