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Approved by the FDA for use in the US in the middle of 2006, the BIRMINGHAM HIP^◊ Resurfacing System (BHR^◊) is the leading hip resurfacing product outside the US. Pioneered by UK orthopaedic surgeons, Mr. Derek McMinn and Mr. Ronan Treacy, hip resurfacing is where the articular surfaces of the femur and acetabulum are replaced, leaving the femoral head substantially preserved. This is a less invasive bone sparing approach to treating arthritis in younger or more active patients.

The system utilizes proven low wear metal-on-metal bearing surface technology and the broad hip head design offers a high range of motion and excellent stability. There have been over 50,000  surgeries performed since 1997 when BHR^◊ was introduced.

Smith & Nephew possesses the broadest and most comprehensive offering of hip bearing surfaces in the industry.

The ANTHOLOGY^◊ Hip System is an evolution on past clinically successful flat taper stems.  Both instruments and implants were designed to help improve surgical efficiency and outcomes.

Not every surgical approach is the same, so not all instrumentation should be the same.  The ANTHOLOGY^◊ system is the first femoral implant to have integrated instruments designed for specific minimally invasive surgical approaches.

With optimal stem geometry and the widest range of sizes, the ANTHOLOGY^◊ system offers the ability to match all femur types.   In combination with Smith & Nephew’s proven neck design and Advanced Bearing portfolio, the surgeon has the ability to restore the patient’s biomechanics and natural range of motion.

The innovative JOURNEY^◊ anatomical knee system is designed to move and feel like a normal knee, The JOURNEY^◊ System offers the additional durability of Smith & Nephew's proprietary alternate-bearing surface, OXINIUM^◊ oxidized zirconium.

The system is described as ""bi-cruciate stabilized"" because unlike conventional knee systems, this design provides functions for both the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). These ligaments provide stability and support for the knee, but are frequently removed during knee replacement surgery.The surgical technique is similar to other knee procedures, and the JOURNEY^◊ system's newly designed instruments allow for both minimally invasive surgery (MIS) and computer assisted surgery (CAS).

The LEGION^◊ revision knee system is designed to provide surgeons with the confidence and versatility required to address complex situations encountered in total knee revision surgery.   Accuracy, simplicity, durability, stability and comprehensiveness are critical to these procedures.

The system’s patent pending instrumentation reduces the complexity of the procedure while allowing the surgeon to quickly and accurately place the implants.  Femorals made from Smith & Nephew's proprietary alternative-bearing surface, OXINIUM^◊ oxidized zirconium, provide the durability and biocompatibility required in these challenging conditions.

These features, combined with over a billion possible configurations, allow the surgeon to construct a stabile implant which replaces missing bone and provides the revision patient the ability to return to an active lifestyle.

AchieveCAS^◊ is a computer system with custom-designed software, infrared camera and surgical instruments. The system is designed to allow the surgeon to navigate a total knee during surgery, allowing surgeons to more precisely place implants, particularly within smaller incisions, through enhanced guidance and visualization. AchieveCAS^◊ is already available for hip implants.

Computer-assisted surgery (CAS^◊) is a critical advancement in orthopaedic surgery, providing surgeons with real-time data and greater precision with which to align orthopaedic implants. CAS^◊ also offers significant benefits to the patient, reducing surgical exposure and recovery times, enabling patients to more quickly resume normal activities.

Oxidised zirconium, branded OXINIUM^◊, is a new, next generation technological development in the area of orthopaedic implants and devices that significantly addresses the critical issue of debris produced by implants as a result of friction between the articulating surfaces of the implant.

Smith & Nephew researchers invented and patented a method for creating a ceramic surface with dramatically improved hardness and smoothness that can be formed into the shape of the human knee. Compared to cobalt-chrome, oxidised zirconium in knee wear simulation testing reduced the rate of polyethylene wear by 90% and 98% in XLPE in Hips.

Oxidised zirconium's resistance to wear makes it a realistic option for younger, more active candidates, as it will potentially last longer than the traditional knee implant. Currently most candidates for knee replacement surgery are 65 and older.

Approved by the Federal Drug Administration (FDA) in the US and patented by Smith & Nephew for orthopaedic use, OXINIUM^◊ is a highly biocompatible material and contains only minute traces of nickel, thereby reducing the problem of nickel allergy from which many people suffer.

The innovative JOURNEY^◊ DEUCE^◊ Bi-Compartmental Knee System is a revolutionary concept where the medial tibiofemoral compartment

and patellofemoral compartment are replaced with a single femoral component. The JOURNEY^◊ DEUCE^◊ System is the first and only knee system to successfully retain ACL and PCL function, allowing more normal kinematics and proprioception throughout the range of motion.

The JOURNEY^◊ DEUCE^◊ Bi-Compartmental Knee System accommodates deep flexion, enables normal tibiofemoral axial rotation and provides patellar tracking throughout the entire range of flexion while retaining the healthy lateral tibiofemoral compartment.

The JOURNEY^◊ DEUCE^◊ instruments were designed to work well using an MIS approach. The instruments were based on proven concepts while maximizing stability and accuracy. The instruments are similar to traditional MIS TKA instruments so that surgeons would feel comfortable using them for the first time. Utilizing the latest in wear reducing material technology, OXINIUM^◊ Oxidized Zirconium, the JOURNEY^◊ DEUCE^◊ knee system also addresses the issue of implant longevity. By designing a knee system that retains normal knee function and overcomes limitations of conventional systems while maintaining excellent durability and robustness, Smith & Nephew has created a true active knee system that redefines success in conventional knee arthroplasty.