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Managing Joint Replacement Post-Op Opioid Use

An article published in JBJS Feb. 2018 by Sabatino et al documented excess opioid prescribing for patients undergoing THA/TKA procedures. They noted that post-op pain management for several major orthopedic procedures accounts for a substantial portion of opioid medications prescribed in the US. The authors evaluated the prescribing habits and patient utilization following elective orthopedic procedures at …

The Importance of Physician Assistants

By William P. Barrett, MD on

There are over 1 million hip and knee replacements performed in the U.S. per year and this number is expected to increase significantly over the next decade. There is a finite number of orthopedic surgeons trained to perform this kind of surgery, and that number is not increasing at a rate to keep up with …

Managing Your Pain After Joint Replacement Surgery

By William P. Barrett, MD on

At POA, we use multimodal pain management for your joint replacement. This begins with preoperative medications given in the pre-op area, spinal anesthesia, and use of regional and local blocks about your hip or knee. Following your surgery pain is managed during your overnight stay by the nursing staff at the VMC joint center. This consists …

VMC Center for Joint Replacement: Recognition, Results and Future

By William P. Barrett, MD on

As we start 2018 we are proud of being ranked #1 for joint replacement in Washington State by CareChex Quality Rating System. They use a variety of quality metrics to achieve their rankings, including: quality, performance and safety analytics. As the first joint replacement center in the state, we continue to evolve our delivery of …

Evolution from Long Inpatient Stay to Short Outpatient Stay

By William P. Barrett, MD on

Over the last 30 years, I have seen the evolution of hip and knee replacement from a 1-week hospital stay to now, in 2017, 90% of our patients going home the day following their hip or knee replacement. This has been accomplished with a variety of factors including improved surgical techniques, multimodal pain management, enhanced …

Same-Day Discharge vs. Inpatient Joint Replacement

By William P. Barrett, MD on

In an article published in the December 6, 2017, Journal of Bone & Joint Surgery, authors Basques, et al, reviewed results of joint replacements performed at a surgery center with those done at an inpatient hospital setting. They looked at a national database for hip and knee replacement from 2005 to 2014. After doing appropriate …

What’s New in Hip Replacement

By William P. Barrett, MD on

WHAT’S NEW: Bearing use in the United States has evolved where the majority of liners used in the socket portion of a hip replacement are cross-link polyethylene. The head material is evenly split between ceramic and metal with similar results at 10+ years followup. Head sizes larger than 36 mm are discouraged. MODULARITY: Use of modular …

Modifiable Risk Factors in Joint Replacement

By William P. Barrett, MD on

In an article published in The Journal of Arthroplasty, author Stambough et al. outlined the efficacy of controlling modifiable risk factors, specifically the decolonization of patients for Staph bacteria. There are multiple modifiable risk factors that can be improved prior to elective joint replacement surgery. These include the patients weight, smoking cessation, optimizing medical comorbidities. …

Complications Related to Obesity in Total Knee Replacements

By William P. Barrett, MD on

In an article published in the May 2017 edition of Journal of Arthroplasty, authors Fehring, et al, describe their experience with total knee tibial component loosening in obese individuals. What they found is that patients with a BMI greater than 35 placed increased strain on the bone in the proximal or top part of the …

Free Hip and Knee Replacement Seminar, May 11

Questions about hip or knee pain and what your options are? We’re excited to invite you to Dr. William Barrett’s free hip and knee replacement seminar on May 11th at 6 PM in the Medical Arts Center. Learn more about the benefits of joint replacement surgery and how it can help return you to an active, pain-free life. Dr. William Barrett is …

LOCATIONS

RENTON

4011 Talbot Rd S #300
Renton, WA 98055

Phone: 425.656.5060
Fax: 425.656.5047

COVINGTON

27005 168th Pl SE #201
Covington, WA 98042

Phone: 253.630.3660
Fax: 253.631.1591

Maple Valley

24060 SE Kent Kangley Rd,
Maple Valley, WA 98038

Phone: 425.358.7708
Fax: 425.656.5047

Latest POA News

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    Summer is here, which means outdoor activity and summer sports injuries are too. While POA is here to provide you with orthopedic care, we prefer you don’t get hurt in the first place. Whether you’re swimming laps, hiking mountains, or spiking volleyballs, here are some tips on staying safe this season: Gear Up and Warm …

  • 4 Common Back Pain Myths

    It’s estimated that about 80 percent of Americans will experience back pain at least once in their lifetime. With so many elements contributing to back pain, it can be difficult to separate fact from fiction. Read below for some of the most common back pain myths. Myth #1: It’s best to rest until your pain …

  • Celebrating May’s Health Awareness Months

    May delivers an abundance of causes to celebrate at Proliance Orthopedic Associates with three national health awareness months that are important to our team. Take a look at what the awareness months we’re recognizing this May at POA. National Arthritis Awareness Month More than 50 million Americans have arthritis, making it the number one cause …

Dr. Barrett's Blog

  • Managing Joint Replacement Post-Op Opioid Use

    An article published in JBJS Feb. 2018 by Sabatino et al documented excess opioid prescribing for patients undergoing THA/TKA procedures. They noted that post-op pain management for several major orthopedic procedures accounts for a substantial portion of opioid medications prescribed in the US. The authors evaluated the prescribing habits and patient utilization following elective orthopedic procedures at …

  • The Importance of Physician Assistants

    There are over 1 million hip and knee replacements performed in the U.S. per year and this number is expected to increase significantly over the next decade. There is a finite number of orthopedic surgeons trained to perform this kind of surgery, and that number is not increasing at a rate to keep up with …

  • Managing Your Pain After Joint Replacement Surgery

    At POA, we use multimodal pain management for your joint replacement. This begins with preoperative medications given in the pre-op area, spinal anesthesia, and use of regional and local blocks about your hip or knee. Following your surgery pain is managed during your overnight stay by the nursing staff at the VMC joint center. This consists …