Aim:We present our experience and the results of the treatment on 36 patients with fracture of the distal end of the clavicle (Grade II type 2) by open reduction of the fracture. Method: 25 men and 11 women were treated operatively for unstable (grade II, type 2) clavicular fracture from 1999 to 2002. The average age was 27.2 years (range, eighteen to thirty- þve years). The operations were performed under general anaesthesia. By the proper procedure the clavicle and the base of the coracoid was exposed. A 3.5mm hole was drilled, and a screw is introduced through the clavicle into the coracoid. The torn ends of the coracoclavicular ligaments are tagged with sutures. Six to nine weeks postoperatively the screw was removed. Results: All patients were reviewed radiologically and clinically after on average interval of 16 months. The healing of the fractures occurs about 8 weeks later. All patients were restored to the pre Ð injury level function with no pain or abnormal motion. Conclusions: Internal þxation with Boswarth screw and repair of the coracoclavicular ligament is an effective operation for Grade II type 2 unstable clavicular fractures specially for young and athletic patients