Implants (100) suitable for use in a carpometacarpal joint includes an upper surface (102), a lower surface (104), and sidewalls (106) extending between the upper surface and the lower surface. The implant includes hydrogel material such as polyvinyl alcohol (PVA) hydrogel. Kits can include systems for preparing an implantation site, creating a cavity, and/or deploying the implant. Methods of treating a carpometacarpal joint include deploying an implant in a recess in a carpometacarpal bone.