Introduction: Clavicle fracture is a  very common injury with a incidence of 3–5% of all fractures[1,2]. These are  managed conservatively regularly. Though many options are available for fixing clavicle fractures Titanium elastic nails are a promising minimally invasive treatment for displaced mid–clavicle  fractures. The aim of the present study was to evaluate the functional and radiological results of intramedullary fixation of mid–clavicular fractures.

Methods:

It is a prospective study  of 25 patients who presented to our institute between January 2013 and June  2016 with displaced midshaft clavicle fractures and treated with titanium ESIN fixation.  Implant removal was performed in all the patients after the fracture united completely. 

Results:

 Out of all 25 patients 17 patients required open reduction which accounts to about 71%. The mean oxford shoulder score is 45.6 patients at 12 weeks and there is no significant difference from till 6 months. The mean quick DASH score is 7.6 at the last follow up .

 Conclusion: Flexible intramedullary nailing, a minimally invasive technique for stabilization of displaced midshaft clavicle fractures is a simple procedure with excellent functional outcome in terms of quick return to sporting activities and a high patient satisfaction rate.