The wrist consists of a complex structure, including 8 tiny carpal bones and their adjoining soft tissue. Because of biomechanics of wrist joint, scaphoid fracture and carpal dislocation is often combined with ligamentous injury of wrist joint and disturbance of blood supply of carpal bone, especially scaphoid. Even though early diagnosis and treatment was performed on the scaphoid fracture and carpal dislocation, the pain and limitation of motion of wrist joint due to non-union or AVN is cammonly complicated. So, we analyzed 22 cases to which long-term follow-up was available, among 26 cases which were treated with open reduction and internal fixation with K-rwire at the department of orthopaedic surgery, Pohang St. Marys HospitaL The results were as follow; 1. Of all cases were males and males in 30, 40 decades numbered 16 cases, forming 72.796 of all. 2. Of 22 cases, 98 cases were scaphoid fracture with carpal dislocation and 8 cases of remaining 13 cases were waist fracture. 3. The complications were assessed by 3 cases of non-union, and 4 cases pf AVN. 4. We assessed the results based on the Maudsleys assessment chart as 9 cases of excellent, 7 cases of good, 2 cases of fair, and 4 cases of poor. On the treatment of scaphoid fracture with or without carpal dislocaion, the open reduction and internal fixation with K-wire is provided relatively sttisfactory results.