In recent years; better understanding of the anatomical and biomechanical importance of the distal radioulnar joint (DRUJ) has made the selection of surgical treatments to be applied more important. Distal radioulnar joint problems due to osteoarthritis, rheumatoid arthritis or post-traumatic arthritis can traditionally be treated with various resection arthroplasty methods. Although such treatments alleviate the patient`s pain, they do not establish the load transfer properties and kinematics of the distal radioulnar joint as they do not restore the proper anatomy. Partial hemiarthroplasty, total hemiarthroplasty or total DRUJ prostheses aim to restore the stable and painless functional forearm rotation arc. In cases where distal ulna resection is required due to tumor or for the patients with poor bone quality suffering comminuted fractures of the ulnar head and neck, prosthetic replacement may also be indicated. Although clinical improvement is achieved with partial DRUJ prostheses in early follow-ups, the long-term results being not well known dictates a careful patient selection.