Knee osteoarthritis is a degenerative condition of the knee joint caused by the gradual breakdown of cartilage. This disease is generally classified into several stages of severity, ranging from mild grades characterized by occasional pain during activity, to advanced stages where the cartilage becomes severely thinned or completely worn away. In severe cases, patients may experience intense pain, joint stiffness, limited mobility, and a significant decline in quality of life. When conservative treatments such as medication, physiotherapy, or injections no longer provide sufficient relief, total knee replacement (TKR) surgery is often recommended as a definitive medical solution.
At Mandaya Royal Puri Hospital, total knee replacement surgery is now performed using robotic-assisted technology to achieve higher precision and optimal outcomes. This procedure is handled by dr. William Chandra, Sp.OT (K) Hip & Knee, an orthopedic specialist and knee–hip consultant with extensive experience in managing advanced knee osteoarthritis. Supported by robotic technology, TKR surgery at Mandaya Royal Puri Hospital is designed to help patients regain mobility, reduce pain, and improve long-term quality of life.
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Understanding Total Knee Replacement for Knee Osteoarthritis
Total Knee Replacement (TKR), also known as knee arthroplasty, is a surgical procedure that replaces damaged knee joint surfaces caused by severe osteoarthritis with artificial components made of metal and medical-grade plastic. This procedure is considered an effective long-term solution to relieve chronic pain, reduce joint stiffness, and restore knee function when conservative treatments are no longer effective.
During a TKR procedure, the surgeon reshapes the damaged bone and cartilage surfaces of the thigh bone (femur), shin bone (tibia), and in some cases, the kneecap (patella). These surfaces are then replaced with prosthetic implants. The surgery typically addresses all three compartments of the knee: medial, lateral, and patellofemoral compartments.
When Is Total Knee Replacement Recommended?
Total knee replacement surgery is usually recommended for patients with end-stage osteoarthritis who experience persistent and severe knee pain that interferes with daily activities such as walking, climbing stairs, or even sleeping.
The primary goals of total knee replacement are to relieve pain, correct knee deformities (such as bow-legged alignment), and improve joint mobility and overall knee function.
Most patients experience significant pain relief after surgery, with long-term success rates lasting more than 20 years. The recovery process involves structured physiotherapy to help restore muscle strength and improve knee range of motion.
Robotic Total Knee Replacement Surgery at Mandaya Royal Puri Hospital
dr. William performs total knee replacement surgery for osteoarthritis using the CORI robotic system. This advanced technology features real-time smart mapping that allows the surgeon to precisely identify damaged areas of the knee bone. In addition, the safety system built into the CORI handheld burr ensures that bone reshaping is performed only on the affected areas, preserving healthy surrounding bone tissue.
Key Advantages of the CORI Robotic System at Mandaya Royal Puri Hospital:
- No CT Scan or MRI Required: Utilizes smart intraoperative mapping to scan knee anatomy directly during surgery, reducing radiation exposure.
- High Accuracy and Precision: Enables optimal implant placement, improving surgical outcomes and reducing complication risks.
- Surgical Flexibility: Suitable for both total knee replacement (TKR) and partial knee replacement (UKA).
- FDA Approval for Revision Surgery: The only knee robot approved by the FDA for knee revision procedures.
- Compatible with OXINIUM Implants: Durable, strong implant materials designed to reduce wear and minimize allergy risk.
- Globally Proven Technology: Used in more than 30 countries and supported by hundreds of scientific publications.
- Faster Recovery: Higher precision may lead to reduced postoperative pain and quicker return to daily activities.
Profile and Practice Schedule of dr. William at Mandaya Royal Puri Hospital
dr. William Chandra, Sp.OT (K) Hip & Knee, is an orthopedic specialist and knee–hip consultant with advanced expertise in treating knee and hip disorders. His proficiency in orthopedic surgery is further strengthened by robotic knee surgery certification from the Lyon School of Knee Surgery, Lyon, France, specifically for knee replacement procedures.
He completed his medical education and orthopedic residency at the University of Indonesia, followed by consultant training in hip and knee surgery as well as adult reconstruction at Cipto Mangunkusumo Hospital, Indonesia’s national referral center for orthopedic care.
dr. William also gained international experience through a Fellowship in Sports and Adult Reconstruction at Kreisklinikum Siegen, Germany, providing him with comprehensive expertise in both conservative and surgical orthopedic treatments.
In his clinical practice, dr. William manages a wide range of orthopedic conditions, including knee osteoarthritis, knee cysts, pinched nerves treated with Percutaneous Laser Disc Decompression (PLDD), meniscal tears through arthroscopy, ligament injuries such as ACL tears, and fracture management. He is highly experienced in performing Total Knee Replacement (TKR) and Unicompartmental Knee Arthroplasty (UKA) procedures.
dr. William is also fully certified to perform robotic-assisted knee replacement surgery using the CORI system, for both total and partial knee replacement. With his strong academic background and extensive clinical expertise, he is a trusted orthopedic specialist for patients with knee and hip joint conditions.
Practice Schedule at Mandaya Royal Puri Hospital:
- Monday: 16:00 – 19:00 WIB
- Thursday: 16:00 – 19:00 WIB
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