Knee pain and discomfort can significantly reduce mobility and disrupt daily activities. This was exactly what a 68-year-old patient from Jakarta experienced before undergoing surgery at Mandaya Royal Puri Hospital.
The patient suffered from pain in both knees and had to undergo Unicompartmental Knee Arthroplasty (UKA) and Total Knee Replacement (TKR) using the advanced CORI robotic knee system at Mandaya Royal Puri Hospital. What were the initial symptoms, and how was the outcome of the surgery?
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The Patient’s Journey Toward Knee Surgery
The 68-year-old patient experienced severe pain in both knees, especially when walking or climbing stairs. The condition had persisted for a long time and progressively worsened.
Initially, the left knee began to hurt three years ago. After taking medication, the pain temporarily subsided. However, recently, the right knee became extremely painful, particularly while walking, with a sensation described as being “grated” or “cut by a knife.”
Pain occurred with each step, though not while standing still. The patient received treatment and injections for the right knee, but there was no improvement. Daily activities became difficult, and the patient spent more time lying down, needing help from her husband to get up.
Due to persistent symptoms, the patient’s child recommended a consultation with Dr. Paulus Ronald Hibono, Sp.OT(K) Hip & Knee, an orthopedic specialist in hip and knee at Mandaya Royal Puri Hospital.
After a thorough examination, it turned out that the left knee was in worse condition. The cartilage was severely worn down, causing the bones to rub together, and there was significant calcification.
Dr. Paulus’s detailed explanation reassured the patient, who then felt confident and ready to proceed with the surgery. The goal was to significantly improve her quality of life, reduce pain, and restore the ability to perform daily activities independently.
Dr. Paulus’s Explanation of the Patient’s Condition
According to Dr. Paulus, the right knee was only slightly damaged and could be treated with UKA, while the left knee required TKR.
“The left knee, upon inspection during surgery, was in poor condition. Much of the cartilage was damaged, making TKR necessary. Fortunately, we were able to use robotic-assisted surgery, which delivers faster and more precise results,” Dr. Paulus explained.
“About a week after the first follow-up visit, the patient was already walking. In fact, she could walk without a cane, though for longer distances, a cane was recommended to prevent falls,” added the doctor, who specializes in robotic-assisted knee surgery using the CORI system.
According to Dr. Paulus, the patient’s recovery and wound healing were quite rapid. One week post-surgery, the patient was already walking and had resumed daily activities.
Robotic Knee Surgery with CORI at Mandaya Royal Puri Hospital
Knee surgery at Mandaya Royal Puri Hospital can be performed using the advanced CORI robotic system.
This robotic technology assists surgeons in performing knee replacement procedures with greater accuracy and precision.
Here are some advantages of the CORI Robotic Knee System:
1. Capable of Performing Both Partial and Total Knee Replacement
CORI is one of the preferred robotic systems among orthopedic surgeons globally, as it can handle both TKR and UKA procedures. This allows surgeons to tailor the surgical method based on the patient’s specific knee condition.
2. The Only Robotic System FDA-Approved for Knee Revision Surgery
CORI is the only knee robotic system officially approved by the FDA for revision knee surgery—procedures that replace old knee implants, typically more complex than standard replacements. CORI enhances the precision and safety of these surgeries.
3. No Need for CT Scan or MRI
CORI does not require preoperative CT or MRI scans. During the procedure, the surgeon collects real-time anatomical data, and the system generates a 3D model of the patient’s knee. This enables more accurate implant placement and better postoperative outcomes.
4. Durable OXINIUM Implants
CORI is produced by Smith+Nephew, which also offers knee implants made of OXINIUM—a material designed for long-lasting performance. Lab tests show these implants are 9 times more durable than international standards, making them a long-term solution for patients.
5. Used in 30 Countries and Backed by Hundreds of Scientific Publications
CORI technology has been adopted by orthopedic surgeons in over 30 countries and is supported by extensive scientific research published in medical journals, reinforcing its reputation as a trusted tool in modern orthopedic surgery.
Dr. Paulus’s Schedule at Mandaya Royal Puri Hospital
Dr. Paulus is an orthopedic specialist with a subspecialty in hip and knee. He completed his medical education at the Faculty of Medicine, Atma Jaya Catholic University, followed by various orthopedic training programs:
- Orthopedic and Traumatology Residency Training, Jose Reyes Memorial Medical Center, Manila, Philippines
- Specialist Program in Orthopaedics and Traumatology, Airlangga University
- Fellow of the Indonesian Hip and Knee Society
He has also participated in numerous international courses and seminars, including:
- AO Trauma Course: Principles in Operative Fracture Management – Manila
- Updates in the Management of Fracture Complications – Manila
- 17th Postgraduate Course: Issues and Controversies in Joint Replacement Surgery – Manila
- Workshop on Flexor Tendon Repair – Manila
- ISAKOS Rotation Training – Manila
As a certified orthopedic surgeon for robotic knee surgery with CORI, Dr. Paulus represented Indonesia at the CORI Robotic Summit in Germany and also attended direct workshops in Thailand.
He also treats conditions such as osteoarthritis, knee cysts, pinched nerves, meniscus tears, and fractures.
Dr. Paulus Ronald Hibono, Sp.OT(K) Hip & Knee is available for consultations at Mandaya Royal Puri Hospital 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
If you are experiencing knee problems or considering robotic knee replacement surgery with Dr. Paulus, don’t hesitate to visit Mandaya Royal Puri Hospital.
To make your visit easier, use the Chat via WhatsApp, Book Appointment, or Care Dokter app, available on Google Play and the App Store. These features allow you to check queue numbers and access complete hospital information conveniently.
