Authors reviewed 3 cases of carpal bone fracture-dislocation treated with samll-external fixator and internal fixation such as K-wires or screws from October 1991 to March 1993 with above 1 year follow up.

The results were as follows;

1. Mean ages were 25 years, all patients were male.

2. The causes of injury were the fall down in 2 cases and the sports injury in 1 case.

3. Cases were a palmar transscaphoid lunate dislocation, a Neglected volar dislocation of lunate, and a doral transscaphoid perilunar dislocation.

4. Advantages are as follows

1) minimize surgical dissection

2) maintenance of reduction is easy

3) ROM: full

4) painless

5) results are excellent

We would like to recomment to use the small-external fixator and limited internal fixation instead of other methods for the treatment of carpal bone fracture-dislocation.