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t without any coracoid drilling-related complications. The coracoid tunnel-free CC sling technique using the AC TightRope System combined with CC ligament remnant preservation demonstrated significant improvement regarding both clinical and radiological outcomes, with a reduction loss rate of 8.3%. It is a safe method that could achieve satisfactory result without any coracoid drilling-related complications.This study aims to evaluate the mechanical performance of custom 3D-printed titanium plates in the treatment of distal humerus fractu