Intramedullary nailing of proximal humerus fractures does not achieve superior functional results to non-operative treatment in the long term.

Subgroup analysis of fracture types Neer type III fractures In 10 patients with Neer type III fractures (surgical neck fractures), both CS and aCS exhibited a tendency toward better function after non-operative treatment (NOT) compared to intramedullary nailing (IMN) but failed to reach statistical significance (CS: p = .545; aCS: p = .643, see Table 3 b).

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