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Smith-Petersen Vitallium Mold ArthroplastyCase Report with a Fifty-One-Year Follow-Up and Histopathologic Analysis
Ehsan Saadat, MD1; John V. Tiberi, MD1; Dennis W. Burke, MD1; Young-Min Kwon, MD, PhD1
1 Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114. E-mail address for J.V. Tiberi: jvtiberi@gmail.com
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Investigation performed at the Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Nov 13;3(4):e112 1-4. doi: 10.2106/JBJS.CC.M.00126
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Extract

Before the advent of total hip arthroplasty, cup arthroplasty was the main method used for hip reconstruction. In 1923, M.N. Smith-Petersen devised the first mold arthroplasty of the hip, made from glass, at the Massachusetts General Hospital; in 1939, he revised the implant to a cup made from Vitallium, a cobalt-chrome alloy1. Vitallium mold arthroplasty became the standard procedure for hip arthroplasty until the introduction of a low-frictional torque arthroplasty by Sir John Charnley in the 1960s2. We present a patient with a fifty-one-year follow-up of a Smith-Petersen mold arthroplasty with histological analysis of the femoral head. To the best of our knowledge, there has never been a longer follow-up of this type of arthroplasty published in the North American literature. The patient was informed that data concerning the case would be submitted for publication, and she provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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