CALL NOW FOR AN APPOINTMENT 425.656.5060

Online Appointment Requests

For convenient scheduling, request an appointment online.

Shared Decision Making in Total Knee and Hip Replacement

By William P. Barrett, MD on

In shared decision making, both patients and physicians make contributions to the dialogue about a patient’s condition, the best way to achieve the optimal outcome and treatment options following a total knee or hip replacement. The surgeon contributes expert clinical knowledge about the condition, the natural history of the condition, the treatment options available with associated risks, and benefits and the limitations of currently available evidence.

The patient discusses their goals and expectations, what their personal preferences are with regard to their treatment options and what they value. There are a variety of ways that this dialogue can be fostered, and these include patient handouts, web-based information and other means of information dissemination. The more informed the patient is regarding their condition and treatment options, the more likely they will be able to make a rational decision about proceeding with a specific treatment.

We encourage patients to bring questions regarding their condition and treatment options and to think about what it is they hope to achieve after a particular treatment. The ability to align the results of joint replacement surgery with the expectations of the patient has a greater likelihood of leading to a happier patient after surgery.

Once a decision is reached about how to proceed with a surgical intervention, it is up to the patient, along with the assistance of the physician, to optimize his or her health so as to minimize the associated risks. There is no treatment that is risk-free, but optimizing one’s health and physical conditioning prior to having surgery, including attention to weight, treatment of various medical conditions, smoking cessation, and improvement in strength, will help decrease the risk of a complication following the operation.

Dr. Barrett is an Eastside orthopedic surgeon who performs over 500 joint replacement surgeries annually. For more information about total hip and knee replacements, contact Proliance Orthopedic Associates at 425.656.5060.

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

  • Valley Medical Center Named #1 for Joint Replacement

    We are thrilled to announce that Valley Medical Center was recently named #1 in the state of Washington for joint replacement by CareChex Quality Rating System! CareChex produces their comprehensive evaluation of hospital excellence using a variety of metrics including quality, performance and safety analytics. As the first hospital with a dedicated joint replacement center …

  • Maintaining Your Health and Safety in the Workplace

    As an employee, we know that when you’re healthy, you’re happier and more productive. While some jobs, like construction, have obvious safety hazards, it isn’t wise to assume that if you clock time at a desk job you have nothing to worry about. Many professions go hand-in-hand with stress, sedentary behavior and other unhealthy habits …

  • Help Us Bring Happy Holidays to Those in Need

    Between festive parties to attend, gifts to shop for and end-of-year deadlines to meet, it’s easy to get caught up in the hustle and bustle of the holidays. But at POA, we believe it’s important to take some time amid the madness to give back to our community. We’re spreading cheer to those in need …

Dr. Barrett's Blog

  • 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 …

  • VMC Center for Joint Replacement: Recognition, Results and Future

    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

    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 …