Osteoarthritis is a degenerative joint disease caused by the gradual thinning of cartilage, most commonly affecting the knee joint. This condition can lead to chronic pain, joint stiffness, swelling, and limited mobility that interferes with daily activities. Osteoarthritis generally develops slowly and is more common in older adults, although in certain cases it can also occur at a younger age. When the condition reaches an advanced stage, conservative treatments such as pain medication, physiotherapy, or joint injections may no longer provide optimal results, making knee replacement surgery a recommended medical option.
This advanced-stage osteoarthritis was also experienced by a female patient who received treatment at Mandaya Royal Puri Hospital. After enduring worsening knee pain that did not improve despite various therapies, the patient ultimately decided to undergo robotic-assisted knee replacement surgery. The procedure was performed by an experienced hip & knee orthopedic subspecialist, dr. Paulus Ronald Hibono, Sp.OT (K), using a modern technological approach designed to enhance precision and patient comfort.
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Early Symptoms of Osteoarthritis That Began to Disrupt Daily Activities
Knee osteoarthritis often starts with mild pain that is frequently underestimated. This was also the case for a female patient from Jakarta who first experienced knee pain during daily activities in 2024. At first, the discomfort was ignored as it was thought to be simple fatigue. However, over time—especially during religious activities that required extensive walking—the knee pain became increasingly severe and difficult to tolerate.
After consulting several doctors and hospitals, the patient was diagnosed with advanced knee osteoarthritis, classified as OA grade 3 and grade 4 in both knees. This condition resulted in persistent severe pain, difficulty sleeping at night, and significant limitations in movement, greatly affecting her overall quality of life.
Treatment Efforts That Did Not Provide Optimal Results
Before deciding on surgery, the patient underwent various non-surgical treatments. These included regular physiotherapy sessions and multiple joint lubricant injections. Unfortunately, none of these measures succeeded in providing adequate pain relief. The recurring pain increasingly limited her daily activities and led to both physical and mental exhaustion.
The decision to undergo knee replacement surgery was not made overnight. The patient took several months to carefully consider her options, seek reliable information about hospitals, and ensure that the chosen procedure would be safe and suitable for her condition.
Undergoing Robotic Knee Replacement Surgery at Mandaya Royal Puri Hospital
After careful consideration, the patient chose to undergo robotic-assisted knee replacement surgery at Mandaya Royal Puri Hospital. The procedure was performed by an experienced hip & knee orthopedic subspecialist, dr. Paulus. Robotic technology allows the surgery to be carried out with a high level of precision, enabling optimal alignment and placement of the artificial knee joint tailored to the patient’s anatomy.
The patient shared that the surgical process was far more comfortable than she had initially imagined. Postoperative pain was minimal, even after the effects of anesthesia wore off. Several days after surgery, she reported no significant pain, only mild soreness around the knee area. This experience highlights that robotic knee replacement surgery can be an effective solution for patients with advanced-stage osteoarthritis, helping them regain mobility and improve their quality of life.
Profile and Practice Schedule of dr. Paulus at Mandaya Royal Puri Hospital
dr. Paulus is a hip and knee orthopedic subspecialist with extensive experience in treating various disorders of the knee and hip joints. He is well known for his expertise in knee replacement procedures, particularly those utilizing modern technologies that prioritize precision and patient comfort.
In his clinical practice, dr. Paulus regularly performs knee replacement surgeries using CORI robotic technology. In addition, he treats a wide range of orthopedic conditions, including ACL injuries, knee cysts, osteoarthritis, meniscus tears through arthroscopic procedures, and various types of fractures, with treatment approaches tailored to each patient’s condition.
His expertise in robotic knee surgery has gained international recognition. dr. Paulus is the only physician from Indonesia who has been selected as a delegate to the CORI Robotic Summit in Germany, positioning him as one of the globally recognized experts in robotic knee surgery.
Practice Schedule of dr. Paulus Ronald Hibono, Sp.OT (K) – Hip & Knee at Mandaya Royal Puri Hospital:
- Monday: 08:00 – 13:00 WIB
- Tuesday: 17:00 – 20:00 WIB
- Wednesday: 14:00 – 17:00 WIB
- Thursday: 14:00 – 17:00 WIB
- Friday: 14:00 – 20:00 WIB
- Saturday: 08:00 – 14:00 WIB
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