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

  • Join Us in the Walk to Cure Arthritis, May 20

    Did you know that arthritis is the #1 cause of disability in the United States, affecting more than 50 million people? Our friends at The Arthritis Foundation are committed to finding a cure for the millions of people who suffer from arthritis pain, including 300,000 children and their families. We are absolutely thrilled to be …

  • The Seattle Thunderbirds are on Fire!

    The ShoWare Center was exploding with excitement this past week as the Seattle Thunderbirds swept the Everett Silvertips 4-0 and are now boasting an impressive 8-0 in the 2017 WHL Western Conference Playoffs! We couldn’t be more proud to be supporting the Thunderbirds as their official team doctors. Helping these players stay healthy and in …

  • POA’s Athlete Comeback of the Month: Matt Blackmon

    Matt Blackmon has had a passion for sports since the beginning. From the young age of five, Matt has been playing competitive hockey, baseball, and basketball plus enjoying highly-active hobbies such as skiing, snowboarding and Tae Kwon Do (he’s a black belt!). It’s clear that athletics have always played a significant role in Matt’s life. …

Dr. Barrett's Blog

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

    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

    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 …

  • Outpatient vs. Inpatient Hip Replacement

    In an award-winning paper at the 2016 Hip Society meeting, authors Goyal, MD, et al. presented their prospective randomized study comparing two groups of patients undergoing hip replacement surgery. Inclusion criteria in this study included healthy patients under the age of 75 who were not morbidly obese, had no significant medical problems and were ambulating …