Joint, bone, and hip conditions present a complex challenge that affects many in their daily life, particularly in large urban areas.
The scarcity of hospitals adept in addressing these issues through an integrated, interdisciplinary approach adds to the complexity. Consider the intricate care required for Polytrauma and Multiple Fractures, particularly involving the Pelvic Acetabulum, or the intricate procedures of Total Hip Replacement commonly necessary during the advanced years of life. Siloam Hospitals Mampang, as a distinguished provider of Orthopedic services, embraces the intricate nature of joint and hip bone issues as both a challenge and an opportunity for advancement, not just about treating conditions; it’s about redefining the quality of life for patients, making Siloam Hospitals Mampang a sanctuary for those seeking unparalleled orthopedic care. This commitment was eloquently shared by Dr. Wahyuni Dian Purwati, Sp.EM, the esteemed Director of the hospital, during an enlightening Media Gathering on a balmy Thursday, 14 March 2024.
The event shone a spotlight on two of Siloam Mampang’s most distinguished specialists, Indonesia’s esteemed Orthopedic authority, Prof. Dr. dr. Ismail Hadisoebroto Dilogo SpOT(K) Pelvic, Hip and Knee, and dr. M Triadi Wijaya SpOT(K). Prof. Ismail shared their experience in treating a hard case of Polytrauma and Multiple Fractures involving the joints in particular; Pelvic Acetabulum. He noted that Polytrauma refers to trauma affecting multiple body parts, potentially leading to severe physiological dysfunction and even life-threatening multi-organ failure. He further clarified that Multiple Fractures occur when bone tissue continuity is disrupted along multiple fracture lines, often due to high-impact forces exerted directly or indirectly on the bone. Furthermore, ever since the emergence of Covid-19 virus, the medical team must also put into consideration the patient’s comorbidity. The simultaneous occurrence of both conditions necessitates a concerted effort from a team of Emergency physicians, SpBS, Anesthesiologists, SpPD, Medical Rehab specialists, and particularly SpOT doctors with their unique expertise, navigating through the intricacies of the case that was nothing short of a medical odyssey.
The patient, who had suffered from Polytrauma and a series of complex fractures involving the Pelvic Acetabulum, was a testament to the resilience of the dedication of those who wear the white coat. The fractures, located at the joints—a site more daunting than the long bone shaft—posed a unique challenge. The surgical outcomes for such injuries are often less predictable, yet the team’s expertise shone through. Employing techniques like ORIF (Open Reduction Internal Fixation) and Percutaneous Screwing, they not only repaired the fractures but also restored the patient’s ability to engage in the simple joys of daily life.
Prof. Ismail’s emphasis on regular physiotherapy post-operation is a reminder of the holistic approach to healing. It’s not just about the surgery but the journey that follows, ensuring that each step taken by the patient is a step closer to complete recovery. This narrative of overcoming adversity is a testament to Siloam Hospitals Mampang Prapatan’s unwavering commitment to excellence. It’s a story that goes beyond the clinical details, touching upon the very essence of what it means to heal and be healed. For in the end, it’s not just bones that are mended—it’s lives that are woven back together.
Another patient, hindered by the debilitating effects of healed Tuberculosis Coxitis (bone tuberculosis), leading to a significant 3 cm leg length discrepancy, found hope in the hands of a skilled orthopedic consultant specializing in pelvic surgery. The challenge was formidable: a Primary difficult Total Hip Replacement (THR) for Secondary Osteoarthritis. This wasn’t just any THR procedure; it was a meticulous dance of precision and expertise, tailored for a patient whose condition was compounded by a history of complex comorbidities. A strategic and thorough approach is essential for this case, as the goal is to ensure patients regain equal limb length, pain-free mobility, and the ability to perform daily activities without complications post-surgery.
The surgical team, led by the esteemed Prof. Dr. dr. Ismail Hadisoebroto Dilogo SpOT(K), once again embarked on a mission to restore not just the hip joint but the patient’s very way of life. With a fusion of joints and a shortening that would deter most, they saw an opportunity to innovate and excel. The operation was a symphony of medical disciplines, each playing a crucial role in the patient’s journey to recovery. From orthopedic reconstruction to internal medicine, anesthesia, neurosurgery, and medical rehabilitation, it was a testament to the power of teamwork and collective expertise. As the patient emerged from the theater, it was clear that the surgery was more than a success—it was a triumph of modern medicine. The damaged hip joint, once a source of constant pain and limitation, was now a sophisticated construct of metal and ceramic, promising a future of pain-free mobility and the simple joy of performing daily prayers with ease.
This narrative isn’t just about the treatment success over a medical condition; it’s about the relentless pursuit of excellence at Siloam Hospitals Mampang Prapatan, it speaks of a life reclaimed and a future embraced with open arms. Indeed, this is the art of healing at its finest.
