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Safety guidance

Warning signs after hip or knee replacement: when to call.

Patients need a clear safety page they can find quickly. This chapter separates normal recovery variation from symptoms that should trigger a call or urgent evaluation.

Know which symptoms need a same-day callKnow which symptoms are urgent or emergency-levelAvoid waiting overnight when symptoms escalateKeep the contact plan visible for caregivers

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

Escalation: worsening symptoms need attention

02

Clarity: office concerns and emergency symptoms are handled differently

03

Documentation: timing, temperature, wound changes, and medications help the team

Chapter guidance

What patients need to understand.

01

Call for concerning surgical changes

Contact the care team for new or worsening drainage, spreading redness, fever, incision opening, severe escalating pain, medication problems, or recovery that suddenly changes direction.

  • Do not wait on worsening wound changes
  • Have temperature and medication timing ready
  • Use approved communication channels

02

Seek urgent or emergency care

Chest pain, shortness of breath, fainting, severe allergic reaction, new neurologic symptoms, or symptoms that feel immediately dangerous should be handled urgently.

  • Call emergency services for life-threatening symptoms
  • Do not drive yourself if unsafe
  • Tell the treating team you recently had surgery

03

Caregivers should know the plan

A caregiver may notice confusion, medication issues, mobility decline, wound changes, or breathing concerns before the patient does.

  • Keep discharge instructions nearby
  • Track symptoms rather than relying on memory
  • Ask early when something seems wrong

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

Call for fever, worsening redness, drainage, incision opening, severe pain, or medication concerns

2

Seek urgent care for chest pain, shortness of breath, fainting, severe allergic reaction, or dangerous symptoms

3

Report calf pain, severe swelling, or sudden mobility changes promptly

4

Keep discharge instructions and contact numbers available

5

If unsure whether a symptom is urgent, ask for help rather than waiting

Common questions

Fast answers, careful claims.

Is this page medical advice?+

It is educational guidance. Follow discharge instructions and seek urgent care for symptoms that feel dangerous.

Should I wait until my follow-up visit?+

Not for worsening or concerning symptoms. Call the office or seek urgent care based on the situation.

What information helps when I call?+

Temperature, symptom timing, medication timing, and a short description of what changed can be helpful.

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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