# Rare Case of Open Comminuted Scaphoid Fracture Dislocation: Treatment With Free Bone Graft and Locking Plate

## TL;DR

This paper reports a rare case of a severe wrist injury treated with bone graft and a locking plate, offering insights for similar injuries.

## Contribution

The paper presents the first reported case of an open comminuted scaphoid fracture dislocation and its treatment.

## Key findings

- The injury was successfully treated with volar locking plate fixation and free bone grafting.
- Primary bone grafting from the radius and Kirschner wire fixation contributed to successful bone fusion.
- The case provides a reference for managing complex scaphoid fractures.

## Abstract

To the best of our knowledge, there are no reports in the literature of an open comminuted scaphoid fracture dislocation. We present such a rare case. The case report illustrates the case of a 58-year-old right-handed press operator who injured his left wrist when his hand got caught in a press machine. He received initial treatment at another hospital and was subsequently referred to our hospital. Eight days after the injury, surgery was performed under the brachial plexus block. Successful bone fusion was achieved through volar locking plate fixation, primary free bone grafting from the radius, and Kirschner wire fixation. Our case report may be a valuable resource for the treatment of similar injuries.