An implant for carpal hemiarthroplasty includes an articular component having a convex articular surface shaped to generally conform to an unresected distal end of a radius bone. A bearing component is rigidly fixed to the articular component opposite the convex articular surface and has a bearing surface. A carpal plate is rotatably attachable to the bearing component and has a proximal surface and a distal surface. The proximal surface has a contour that substantially conforms to the bearing surface.