PBJ 01
Precision
Technology, imaging, planning, and surgical technique are used to fit the procedure to the patient anatomy instead of forcing every patient through the same path.
PBJ Rapid Recovery System
Recovery is not an afterthought. It is part of the operation.
Dr. Morton built the recovery pathway around a simple idea: excellent outcomes are created before surgery, during surgery, and through disciplined follow-up. The goal is safe progress, less confusion, and a joint you think about less over time.
The system
Precision, balance, and joint optimization.
The PBJ system gives patients a structure for the whole journey: choosing surgery at the right time, reducing modifiable risk, controlling inflammation, protecting the incision, moving safely, and tracking progress after the operation.
PBJ 02
Balance
Recovery planning focuses on swelling control, comfort, movement, rest, and medication safety so early progress is steady instead of chaotic.
PBJ 03
Joint optimization
The best results are built before and after surgery through medical clearance, nutrition, home preparation, therapy, wound care, and follow-up.
Pathway
A clearer path from decision to long-term follow-up.
Step 01
Decision point
Clarify symptoms, X-rays, HOOS Jr or KOOS Jr scores when useful, goals, and whether surgery is the right timing.
Step 02
Medical optimization
Review clearance, blood sugar, nicotine status, dental concerns, medications, supplements, weight, sleep, and infection prevention needs.
Step 03
Prehab and home setup
Plan nutrition, safe walking paths, support at home, equipment, ice, compression, transportation, and caregiver expectations.
Step 04
Surgery day
Set expectations for anesthesia, early walking, pain control, discharge pathway, and who to call with concerns.
Step 05
First 72 hours
Focus on comfort, swelling control, safe mobility, medication timing, hydration, wound protection, and knowing warning signs.
Step 06
Long-term follow-up
Track motion, function, activity goals, X-rays, Forgotten Joint Score, and lifetime implant monitoring when needed.
Follow-up matters
The goal is not simply getting through surgery. The goal is a reliable recovery.
The guidebook tracks wound checks, motion, walking distance, pain triggers, sleep, X-rays, return to activity, Forgotten Joint Score, and long-term implant monitoring. That structure helps patients know what is normal, what needs attention, and what progress to protect.
1 to 2 weeks: wound check, dressing review, early pain and motion discussion
4 to 6 weeks: walking, therapy progress, driving and work questions when appropriate
3 to 4 months: X-rays, strength, activity progression, golf, hiking, swimming, and persistent symptoms
6 months and 1 year: function, Forgotten Joint Score, X-rays, long-term activity planning
2 years and beyond: implant monitoring and periodic X-rays to catch wear or loosening early
Recovery trust
Recovery is easier when patients know what is next.
The recovery pathway should make home preparation, medication timing, wound checks, therapy, warning signs, and activity milestones easier for patients and families.
01
PBJ Rapid Recovery approach
02
Procedure-specific recovery centers
03
Printable checklists and milestone planning
Recovery resources
Keep the useful guides easy to find.
Written for patients by the practice
Orthopedic guidance should be clear enough to help you make a real decision.
Dr. Paul Norio Morton created Joint Replacement Hawaii to help patients understand hip pain, knee pain, arthritis, sports injuries, robotic joint replacement, revision surgery, injections, and recovery before they come in for a visit.
