Surgical intervention for a comminuted clavicle fracture is indicated in the following scenarios: Absolute Indications: 1. Open fracture . Bone fragments have broken through the skin. 2. Neurovascular compromise . Injury to the brachial plexus or subclavian vessels. 3. Floating shoulder . Associated scapular fracture causing instability. 4. Tenting of the skin . Risk of skin necrosis due to sharp bone fragments. 5. Nonunion or symptomatic malunion . Failure of healing or significant deformity. Relative Indications 1. Displacement more then 2 cm Overlapping or shortening of the bone. 2. Severely comminuted fractures Fragmentation that compromises stability. 3. Failure of conservative treatment Persistent pain or dysfunction after non-surgical management. 4. High-demand patients. Athletes manual laborers requiring early functional recovery. 5. Bilateral clavicle fractures. Increased functional disability.