Background: Management of clavicle fractures has changed in the last decade. Primary fixation as the initial treatment is the main choice in the current literature, with the aim of reducing the incidence of complications and better functional outcome. Methods and Materials: This research is a descriptive analytic study with a cross-sectional approach. Samples were taken from January 2019 to December 2019 with a diagnosis of clavicle fracture at the H. Adam Malik General Hospital Medan, which met the inclusion and exclusion criteria, namely 34 samples. The data analysis used was using independent T test. Result: The median age of patients who underwent ORIF action was 34.50 with 28 people (82.4%) being male, compared to 6 (17.6%) female. ASES results were higher in patients who received ORIF management compared to non-ORIF with a mean value of 98.52 ± 3.02 (p <0.001). Conclusion: There are differences in short-term clinical outcomes between patients with clavicle fractures who were treated with ORIF compared to non-operatives at RSUP HAM.