Introduction: In the clavicle fractures, shaft fractures are very common constituting about 70-80% of cases followed by lateral end and medial end fractures of clavicle. Surgical management is better option in displaced midclavicular fractures considering high complication rates in conservative management. Materials and Methods: This was a prospective study conducted between August 2016 to February 2018 approved by ethical committee of our Institute. 28 midclavicular fractures were included in the study and were operated Titanium Elastic Nailing (TENS). All patients were assessed clinocoradiologically at 4, 8 12 and 24 weeks. The functional outcome was assessed by Constant and Murley score. Results: Time taken for radiological union was achieved with an average of 10.89±1.79 weeks. Functional assessment was made with Constant and Murley score at 24 weeks showed excellent score in 20 cases (71.4%), good score in 7 case (25%) and fair score in 1 case (3.6%). Only patient had complication, nail protrusion at posterior cortex of lateral end of clavicle was seen at 20 weeks. Conclusion: In closed mid-shaft clavicle fractures TENS nailing is good an option considering better functional outcome, faster union and fewer complication in properly selected cases.
