Aim: The aim of present study was to evaluate union rates and functional outcomes for displaced mid­shaft clavicular fractures that were treated with either primary open reduction and plate fixation or nonoperative treatment. Material and Methods: This prospective study was conducted in the department of orthopedics, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India. In this study, 32 patients between 17 and 62 years of age who had an acute displaced mid­shaft clavicular fracture were randomized to obtain either primary open reduction and plate fixation or nonoperative treatment. Functional assessment was conducted at 3 months, 6 months, and 1­year with the use of the constant scores. Union was evaluated clinically and radiographically. Complications were recorded and compared. Results: The rate of nonunion was significantly reduced after open reduction and plate fixation as compared with nonoperative treatment. Constant scores were significantly enhanced after open reduction and plate fixation than after nonoperative treatment A chief complication was originate in 35% of patients in the conservative group while they were not present in operative group. Conclusion: Open reduction and plate fixation diminish the rate of nonunion after acute displaced mid­shaft clavicular fracture compared with nonoperative treatment and is connected with better functional outcomes. Open reduction and plate fixation using precontoured locking plate have low implant­related complications.

Keywords: Clavicular Fractures; Conservative; Kutch; Open Reduction.