Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively with the expectation of a high probability of fracture union, good functional outcomes, and a high level of patient satisfaction. However, the outcome of non-operative treatment is not as favourable as once thought and there has been a growing trend to treat these fractures surgically. Displaced midshaft clavicle fractures can be treated with TENS nailing. We studied the clinical outcome of displaced shaft clavicle fractures managed by TENS nailing.

Materials & Methods: A prospective study was carried out between July 2022 to April 2024 in SS Institute of Medical Sciences & Research Centre Davangere, Karnataka. Where 50 patients with displaced clavicle fractures were treated surgically by Closed reduction and TENS nailing. They were followed up for a period of 1 year 10 months and evaluated clinical outcome using DASH score and MORELEY score.

Results: Out of 50 cases 41(82.0%) had excellent results without complications. 3 cases had medial migration of nail, no case of infection or non union.16 cases had scar at entry point and over fracture site.34 cases had 1cm scar at entry point.

Conclusions: In present study cases of displaced clavicle fractures, were effectively treated surgically with CRIF with TENS nail gave excellent results and to be considered the best modality for displaced clavicle fracture management.