Fear of undergoing surgery is perfectly natural for many patients. However, this fear can sometimes become a barrier to receiving the necessary treatment to improve their condition. This was the case for a 55-year-old patient from Lebak, Banten, who finally mustered the courage to undergo a total knee replacement surgery with dr. Paulus Ronald Hibono, Sp.OT (K) Hip & Knee at Mandaya Royal Hospital Puri.
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A Total Knee Replacement Story: From Fear to Confidence with dr. Paulus at Mandaya Royal Hospital Puri
At first, the patient never imagined that the knee pain he had been experiencing for over a year would eventually lead to such a major life decision. It began with persistent stiffness in his knee, especially after standing up from a seated position, and noticeable swelling. Initially, he thought it was just a common case of rheumatism.
“I thought it was just rheumatism, so I went to an internist. But after an X-ray was done, the results showed my bone was already misaligned and classified as grade 3,” he recalled.
The diagnosis frightened him and led him to avoid following the advice to see an orthopedic doctor. Being an avid reader, he attempted to self-diagnose and gather information on his own. He feared his symptoms might indicate rheumatoid arthritis and began analyzing everything without professional consultation.
However, his physical condition continued to deteriorate. The stiffness and swelling worsened, and a particular experience during a holiday in Yogyakarta became a wake-up call. “When I got out of the car, I felt paralyzed. It was really difficult just to step out. That’s when I decided to see a doctor,” he said.
Motivated to find treatment, he began gathering information from various sources, including a neighbor who recommended dr. Paulus at Mandaya Royal Hospital Puri.
“I was looking for information and spoke to a neighbor who told me to see dr. Paulus, an expert at Mandaya Royal Hospital Puri. He said the doctor was experienced in Total Knee Replacement (TKR) procedures,” the patient shared.
His confidence grew, especially as his worsening knee condition left him no choice but to seek treatment. “So I agreed, felt more confident too. My leg was becoming increasingly stiff and getting worse, so I had to see a doctor instead of trying to find a solution on my own,” he added.
Eventually, the patient underwent professional treatment at Mandaya Royal Hospital Puri, supported by an experienced medical team. His story serves as a reminder that listening to your body and seeking the right help are crucial steps in maintaining your quality of life.
dr. Paulus’ Approach to Total Knee Replacement
When dr. Paulus first met the patient, the patient was still able to walk but reported pain in his right knee. Upon examination, dr. Paulus identified a deformity where the leg bowed inward, resembling an “O” shape.
Meanwhile, the patient’s left leg had no deformity and remained straight and healthy, causing no issues.
“The bowing was ‘O’-shaped, but not too severe—around 9 to 10 degrees. We took an X-ray and evaluated it. I initially thought it might just be damage on one side, so I considered a partial knee replacement or Unicompartmental Knee Arthroplasty (UKA),” dr. Paulus explained.
“But once we opened up the knee during surgery, we found extensive damage. The patellofemoral area was severely eroded, and the outer (lateral) part of the knee was also affected. So we concluded that a partial knee replacement wasn’t suitable, and a Total Knee Replacement (TKR) was necessary,” dr. Paulus said.
During the surgery, the patient remained conscious, and dr. Paulus explained that a full TKR would be required. Fortunately, recovery was relatively fast since the deformity wasn’t too severe.
The patient also shared his post-operative experience. After surgery, his knee still felt stiff, but he did not feel pain when standing. He no longer feared taking steps. “Even on the first day, there was no pain, but I still needed physical therapy and support,” he said.
About two weeks after the total knee replacement surgery, the patient was already able to walk without difficulty.
Advanced Robotic Knee Replacement Surgery at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri provides cutting-edge technology for patients with knee problems through the CORI robotic system. This robotic system is designed to assist surgeons in performing knee replacement procedures with high levels of accuracy and precision.
Here are the advantages of the CORI robotic system in knee surgery:
1. Suitable for Both Partial and Total Knee Replacements
CORI is a preferred choice for orthopedic surgeons worldwide due to its ability to perform both TKR and UKA. This flexibility allows surgeons to tailor the surgical approach to each patient’s unique condition and needs.
2. The Only Knee Robot FDA-Approved for Revision Surgery
CORI is the only robotic knee system approved by the FDA for use in revision surgeries—replacing old implants, which is typically more complex than initial replacements. With CORI, these procedures can be performed more safely and with greater precision.
3. No Need for CT Scans or MRIs
CORI works without requiring CT or MRI scans. Instead, it collects the patient’s knee anatomy during surgery and generates a real-time 3D model. This enables more accurate implant placement and supports better recovery outcomes.
4. Uses Durable OXINIUM Implants
The implants used in the CORI system are made from OXINIUM by Smith+Nephew. OXINIUM is a proven material with durability up to nine times greater than the international standard. It is designed to provide long-term solutions for patients undergoing knee surgery.
5. Used in Over 30 Countries and Backed by Hundreds of Scientific Publications
CORI robotic technology has been adopted in over 30 countries and is supported by hundreds of studies in medical journals, underscoring its effectiveness and excellence in modern orthopedic surgery.
dr. Paulus’ Schedule at Mandaya Royal Hospital Puri
dr. Paulus Ronald Hibono, Sp.OT (K) Hip & Knee, is a consultant orthopedic surgeon specializing in hips and knees. He earned his medical degree from Atma Jaya Catholic University, completed his Orthopedic and Traumatology Residency Training Program in Manila, Philippines, at Jose Reyes Memorial Medical Center, and continued his specialist training at Universitas Airlangga. He is a certified consultant and Fellow of the Indonesian Hip and Knee Society.
He is also CORI robot-certified and has completed hands-on workshops in Thailand. Thanks to his expertise, dr. Paulus represented Indonesia as a delegate at the CORI Robotic Summit in Germany.
You can meet dr. Paulus Ronald Hibono, Sp.OT (K) Hip & Knee at Mandaya Royal Hospital Puri on the following schedule:
- 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
To make your visit easier, use the Chat feature via WhatsApp, Book Appointment, or the Care Dokter app—available on Google Play and the App Store—to help schedule your visit, view queue numbers, and access complete information.
