Proximal humeral fractures account for 4–6 % of all fractures and are the third most prevalent fracture pattern in the elderly. Reverse total shoulder arthroplasty (RTSA) is a frequently utilized surgical procedure for treating this fracture. Aim. To improve the functional outcome and quality of life of patients with acute proximal humeral fractures and post-traumatic sequelae using reverse total shoulder arthroplasty. Subjects and Methods. This comparative study was conducted on a total of 20 p