Flexible implant arthroplasty of the radiocarpal joint.

The radiocarpal, distal radioulnar, and intercarpal joints can be affected individually or in combination. Selection of the appropriate treatment method is based on accurate evaluation of the extent and severity of involvement. The durability of flexible implant resection arthroplasty of the radiocarpal joint has been further enhanced by the use of titanium grommets to protect the implant midsection, by secure dorsal and palmar capsuloligamentous reconstruction to restrict the mobility of 30 degrees flexion/30 degrees extension and 10 degrees ulnar/10 degrees radial deviation, by 6 weeks' postoperative immobilization, and by avoidance of abusive hand usage.