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Total Joint Replacement, Obesity, and the Role of Bariatric Surgery

By Proliance Orthopedic Associates on

The annual spring meeting of the American Association of Hip and Knee Surgeons was held in Miami, Florida, from May 3rd-5th of 2018. This symposium on “Managing the Bariatric Patient” reviewed the diagnosis, etiology and management of obesity. Nationally-recognized bariatric surgeons spoke to the orthopedic surgeons in attendance about medical ramifications of obesity, risks obesity …

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 …

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4011 Talbot Rd S #300
Renton, WA 98055

Phone: 425.656.5060
Fax: 425.656.5047

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27005 168th Pl SE #201
Covington, WA 98042

Phone: 253.630.3660
Fax: 253.631.1591

Maple Valley

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Maple Valley, WA 98038

Phone: 425.358.7708
Fax: 425.656.5047

Latest POA News

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Dr. Barrett's Blog

  • Total Joint Replacement, Obesity, and the Role of Bariatric Surgery

    The annual spring meeting of the American Association of Hip and Knee Surgeons was held in Miami, Florida, from May 3rd-5th of 2018. This symposium on “Managing the Bariatric Patient” reviewed the diagnosis, etiology and management of obesity. Nationally-recognized bariatric surgeons spoke to the orthopedic surgeons in attendance about medical ramifications of obesity, risks obesity …

  • 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 …