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First 72 hours

The first 72 hours after hip or knee replacement.

The first 72 hours set the tone. Patients are learning how the new joint feels, how to move safely, how to control swelling, and when to call for help.

Use ice, elevation, compression, medication instructions, and short walks as directedBalance rest with safe movementTrack symptoms without panicking over normal sorenessKnow which warning signs need a call or urgent evaluation

Recovery principles

A clear plan beats a crowded packet.

The PBJ Rapid Recovery System gives patients a practical way to prepare before surgery, understand the early recovery window, and know when to call for help.

01

Comfort: pain control, swelling control, positioning, and sleep support

02

Movement: frequent safe walking and transfers

03

Communication: clear contact thresholds

Chapter guidance

What patients need to understand.

01

What is normal early

Soreness, swelling, bruising, fatigue, sleep disruption, and appetite changes can occur after major joint surgery. The question is whether symptoms fit the expected pattern.

  • Follow the written instructions from your care team
  • Expect recovery to vary by hour
  • Ask when swelling, pain, or drainage seems outside the pattern

02

How to use the day

Keep early recovery simple: medications as instructed, short walks, directed exercises, hydration, meals, ice, elevation, and rest.

  • Do not make the first days a fitness challenge
  • Avoid long periods without moving unless instructed
  • Let the caregiver help track timing

03

When to call

Call for symptoms that are worsening, severe, confusing, or listed as warning signs. It is better to ask early than to wait through a concerning change.

  • Severe escalating pain needs attention
  • Shortness of breath or chest pain is urgent
  • Medication reactions should be reported

Patient checklist

Make the next step concrete.

A patient should finish each chapter knowing what to do next, what is normal, and what should prompt a call to the office.

1

Take medications only as instructed

2

Walk short distances and do exercises as directed

3

Use ice, compression, and elevation according to the plan

4

Keep water, meals, phone, instructions, and walking aid nearby

5

Use the warning signs page if symptoms escalate

Common questions

Fast answers, careful claims.

Does this replace my office instructions?+

No. These chapters explain the recovery process in plain language. Follow the written instructions from Dr. Morton and the care team.

Should I call if I am unsure?+

Yes. If symptoms are worsening, confusing, or listed as warning signs, call the office or seek urgent care based on the situation.

Will every patient recover on the same timeline?+

No. Recovery depends on diagnosis, procedure, health, support, travel, and complications. Use the timeline as guidance, not a guarantee.

Ready for a plan?

Start with a focused orthopedic consultation.

Bring your symptoms, imaging, records, medication list, and goals. The first win is understanding what is causing the pain and what path is realistic.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
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