Implant for total wrist replacement

A method of fabricating a surgical implant, comprising:

• receiving a scanned image of a proximal carpal row (PCR), the PCR scan based on imaging skeletal structures including a scaphoid, lunate and triquetrum of a patient anatomy;
• receiving a scanned image of a distal portion of a radius of the patient, the distal portion disposed adjacent the PCR;
• generating a unitary carpal implant based on the received PCR scan, the PCR implant based on a fused representation of the imaged skeletal structures aggregated as a single solid shape;
• and
• generating a radial implant based on the received radial scanned image, the radial implant having a bearing portion and an insertion portion arranged in a substantially perpendicular orientation, the radial implant based on a contralateral, inverted image of a corresponding healthy skeletal structure of the patient anatomy,
• the insertion portion defining a stem engageable with a surgical recess formed in a truncated radius of the patient and having a length corresponding to a depth of the surgical recess,
• the bearing portion having an underside adapted for abutting the truncated surface and a bearing surface for engaging the radial implant, the bearing portion of the radial implant having a thickness based on a bone material defined by the truncated radius it replaces and a bearing angle based on the scanned image of the distal portion of the radius of the patient relative to a longitudinal axis of the truncated radius of the patient.