ABSTRACT Background: Displaced mid shaft clavicular fracture can be manage conservatively and surgically, open reduction and internal fixation with plate and screw, as primary intervention is valid option. Method: prospective cohort study was conducted of 18 young patients with displaced mid shaft clavicle fracture ,these patients underwent open reduction and plate and screw fixation, after 6 months follow up evaluation done for complication rates functional score by DASH & ULCA score, patients satisfactions and estimation of time need for resume job. Results: 15/18 patients were male; those patients underwent open reduction and internal fixation by plate and screw in time up to 40 days post injury. 50% have complications mostly minor complications like prominent hard ware and scar or paresthesia, 2/18 patients have major complication, one infection and other implant failure ,most of patients 14/18 have fully satisfied with result ,61% resumed the job early within 3 weeks. The mean DASH score was 34.9 ,ULCA score 28.9, factors effecting DASH score was comorbidity, complication, range of motion, satisfaction and time to return to job, while ULCA score effected by use of regional anesthesia, complication, range of motion, satisfaction and time to return to job. There is no statistical relationship between age, gender, and complications and time to fixation to satisfaction or time to resume job. Conclusion: open reduction and internal fixation of displaced mid shaft clavicle fracture should be offered for patient with expectation of good outcome especially with supervised rehabilitation.