2011
DOI: 10.2106/jbjs.h.01614
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Five to Ten-Year Outcomes of the Universal Total Wrist Arthroplasty in Patients with Rheumatoid Arthritis

Abstract: The results for the Universal wrist prosthesis at a minimum of five years of follow-up include a high rate of failure, most often because of carpal component loosening, resulting in revision of ten (50%) of twenty wrists at the time of the latest follow-up (with the inclusion of one revision in a patient who died before five years). Patients with a stable prosthesis maintained a functional range of motion and had improvement in patient-reported outcome measures.

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Cited by 110 publications
(95 citation statements)
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“…In addition, stability appeared to be improved, compared to previous designs. 10,17,18,21,22 The mean DASH score was similar to that in other studies of the Universal 2 prosthesis, 10 the original Universal implant, 21 and previous designs. 19 Complications in terms of stiffness, tendon rupture, and infection were similar to those encountered with other prostheses.…”
Section: Vol 20 No 3 December 2012supporting
confidence: 81%
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“…In addition, stability appeared to be improved, compared to previous designs. 10,17,18,21,22 The mean DASH score was similar to that in other studies of the Universal 2 prosthesis, 10 the original Universal implant, 21 and previous designs. 19 Complications in terms of stiffness, tendon rupture, and infection were similar to those encountered with other prostheses.…”
Section: Vol 20 No 3 December 2012supporting
confidence: 81%
“…19 Consistent with other Universal 2 prosthesis studies, 10,20 our study revealed no radiological evidence of loosening, with the rate being lower than for other implants. 19,21 Nonetheless, the follow-up was not long enough to draw conclusions about implant loosening. A potential cementless design may avoid thermal osteonecrosis of the third metacarpal noted with a cemented carpal component.…”
Section: Vol 20 No 3 December 2012mentioning
confidence: 99%
“…Short-term wound complications include haematoma, wound dehiscence, and necrosis. These have been reported for the Universal 13 and Universal 2 14 implants. Other complications include infection, extensor pollicis longus rupture requiring a tendon transfer, metallosis, and restricted range of motion requiring manipulation.…”
Section: Complicationssupporting
confidence: 58%
“…14 In a meta-analysis, the revision rate for both second-and third-generation implants was 21%, and for third-generation implants alone was 17%; 5.4% and 6.0% of respective implants were removed with or without wrist arthrodesis. 7 According to the Norwegian Arthroplasty Register, the overall 5-and 10-year survival rates for the 3 third-generation implants of Biax, Gibbons (Swemac, Linkoping, Sweden), and Elos (Elos Medtech, Gorlose, Denmark) were 78% (95% CI, 70-85) and 71% (95% CI, 59-80), respectively.…”
Section: Survivalmentioning
confidence: 98%
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