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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

By William P. Barrett, MD on

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 …

Outpatient vs. Inpatient Hip Replacement

By William P. Barrett, MD on

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 …

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 …

Direct Anterior Approach Total Hip Replacement Follow-Up Studies

By William P. Barrett, MD on

In the January 18, 2017 issue of the Journal of Bone and Joint Surgery, Dr. Michael Meneghini and coauthors reported on revision rates following different surgical approaches to hip replacement. They found that patients who had undergone a direct anterior approach, particularly early in the learning curve for a particular surgeon, had a higher risk …

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

  • Proliance Bone and Joint Urgent Care

    Proliance Bone and Joint Urgent Care Is OPEN!

    ORTHOPEDIC URGENT CARE OPENS IN TUKWILA  Proliance Bone and Joint Urgent Care is the only orthopedic urgent care in the Puget Sound region.  [TUKWILA, WA, JANUARY 9, 2019] — Proliance Orthopedic Associates, a Division of Proliance Surgeons, is pleased to announce the opening of Proliance Bone and Joint Urgent Care located at 150 Andover Park …

  • Healthy Holiday Meal

    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 …

  • Haloman Pro Casual

    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 …

Dr. Barrett's Blog

  • Recovery from Knee Replacement: 2 Perspectives (Part 5)

    I had the opportunity to experience recovery from a TKA through the eyes of a close family member, who I, as a joint replacement surgeon was the primary caregiver. This experience gave me a new appreciation of what our patients experience in the weeks after TKR. I will break this up into segments: pre-op, day of …

  • Week #2 to Week #6 After Knee Replacement (Part 4)

    I had the opportunity to experience recovery from a TKA through the eyes of a close family member, who I, as a joint replacement surgeon was the primary caregiver. This experience gave me a new appreciation of what our patients experience in the weeks after TKR. I will break this up into segments: pre-op, day of …

  • Day 2 to end of week 1 (Part 3)

    I had the opportunity to experience recovery from a TKA through the eyes of a close family member, who I, as a joint replacement surgeon was the primary caregiver. This experience gave me a new appreciation of what our patients experience in the weeks after TKR. I will break this up into segments: pre-op, day of …