Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 10 1 2024 04 01 1 4 Amir Mehrvar Assistant professor, Department of orthopedics, Taleghani Hospital Research Development Committee, Shahid Beheshti University of medical sciences, Tehran, Iran. ORCID: https://orcid.org/0000-0002-6661-2275 Reza Zandi Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of medical sciences, Tehran, Iran. Mohammad Ali Okhovatpour Associate Professor, Department of orthopedics, Taleghani Hospital Research Development committee, Shahid Beheshti University of medical sciences, Tehran, Iran. Shahab Sarlak : Resident of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohammadreza Minator Sajjadi Taleghani Hospital Research Development committee, Medical school, Shahid Beheshti University of medical sciences, Tehran, Iran. Akbar Ehsani Resident of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Ahmadreza Ahmadi Abdashti Resident of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2023 01 07 2024 03 13 Background: The purpose of the current study was to compare the clinical and radiographic outcomes of distal radius volar T plate and pre-contoured locking plate in distal clavicle fracture. Methods: A total of 60 patients with Neer 2b distal clavicle fracture were included in this study and undergone open reduction and internal fixation between March 2019 and November 2020 via two different plates; distal radius volar T plate and distal clavicle pre-contoured locking plate. All patients were followed at least two years post-operative. Union rate, time to union, need to device removal, and Constant-Murley score were assessed among them. Results: In all patients, the bony union was achieved without wound-related complications. The mean time to union in distal radius volar T plate group was 3.30.6 and 3.60.7 in the pre-contoured locking plate (p =0.14). The mean Constant-Murley score was 93.12.2 and 92.1 2.5 in T plate group and pre-contoured plate group, respectively (p =0.09). Five cases with T plate and eight cases with pre-contoured plated were candidates for device removal (p =0.53). Conclusion: Distal radius volar T plate could be a reasonable choice to manage Neer 2b distal clavicle fracture as it restores functional range of motion with excellent bone union and without the necessity of device removal, besides its economical price https://jost.tums.ac.ir/index.php/jost/article/view/462 https://jost.tums.ac.ir/index.php/jost/article/download/462/360