Background:Five to ten percent of all fractures are clavicle fractures. The majority affect men under the age of 25, but they also affect men over the age of 55 and women over the age of 75 more frequently. The present study was conducted to compare K-wire fixation and clavicular hook plate fixation for unstable fractures of distal clavicle. Materials & Methods: 50 fractures of the distal clavicle patients of both genderswere divided into 2 groups of 25 each. Group I patients were treated with K-wire fixation and group II with clavicular hook plate fixation. L'Insalata et al.'s self-administered questionnaires were used to measure shoulder symptoms. Constant-Murley score and complications were noted. Results: Group I had 14 males and 11 females and group II had 12 males and 13 females. The side affected was right in 13 and l1 and left in 12 and 14 patients. The mode of trauma was RTA in 16 and 14, fall in 7 and 8, and sports injury in 2 and 3 patients in group I and II respectively. Associated injuries were present in 5 and 4 and absent in 20 and 19. Complications found were infection in 1 and 3 and loss of reduction 2 in group I and 5 in in group I and group II respectively. The mean L’ Insalata score in group I patients was 88 and in group II was 91, constant score was 86 in group I and 90 in group II. The difference was significant (P< 0.05). Conclusion: It was discovered that clavicular hook plate treatment of distal clavicular fractures was superior to K-wire fixing.