Background: The clavicle is the most commonly fractured bone which accounts for 5 – 10% of all fractures and 44% of shoulder injuries. Previous treatment methods had a high rate of malunion and non-union. Hence both new techniques - nailing and plating were performed and compared.

Method: Out of 40 patients 20 were treated with TENS and 20 with plating. Haematological, ECG, cardiology examinations and other necessary investigations were carried out preoperatively. Both groups were operated under general anaesthesia.

Results: Mean blood loss, mean operative times, mean size of wound, mean open reduction, were highly significant (p<0.00) in nailing group of patients. Post-surgical complications were least in the nailing system. The union rate was 100% in both the techniques but clinical union, radiological union, mean Dash score rates in 1st, 3rd and 6th months were higher in nailing group which were statistically significant (p<0.001).

Conclusion: Nailing Technique was proved to be better than plating system because of less blood loss, less infection rates and less implant irritation whereas, mean shortening is little more in nailing compared to plating technique.