Background: This study involves evaluating functional and outcome in Medial end clavicle fracture treated with ipsilateral Lateral locking clavicular plates, twisted through 90 degrees around its axis, would decrease intraoperative complications. Materials and methods: 9 patients of Medial end clavicle fracture treated with Lateral end clavicular plates at MMC, Mysore from august2020 to May 2022 with age from 28 years to 62 years. In the operation, a curved incision approximately 8 to 10 cm in length was made, after the reduction, the fracture was fixed by lateral locking clavicular plate. Clinical and radiological assessment for fracture union were performed at 3 weeks,12 weeks and 24 weeks interval and results were analysed by using Disabilities of the Arm, Shoulder, and Hand (DASH) score. Results: 9 patients were followed for 6 months with mean fracture healing time was 24 weeks. 7 patients (77%) had excellent results and 2 patients (33%) had good results according to DASH All of the patients had returned to their preinjury level of sport and activity. None of the patients had a complication. score. No intraoperative complications were found during the operation. All incisions achieved healing. Conclusion: Open reduction and internal fixation with contoured lateral locking clavicular plate provides better functional outcome in treating medial end clavicular fractures.