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.



4011 Talbot Rd S #300
Renton, WA 98055

Phone: 425.656.5060
Fax: 425.656.5047


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

  • POA’s Athlete Comeback of the Month: Mercy

    Mercy Nelson is a 17-year-old athlete who was sidelined for over a year with a knee injury and battled her way back to become a first team all-league basketball athlete and a second team all-league volleyball player for Rainier Christian High School. Her incredible story makes her the star of this month’s athlete comeback blog! …

  • Finding Success as Women in Orthopedics

    If it seems like men dominate the orthopedic surgery field, you aren’t imagining things. In fact, approximately only 4% of orthopedists are women and the ongoing gender disparity in orthopedic surgery is rooted in reasons that range from misunderstandings to completely false data. One stereotype that deters women from going into orthopedic surgery is the …

  • POA’s Athlete Comeback of the Month: Riley

    Riley is now completely healed and experiencing very few problems with her knee, and like a true comeback story, she experienced the best season in her athletic career after her injury. If you’re in pain and want to get back to your active lifestyle, contact us at 425.656.5060 to schedule an appointment with our orthopedic doctors.

Dr. Barrett's Blog

  • Complications Related to Obesity in Total Knee Replacements

    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

    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 …