The SBI Universal Hand System (UHS) is a multi-use modular hand fixation system. The UHS materials platform is ‘cold-worked’ 316L stainless steel, consisting of three implant modules (1.5 mm, 2.0 mm, and 2.4mm) with full instrumentation and a K-wire module with color coded titanium wires in various sizes and styles. The system features low profile plates in a wide variety of anatomically designed sculptured plates, including three different “ladder” or H-plates in each of the three modules and scalloped compression straight L-, T-, and Y-plates that provide improved contouring ability. The UHS is designed for use in a wide spectrum of trauma and reconstructive procedures for the hand. It includes two notable innovations, a low profile 2.0 mm condylar tined plate for fractures near the joints and a ‘zigzag’ plate for comminuted phalangeal fractures.