The only thing I don't understand is why his data structure for finding the least-recently-used item wasn't just a linked list - where each time you touch an object you move it to one end of the list, and when you want to discard an object you remove from the other end. That'd be o(1) and would cause, at most, one page fault per update and none for the add and remove cases (since the two ends would surely be paged "in"). And it'd be a lot easier than his fancy thing. I guess I missed something.
It might be worth pointing out that NVMe or Intel Optane would solve his problem (1) without his fancy data structure too. Some might go as far as to say that while his fancy data structure is out dated now, the stuff that the CS departments teach became correct again. Maybe St Andrews had the right idea all along.
1) Or huge-pages or NUMA node pinning, to some extent.