Total joint replacement in the hand has recently undergone several significant advancements. The concept of joint replacement in the hand was first reported in 1959 with the goals to both relieve pain and correct deformity. Since that time a variety of implants have been developed and used for joint replacements in the hand with improvements in durability and materials with each new prosthesis. The primary prostheses used are fashioned from silicone. The original Swanson implant was met with gre