Abstract: Objective To investigate the necessity of surgical methods for clavicle fracture and analyze the clinical efficacy of internal fixation. Methods 63 patients with fracture in middle and distal part of clavicle were treated with surgical operation. Thirty fractures from 63 patients were fixed with kirschner's wire. Twenty-eight were treated with reconstructive plate and five with anatomical bone plate. Results All the cases were followed up 12～24 months(means,13months). According to the initial fracture healing standard, 37 cases assessed as excellent, 23 good, 3 poor. The percentage of excellent and good results were 95.24%.The efficacy of internal fixation group(63 cases) was superior to external fixation group(59 cases). Conclusion The internal fixation of clavicular fracture is necessary and the clinical efficacy of internal fixation is excellent. The internal fixation methods of clavicular fracture should be selected according to individual condition.

Key words: clavicular fracture, internal fixation, therapeutic effect