Fig. (8) 59-year-old female sustained right primary combined replacements due to longstanding distal radius physeal arrest, previously published by the author at one- to four-year follow-up with another design of Figures [94, 115, 118], recently (six years after surgery), there is unchanged no evident loosening of both implants and the patient is very satisfied with her outcome: (A) Preoperative radiographs demonstrating severe carpal and carpometacarpal malalignment, and pronounced dorsal tilting of lunate associated with dorsal subluxation of capitate in lunate-capitate joint (green, red, and light blue lines, and light blue points. (B) Intraoperative clinical photograph showing primary combined replacements. (C) Postoperative radiographs demonstrating that the Re-Motion, due to preoperative malalignment, could not be inserted correctly in line of the central 3^rd metacarpal-capitate axis (green and red lines). Note that a radial-side diagonal resection of the scaphoid was done in order to avoid radial impingement. (D) Despite a radial-side diagonal resection of scaphoid was performed,there was evident painful radial impingement between the scaphoid and radial TWA component with terminal range of radial deviation (arrow).