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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 …

Smoking and the Risk of Infection After Total Hip and Knee Replacement Surgery

By William P. Barrett, MD on

In a study by Tischler, et al, from the Rothman Institute in Philadelphia, Pennsylvania, patients who were active smokers were found to have a significantly increased risk for infectious complications following hip and knee replacement surgery. In this study, published in The Journal of Bone and Joint Surgery on February 15, 2017, the researchers looked at …

Even Patients Who Live Alone Can Be Discharged Home After Joint Replacement Surgery

By William P. Barrett, MD on

In a study presented at the 2017 annual meeting of the American Academy of Orthopedic Surgeons, surgeons from the Rothman Institute in Philadelphia, Pennsylvania, presented the results of a study examining 769 patients who underwent primary total hip or knee replacement surgery. Of this group, 138 patients lived alone. The surgeons found that patients who …

Total Joint Replacement, Bundled Payments and Patient Risk Factors

By William P. Barrett, MD on

In the February issue of The Journal of Arthroplasty, several articles examined the influence of various medical comorbidities and the risk for complication after hip and knee replacement. This is a very “hot topic” as the Centers for Medicare and Medicaid are moving to bundled payments where physicians and hospitals will be at risk for …

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

Bone and Joint Urgent Care

150 Andover Park W.
Tukwila, WA 98188

Phone: 425.979.BONE

Latest POA News

  • How to Stay Holiday Healthy

    Wondering how to stay healthy this holiday season? Looking for tips on your diet or exercise routine to build healthy habits? The doctors at Proliance Orthopedic Associates can help you learn more about the best practices for your health. We provide a wide variety of orthopedic services for our patients, specializing in joint replacement, sports …

  • Healing Hip Pain: Q&A with Dr. Haloman

    Dr. Haloman serves a large role as POA’s in-house hip preservation specialist, within our knee and hip services, where he treats a variety of ailments through arthroscopic surgery of the hip, shoulder, and knee. After several months practicing at POA, we realized it was time for a check-up with our newest orthopedic surgeon. Catch up with Dr. Haloman …

  • Earl Thomas Leg Injury: A Doctor’s Evaluation

    As many in the Seattle area have heard, Earl Thomas, the superstar safety of the Seattle Seahawks, recently experienced a season-ending injury when he fractured his tibia during the team’s win over the Cardinals. Fall sports, like football, are a major reason why both professional and recreational athletes frequently experience injuries this time of year. …

Dr. Barrett's Blog

  • Sharing Orthopedic Education Around the World

    As one of the most experienced hip and knee replacement doctors in Seattle, Dr. Barrett performs over 500 joint replacement surgeries annually, and remains highly involved with continuing medical education. For more information about hip and knee injuries, sports medicine, and more, contact Proliance Orthopedic Associates at 425.656.5060. Fall is full of educational opportunities for orthopedic surgeons, which …

  • 2018 Meeting of AAHKS – Discussing Practice Decisions

    Dr. Barrett serves as chairman of the education committee for the American Association of Hip and Knee Surgeons (AAHKS), and remains highly involved with continuing medical education. He has been a member of AAHKS since its first year in 1991. As one of the most experienced hip replacement doctors in Seattle, Dr. Barrett performs over 500 joint …

  • Total Hip Replacement: Implants and Other Factors that Affect Outcomes

    As one of the most experienced hip replacement doctors in Seattle, Dr. Barrett performs over 500 joint replacement surgeries annually. For more information about hip and knee injuries, sports medicine, and more, contact Proliance Orthopedic Associates at 425.656.5060. Recently, I had the honor of presenting at a hip replacement conference in Rome, Italy on October 11-12 2018. At …