Ask Dr. Morton! | Frequently Asked Questions2021-03-04T10:09:05-10:00

Do you have a question that wasn’t answered here? Schedule an appointment to talk with Dr. Morton. You can also send an email to [email protected].

Does Dr. Morton see new patients at Queen’s West?2021-02-28T21:32:08-10:00

Dr. Morton’s practice has moved to town. Please call the office to determine his new location.

How accurate is robotic joint replacement surgery?2021-02-28T20:51:34-10:00

Robotic joint replacement can make bone cuts within 0.5mm of the plan and <1° of expected placement. In comparison, 15-20% of traditional instrumented knee replacements are unable to get within 3° of the expected resection.

I don’t want a robot performing my surgery, I want a human to do it. Does a robot do my surgery?2021-02-28T20:51:15-10:00

Your surgeon is responsible for performing every aspect of the surgery. While the robot assists with improved data collection and bone cuts, the surgeon has to guide the instruments into the right place. The robot is incredibly accurate and prevents surgeons from cutting errors that are imperceptible to the human eye.

Why doesn’t my surgeon perform a robotic assisted surgery?2021-02-28T20:50:53-10:00

Robotic-assisted hip and knee surgery is a newer technology. Not all surgeons were trained in the robot during their training and are not comfortable with learning a new way to perform the same surgery.

Are there any difference in preparing for a robotic hip or knee replacement compared to a traditional joint replacement?2021-02-28T20:50:35-10:00

Some joint replacement systems require special preoperative imaging (CT scan or x-rays). Dr. Morton does not require additional imaging beyond x-rays for his hip or knee replacement surgeries. During surgery two small incisions are made into your thigh and shin to place the robot trackers.

What is the cost to the hospital for robotic hip or knee replacements?2021-02-28T20:49:55-10:00

Pricing programs vary depending on the hospital, implant usage, and physician demand. While a robotic-assisted knee replacement requiring a CT-scan preoperatively will generally cost the hospital an additional $2,000 per patient as reported in some studies, the overall cost to the health system may be decreased due to lower complication rates.

How much does robotic hip or knee replacement cost?2021-02-28T20:49:29-10:00

Patients are not expected to pay any more for their robotic hip or knee replacement. Your bill will be the same from the hospital, regardless if you have a robotic-assisted, or traditional knee replacement.

Are Robotic-Assisted Hip or Knee Replacements Better?2021-02-28T20:50:04-10:00

Robotic assistance allows for more accurate placement of your implant, takes into account the positioning of your anatomy, and personalizing the implantation of your knee. Early and mid-term data from studies demonstrate that robotic-placed implants last longer, recover faster, and have lower amounts of pain overall.

Does knee replacement require an overnight stay?2021-02-28T20:44:57-10:00

Some facilities deem an overnight stay as an “outpatient knee replacement”. Some of our patients may elect to stay overnight or may have medical problems that preclude them from going home on the same day. We do allow many of our healthier patients to go home on the same day as their surgery.

How will I know if I am safe to go home after my knee replacement?2021-02-28T20:44:34-10:00

Your medical history will be carefully evaluated to ensure that you are a good candidate to return home on the same day after your knee replacement. After a discussion with your physician, we will decide if you can return home safely. We make sure that all of our patients work with a physical therapist to ensure that they can safely navigate the obstacles in their home before being discharged.

Can I go home on the same day as my knee replacement?2021-02-28T20:43:08-10:00

Your surgeon will evaluate your medical history and see if you are a good candidate to return home on the day of surgery. With modern medicine, anesthesia, and surgical technique, many of our patients are able to return on the same day as their knee replacements.

Does Dr. Morton accept my insurance?2021-02-28T20:39:21-10:00

Most likely. I accept most insurance plans including HMSA, HMAA, Medicare, Medicaid, MDX, UHA, and United. Call our office to confirm.

Does Dr. Morton accept new patients?2021-02-28T20:38:59-10:00

Absolutely! Call our office today at (808) 439-6201

Where does Dr. Morton Practice?2021-03-21T08:34:09-10:00

Dr. Morton practices in Honolulu, Hawaii at the Queen’s Medical Center, Physicians Office Building 1, Suite 808.

What orthopedic services does Dr. Morton Provide?2021-02-28T20:38:09-10:00

Dr. Morton is a hip and knee specialist who provides clinical and surgical services. His focuses are on joint replacements, complex reconstruction, robotic-assisted surgery, sports surgeries, and trauma care.

What’s the difference between Orthopaedic and Orthopedic?2021-02-28T20:14:02-10:00

Orthopaedic and orthopedic are words that have the same meaning, referring to the same medical specialty. Orthopaedics is the original British word. Orthopedics is the Americanized, more common version. Professional organizations tend to use British spelling, while most physicians in the US use them equally. You can use them interchangeably.

What kind of doctor replaces knees?2021-02-28T20:07:44-10:00
Orthopedic surgeons perform total and partial knee replacement surgery. You should look for someone who is board-certified. While there is no special certification or licensing specific to knee replacement surgery, an ACGME-accredited fellowship can provide assurances in the quality of training that your surgeon received.
How do I pick the best knee surgeon in Hawaii?2021-02-28T20:17:25-10:00

You want an orthopedic surgeon who is specialized in joint replacement, joint preservation, sports injuries, and salvage procedures. You should look for someone who is an expert in minimally-invasive techniques, including the Direct Anterior Approach to hip replacement, and is comfortable in modern techniques such as partial knee replacements and robotic-assisted joint replacements. Dr. Morton can provide you with excellent services as a knee surgeon.

How do I pick the best hip surgeon in Hawaii?2021-02-28T20:17:30-10:00

You want an orthopedic surgeon who is specialized in joint replacement, joint preservation, sports injuries, and salvage procedures. You should look for someone who is an expert in minimally-invasive techniques, including the Direct Anterior Approach to hip replacement, and is comfortable in modern techniques such as partial knee replacements and robotic-assisted joint replacements. Dr. Morton can provide you with excellent services as a hip surgeon.

How do I pick the best/top orthopedic surgeon in Hawaii?2021-02-28T20:17:56-10:00

Dr. Paul Norio Morton is a Board-Certified Orthopedic Surgeon that practices on Oahu and the Big Island. He treats a broad range of orthopedic conditions including arthritis, sports injuries, hip and knee replacements, trauma, and robotic joint arthroplasty. He believes in treating his patients with a holistic approach – incorporating patient’s desires and expectations into the treatment of their musculoskeletal problems.

How do I choose a good Orthopedic Surgeon?2021-02-28T19:59:36-10:00
  1. Credentials: Research your orthopedic surgeon’s credentials. Make sure your surgeon has achieved appropriate education for your orthopedic needs.
  2. Experience: Discuss with your orthopedic surgeon their experience with the particular surgery
  3. Hospital Quality: Make sure that you are comfortable at the hospital where you may have your operation. Check the US News site for hospital ratings.
  4. Communication: Some patients enjoy a friendly doctor, others are looking for a more paternalistic approach.
  5. Reviews: Research other’s experiences by looking at their reviews online
  6. Insurance: Not all doctors will take your insurance. Check before making your appointment
  7. Comfort: If you’re not comfortable with your orthopedic surgeon, look elsewhere.
Where is the best hospital to have orthopedic surgery in Hawaii?2021-02-28T20:02:19-10:00

The Queen’s Medical Center is ranked #1 in Hawaii by the USNews and high performing at both Hip and Knee replacements.

Do I need physical therapy after my injury or surgery?2021-02-28T18:19:05-10:00

Physical therapists do an excellent job of helping patients reach their full potential. They have advanced degrees in understanding body mechanics and helping you recover and get your life back to normal. If you have questions about what exercises you can do on your own, or why a therapist might be necessary, talk with Dr. Morton

I didn’t get my post-op physical therapy protocol.2021-02-28T18:18:44-10:00

Please download a copy of it here. If there’s a protocol not listed here, talk with Dr. Morton.

Do you have physical therapy in your clinic?2021-02-28T18:18:27-10:00

We do not formally own a physical therapy clinic. However, we have excellent relationships with many physical therapist offices.

What if I don’t want surgery for patellar maltracking?2021-02-28T18:15:08-10:00

Fortunately, most forms of patellar maltracking can be treated without surgery. An extensive course of physical therapy can often resolve the pain and stabilize the kneecap. If you have a form of maltracking that requires surgery for treatment, you should talk to an orthopedic surgeon.

What happens if I don’t address patellar maltracking?2021-02-28T18:14:34-10:00

Most cases are able to be treated without surgery. Sometimes, severe patellar maltracking can cause structural damage to the joint, resulting in pain, cartilage loss, and osteoarthritis. Over time, arthritis can interfere with a person’s life to the extent that they get the joint replaced.

I have knee pain. How do I know I have patellar maltracking?2021-02-28T18:14:50-10:00

Patellofemoral syndrome, or patellar maltracking is prevalent. Pain is often in the front of the knee, worse with stairs. Xrays may show the knee cap tilted to the side.

How long does a partial knee replacement last?