Online Appointment Requests

For convenient scheduling, request an appointment online.

Information Regarding Thumb Arthroplasty

  1. You are scheduled for a Thumb Arthroplasty. This procedure is performed on patients with advanced basilar thumb arthritis. The procedure is intended to alleviate pain in the thumb and improve function. Pinching or grasping can cause severe pain in the thumb. During this surgical procedure, the joint is removed and a tendon is used to reconstruct the joint.You will be administered general anesthesia with an axillary block. The anesthesiologist will discuss the block with you. It is accomplished by injected medicine in your axilla (armpit) while you are still awake. This allows you to wake from surgery with no pain. The block will last for several hours after surgery. The surgery is performed by making an incision along the border of the thumb. The joint is removed (an entire bone is taken out) and replaced with a tendon graft. The tendon is obtained by making one or two incisions along your forearm. This is a tendon that is redundant and you will not notice its absence. One or two pins are used to stabilize the thumb. These pins will be removed in 4 weeks in the office.
  2. Before surgery, you will need to obtain clearance from your regular doctor if you have medical problems. You may be required to obtain some basic tests for screening before the surgery. Basic blood tests, a chest x-ray, and an EKG may be required depending on your health.
  3. Most people are quite satisfied with the relief provided by the procedure. In most cases, once you have recovered, the pain will be gone and you will have relatively normal motion. Your pinch strength will not necessarily improve. There are always risks with any surgery. The most common complications after a thumb arthroplasty include infection, temporary numbness along the top of the thumb, and stiffness.
  4. After surgery, you will be discharged home in a splint. This should not be removed. You will need to cover the splint with a plastic bag when showering. You should keep the hand elevated as much as possible the first few weeks. You can and should move your fingers. You will see your surgeon or PA 10 to 14 days after surgery, in the office, where the stitches will be removed. You will then be placed into a thumb spica cast and will come back for cast and pin removal 3 weeks later. Once the pin is removed you will have a custom splint made for the thumb. You will also start hand therapy to work on regaining motion. Strengthening usually starts about 2 months after surgery and you will be done with therapy and splint about 3 months after surgery.
  5. Your return to work depends on your profession and the availability of light duty. Generally, light office work, typing, writing, and using a computer are acceptable even a few days after surgery. No heavy lifting or forceful gripping with the operative hand is permitted until at least 3 months after surgery.
  6. Call your surgeon if you have an elevated temperature greater than 101.5 degrees, redness, or drainage from the incision site as this may indicate an infection of the wound. Please contact our cast room if you have any problems or concerns with your cast.
  7. If you are running low on pain medication after surgery and anticipate the need for more, please call your doctor’s office during regular office hours (8am to 5pm Monday – Friday).
  8. For more information about trigger fingers and its treatment, click here.



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

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 …