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Using angle-stable implants in the operative treatment of complex proximal humeral fractures good results can be achieved in most cases. Nevertheless, in comparison to alternative operative solutions, the results do not show significant better functional outcome. Important for good functional outcome was an exact anatomical reduction as a material independent variable rather than the decision to use more expensive angle-stable implants. Those, who can fulfil such surgical demands, achieve similar results for the patient, even without using angle-stable implants.

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