Syam PK Morapudi, William J Marlow, Daniel Withers, Peter Ralte, Ayman Gabr, Mohammad Waseem; Journal of Orthopaedic Surgery; Nov 23 2012

Total wrist arthroplasty using the Universal 2 prosthesis

Syam PK Morapudi, William J Marlow, Daniel Withers, Peter Ralte, Ayman Gabr, Mohammad Waseem, Macclesfield District General Hospital, Macclesfield, Cheshire

Abstract: Purpose. To report outcomes of 21 total wrist arthroplasties  (TWA) using the Universal 2 prosthesis.

Methods:  Five men and 14 women aged 44 to 82 (mean, 62) years underwent 21 total wrist arthroplasties for rheumatoid arthritis (n=19) and post-traumatic
arthritis (n=2) by a single surgeon using the Universal 2 prosthesis. Pre- and post-operative pain and function were assessed by a single surgeon using the
Disabilities of the Arm, Shoulder and Hand (DASH) score and the patient-rated wrist evaluation (PRWE) score. Range of motion, stability, dislocation rate, and
neurovascular status were also assessed. Radiographs were evaluated for implant alignment and fit, screw positioning, and implant loosening.