Abstract: Objective To explore the surgical skills and clinical results of minimally invasive percutaneous fixation of mid-clavicular fractures using anatomy plates. Methods From March 2006 to April 2008, forty cases of mid-clavicular fractures were operated with minimally invasive fixation skills using anatomy plates with a minimal incision parallel to the langer' s line. Results All of the forty cases were followed up. The follow up period was 6 to 24 months. According to the Sun' s[1] function evaluation standards,36 cases as excellent,3 cases as fine and one case as poor,the fine rate was 97.5%. 38 cases of the group were satisfied with the incision scar, the satisfaction rate was 95%. all of the fracture cases were well healed. Conclusion With the surgical indications properly harnessed, the methods of minimally invasive percutaneous fixation of mid-clavicular fractures using anatomy plates are feasible and the clinical results are satisfactory.