Abstract: Objective To evaluate the efficacy and reliability of open reduction and threaded needle fixation for middle clavicle fracture,Comprehensive analysis of the middle clavicle fracture treatment.Methods March 2006 to April 2008 31 cases using open reduction and threaded needle fixation for fractures of the middle clavicle clinical data were analyzed retrospectively.Results None of 31 patients lost to follow-up time of 10to 18 months (average 13 months),except 1 case of nonunion,the remaining 30 patients had received bone fracture healing,restoration of joint function and appearance good,with satisfactory results.Conclusion Open reduction and threaded needle fixation displaced middle clavicle fracture is a simple,reliable and effective method,Suitable for use in the primary hospital.