Fig. (3) (Case Presentation, 1-year follow-up): (a) PA radiographs in terms of terminal ranges of motion showing unchanged correct positioning of TWA without implant loosening or subsidence or impingement or instability, note that the entire scaphoid bone was excised and a carpal plate utilizing a scaphoid augment (arrow) was used that allows its sufficient support onto the base of trapez bone without the necessity of fusion between the distal part of scaphoid bone to the surrounding carpal bones; (b) Lateral radiographs in terms of terminal ranges of motion showing no instability of implant; (c) Clinical photographs demonstrating 90° supination and 90° pronation of both forearms.