SMART Total Hip Replacement

A superior alternative to traditional total hip replacement

Hip replacement surgery is incredibly common. Around 300,000 Americans undergo hip-replacement surgery each year. Hip replacement is used to treat a number of conditions, including:

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Osteonecrosis
  • Hip Fractures
  • Bone Tumors

SMART total hip replacement surgery explained

In a traditional total hip replacement, there is a certain amount of risk for postoperative hip dislocation, nerve damage, fractures, and other complications. Dr. Vladimir Alexander developed the SMART Total Hip procedure to help reduce the risk associated with hip replacement surgery.

The SMART Total Hip Technique with DCC (Direct Capsular Closure) allows optimal exposure to the hip, with several key steps that create a safe and stable approach with far less potential complications when compared to a standard Posterior Approach or a Direct Anterior Approach (DAA).

This approach allows for direct visualization — the surgeon can see the area of operation. This means there's no need for fluoroscopy, X-ray, or a special operating room table during this procedure.

This technique recreates the natural closure of the joint capsule which makes the results superior and the risks & complications significantly decreased when compared to all other approaches.

Our results speak for themselves with a higher success rate & lower complication rate than all other hip replacement techniques combined.

Benefits of SMART total hip replacement

The benefits of this procedure, when compared to the Standard Posterior Approach (SPA) & the Direct Anterior Approach (DAA), are as follows:


  • Performed as an outpatient surgery in most cases.
  • Decreased complication rate.
  • Decreased dislocation rate.
  • Decreased chance of nerve damage. 
  • Decreased exposure to radiation when compared to DAA.
  • The joint capsule is preserved & repaired as compared to Standard Posterior Approach & DAA.

Yes, outpatient hip replacement surgery is possible

Total hip replacement surgery can reduce pain and restore mobility. It can prevent worsening chronic or degenerative conditions and add years of happy, active living to a patient's life.

Having your hip replacement surgery performed in an outpatient environment:

  • Reduces the time you spend in a hospital.
  • Reduces your chance of secondary infections.
  • Promotes a closer relationship between the patient and surgeon.
  • Gets you home faster so you can recover where you are most comfortable.

Our Alexander Outpatient Advantage includes a total joint liaison to help you through the process and Medical and therapy teams prep your home and evaluate you after surgery.

Recovery starts here.

A member of our team will reach out to you within 24 hours.