Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty

Hero J. A. Zijlker, Merel J. Berkhout, Marco J. P. F. Ritt, Niels van Leeuwen, Cees B. IJsselstein

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4 Citations (Scopus)


Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5.5 years. Twenty-four of the Universal 2 implants that remained in situ after a mean follow-up of 9 years (range 4 to 13 years) were re-examined. Sixteen functioned satisfactorily. Patient-Rated Wrist and Hand Evaluation scores and Quick Disabilities of the Arm, Shoulder and Hand scores were 53 and 47, respectively. Twenty-nine patients would choose the Universal 2 again and would also recommend it to other patients. The survival of the revision implants was 60% at a mean follow-up of 9 years. Level of evidence: IV.
Original languageEnglish
Pages (from-to)614-619
Number of pages6
JournalJournal of Hand Surgery: European Volume
Issue number6
Early online date2019
Publication statusPublished - 1 Jul 2019


  • BIAX
  • Universal 2
  • revision
  • salvage
  • total wrist arthroplasty
  • wrist implant

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