“Resurfacing” mould arthroplasty was first used in 1923 inserted by Smith-Petersen at Massachusetts General Hospital.
Picture: Mahalingham K, Reidy D, Smith-Petersen. Vitallium mould arthroplasty. A year follow-up. J Bone Joint Surg [Br] 1996;78-B:496-7.
The success story of stemmed hip replacement suppressed the idea of femoral head surface replacement until Derek McMinn picked it up again in the 1980ies, re-designing the implant (Birmingham-Hip). At the same time Halan Amstutz developed the Conserve Hip System. Metal on metal surface replacements have since produced satisfactory short/middle term functional results. Research led to improvements in what was previously known as a treatment with a comparatively high failure rate. Articular Surface Replacement (Resurfacing) of the hip joint has found increasing acceptance mainly since computer assisted surgery was introduced for this procedure.