{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:36:45Z","timestamp":1790692605254,"version":"4.1.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jnl Wrist Surg"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>\n            Background\u2003The Universal 2 is a widely used total wrist implant that aims to maintain function of the wrist.<\/jats:p><jats:p>\n            Purpose\u2003Promising mid-term results of the Universal 2 total wrist implant are described in the literature. This study evaluates the long-term results in terms of implant survival and patient satisfaction.<\/jats:p><jats:p>\n            Patients and Methods\u2003Patients who received a Universal 2 implant between 2004 and 2009 were retrospectively identified through a database search. Clinical outcome and complications of the implant were assessed by examination of the patient's medical records, X-rays, and a questionnaire, consisting of the Patient-Rated Wrist and Hand Evaluation questionnaire (PRWHE) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaires and additional questions.<\/jats:p><jats:p>\n            Results\u2003Twenty-five patients (26 wrists) were included in this study. Twenty-one (81%) Universal 2 implants remained in situ after a mean follow-up of 11 years. Moderate PRWHE (44) and QuickDASH (41) scores were found in these cases. Five Universal 2 implants failed and were converted to a total wrist arthrodesis after a mean period of 9.2 years due to distal component loosening (n\u2009=\u20093), recurrent luxation (n\u2009=\u20091), or recurrent synovitis (n\u2009=\u20091). Twenty-three (92%) patients were (very) satisfied with the Universal 2 implant.<\/jats:p><jats:p>\n            Conclusion\u2003The Universal 2 demonstrates a high (81%) implant survival with a high patient satisfaction after a mean follow-up of 11 years. Prospective studies of the Universal 2 implant are necessary to objectify improvement in wrist function and to provide a better comparison to other fourth generation wrist implants.<\/jats:p>","DOI":"10.1055\/s-0039-1685469","type":"journal-article","created":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T22:37:41Z","timestamp":1555972661000},"page":"317-320","source":"Crossref","is-referenced-by-count":21,"title":["Long-Term Results of Universal 2 Total Wrist Arthroplasty"],"prefix":"10.1055","volume":"08","author":[{"given":"H. J. A.","family":"Zijlker","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. J. P. F.","family":"Ritt","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. B.","family":"IJsselstein","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,4,22]]},"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1685469.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T22:41:57Z","timestamp":1565217717000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1685469"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,22]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,8,7]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1685469","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,22]]}}}