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Background: Clavicle fractures are representing 2.6% of total body fractures. The common fracture is the midshaft fracture of the clavicle. The outcomes of non-operative treatment are not preferred nowadays, so the trend to surgical treatment of these fractures has grown. The aim of the work:The current study aimed to compare the outcomes of conservative and operative treatment of displaced midshaft clavicular fractures with plate fixation to clarify the merits and possible disadvantages of each method.Patients and Methods: Twenty patients as a convenient sample were included. These patients were subdivided into two groups, group I for conservative treatment and group II for operative treatment with plate fixation. All patients will be subjected to complete history taking, clinical, general &local examination, a standard anteroposterior view of the clavicle was done and follow up average 6 months.Results: At the end of follow up period, according to Constant Shoulder Score (CSS), 11 patients had excellent results (CSS: < 11), 4 patients had good results (CSS: 11-20), 3 patients had fair results (CSS: 21-30), 2 patients had poor results (CSS: >30). Pain VAS was significantly higher in group I compared with group II. There is a significant difference found between the groups as regard (outcome, pain VAS, the strength of abduction and the extent of internal rotation) P value < 0.05. There is no significant difference found between the groups as regard (socio-demographic data, comorbidities, fracture characteristics, fractures classification, degree of forward flexion, degree of lateral elevation and extent of lateral rotation) P value >0.05. Conclusion:Operative treatment with plate fixation is better than conservative treatment in management of pain, high union rate, good functional outcomes and greater patients satisfactory after displaced mid shaft clavicular fractures.

Introduction and aim: Osteogenesis imperfecta (OI) cause health problems in all tissues contain type-1 collagen. The patient is complaining from easily fragile bones due to loss endochondrial normal ossification. Different treatment techniques are in use. Telescopic nails gain wide acceptance to treat OI since its introduction. However, it newly introduced in our institution. The aim of this work was to assess the results of surgical intervention of osteogenesis imperfecta with corkscrew tipped telescopic nail. Methodology: This prospective case series included 10 cases of OI, and treated surgically with corkscrew tipped telescopic nail and followed up for six months. The study completed during the period from January to August 2020. It was ethically accepted and an informed consent signed by the patient or his/her guardians. Each included patient was subjected to full history, physical examination and laboratory examinations. In addition, an X-ray had been performed. The orthopedic repair was performed and every patient had a cast after surgery. The collected data included operative time; duration of hospital stay. Postoperatively, patient ambulation was encouraged. Results: Patients were 7 males (70.0%) and 3 females (30.0%). Their age ranged between 3 and 10 years.  The operation was for tibia in 40% and femur in 100%. The postoperative complications were infection in 10%, and migration of the nail in 10%. No malunion or fracture after nailing was reported. Conclusion: Telescopic nailing is an effective and relatively safe technique in the management of osteogenesis imperfecta.