Intercarpal surgical implant

A method of fabricating a surgical implant, comprising:

• receiving a scanned image of a plurality of adjacent skeletal structures designated for replacement, the plurality of adjacent skeletal structures defining a proximal carpal row (PCR) including an ordered arrangement of a scaphoid, lunate and triquetrum;
• receiving a contralateral scan of each of the adjacent skeletal structures designated for replacement;
• comparing the scanned image of each of the adjacent skeletal structures of the plurality of skeletal structures to the respective contralateral scan and a healthy image depicting an uncompromised skeletal structure of the respective skeletal structure;
• generating, based on the scanned image, the healthy image and an inversion of the contralateral scan of each of the adjacent skeletal structures, a model of an implant corresponding to each of the adjacent skeletal structures;
• fusing the models of each of the adjacent skeletal structures into a unitary, homogeneous model defined by a continuous combined shape based on an aggregation area between the adjacent skeletal structures resulting from a smoothing of the surfaces and planar shapes of the adjacent skeletal structures, the unitary, homogeneous model for implantation as replacement to the scaphoid, lunate and triquetrum and adapted for 3D printing for rendering the surgical implant configured for replacement of the adjacent skeletal structures;
• and
• forming a surgical tunnel through the surgical implant for insertion of a surgical tether therethrough, the surgical tunnel extending linearly from an opening on a radial scaphoid side and longitudinally extending to an opening on an ulnar triquetrum side.