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Optimizing Risk Factors

By William P. Barrett, MD on

At the recent Knee Society meeting in Orlando, Florida on March 5, 2016, Richard Iorio, MD, reviewed modifiable risk factors that are associated with poor clinical outcomes following hip and knee replacement. These included morbid obesity, poorly controlled diabetes and malnutrition, STAF colonization, cardiovascular disease, history of deep venous thrombosis, tobacco use, and psychological and …

Managing Expectations for Total Knee Replacement

By William P. Barrett, MD on

Michael J. Dunbar, MD, reviewed information regarding managing expectations for knee replacement at the recent Knee Society meeting in Orlando, Florida on March 5, 2016. He noted that unmet expectations after knee replacement have been shown to be one of the largest determinants of dissatisfaction following the procedure. Educating patients and managing their expectations preoperatively …

Leg Alignment & Knee Replacement

By William P. Barrett, MD on

At the recent Knee Society meeting in Orlando, Florida, March 5, 2016, there were several talks regarding  the ideal limb alignment after a knee replacement and how to get it.  There has been debate over the years about classic “mechanical alignment” versus “anatomic alignment” versus kinematic alignment. All three philosophies have been utilized and reported …

Outpatient Joint Replacement

By William P. Barrett, MD on

At the recent Knee Society meeting in Orlando, Florida, March 5, 2016, there were several papers reviewing the pros and cons of outpatient joint replacement in the United States.  There has been a move toward shorter stay/overnight stay and even outpatient joint replacement.  Currently, patients who have no significant medical comorbidities, and are in good …

Knee Replacement Revision Rate

By William P. Barrett, MD on

In an article published in the January 2016 issue of the Journal of Bone and Joint Surgery, authors Liddle et al. reviewed the effects of surgical volume on outcomes for knee replacement. They reviewed 459,280 patient records from the National Joint Registry for England and Wales and found that the number of cases affected survival …

The Joint Center: 2015 Outcomes

By William P. Barrett, MD on

Since its inception in 2000, The Joint Center at Valley Medical Center has tracked outcomes with regard to infection rate, length of stay, and 30-day readmission.  Now that this data is required by Medicare and reimbursement to hospitals will be affected by this data, it becomes more important to pay attention to the outcomes at …

Expectations After Knee Replacement

By William P. Barrett, MD on

In an article published in the December 2015 Journal of the American Academy of Orthopedic Surgeons, authors Adeel Husain and Gwo-Chin Lee review factors associated with realistic expectations following total knee replacement. They note that 20% of patients are, in some fashion, dissatisfied with the outcome of a well-performing total knee replacement. They note that …

Obesity & Primary Hip Replacement

By William P. Barrett, MD on

A study presented at the American Association of Hip and Knee Surgeons annual meeting in Dallas, Texas in November 2015 looked at a group of 257 revision total hip replacement surgeries performed at Stanford Hospital in Palo Alto, California.  The researchers looked at the impact of body mass index (BMI) on implant survivorship.  They found …

Knee Replacement Options & Outcomes

By William P. Barrett, MD on

Dr. Masonis and colleagues from Ortho Carolina presented a poster at the 25th annual meeting of the American Association of Hip and Knee Surgeons in November 2015. They reviewed the outcomes of 174 patient who underwent either unicompartmental or total knee replacement. They found that at a mean followup of approximately 10 years, the revision …

Smoking & Postoperative Complications

By William P. Barrett, MD on

Dr. Sahota, M.D., and colleagues at the 25th anniversary meeting of the American Association of Hip and Knee Surgeons presented a poster on their findings with regard to smoking and the incidence of complications after surgery. They used the American College of Surgeons National Surgical Quality Improvement Program database. They reviewed 60,353 patients and included …

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 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 …

  • 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 …

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 …