Abstract： Objective To inrestignate the efficacy of open reduction for plate reconstruction in children with clavicular fracture.Methods Clinical data of undergoing 23 children with clavicular fracture undergoing open reduction for plate reconstruction in our hospital between March 2004 and May 2011 were analyzed retrospectively.Results All the patients were followed up for a median of 25 (24 to 28) months and had a satisfactory recovery of the activity of upper extremities,as evidenced by 18 cases with excellent efficacy,3 with ideal efficacy,2 with acceptable efficacy and nil with poor outcomes.No postoperative complications,including infection,loosened or fracture of the steel plate,relapse of bone fracture,osteoarthritis of the acromioclavicular joint,were reported.X-ray reassessment suggested that anatomical reduction was achieved in all the cases.Neither failure of healing nor malformation was documented.Conclusion Open reduction for plate reconstruction is effective for the treatment of clavicular fractures and may facilitate early-stage exercising and recovery of extremities in children.