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Wound care

Wound care and dressing basics after joint replacement.

Wound care is one of the most common sources of post-op anxiety. This chapter gives a calm overview and directs patients back to their specific dressing instructions.

Follow exact dressing and shower instructionsAvoid touching, soaking, or changing dressings unless instructedUnderstand drainage, redness, fever, and when to callProtect the incision while mobility improves

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

Clean: keep the incision protected

02

Dry: avoid soaking until cleared

03

Observed: report changes early instead of guessing

Chapter guidance

What patients need to understand.

01

Use your actual instructions

Dressings and closure methods vary. General principles should never override the written discharge plan.

  • Keep written instructions near the medication schedule
  • Do not remove a dressing unless told
  • Ask before applying creams or home remedies

02

Common concerns

Bruising, swelling, warmth, mild spotting, and skin irritation can be interpreted only in context with timing, severity, and other symptoms.

  • Take concerns seriously
  • Call for worsening redness, drainage, fever, or severe pain
  • Send photos only through approved channels if requested

03

Protecting the incision

Early movement is important, but the incision needs protection from falls, pets, soaking, dirty environments, and unapproved bandages.

  • Keep pets away from the dressing
  • Avoid pools, tubs, and ocean water until cleared
  • Wear clothing that does not rub aggressively

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

Read dressing and shower instructions before leaving

2

Do not soak the incision until cleared

3

Do not apply ointments or creams unless instructed

4

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

5

Keep follow-up visits so the incision can be checked

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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