Seventeen years to mobility: delayed total knee arthroplasty for post-tuberculous arthritis-A case report.

Nomina Pradhan, Ujal Pradhan, Chandhanarat Chandhanayingyong, Keerati Chareancholvanich

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Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Nomina PradhanDepartment of Orthopedic Surgery, Central Regional Referral Hospital, Gelephu, Bhutan. drnomina88@gmail.com.ORCID http://orcid.org/0000-0001-9932-0554

Ujal PradhanDepartment of Critical Care Medicine, Sunnybrook Health Science Center, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0003-1904-5324

Chandhanarat ChandhanayingyongDepartment of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Salaya, Thailand.ORCID http://orcid.org/0000-0002-9473-8836

Keerati ChareancholvanichDepartment of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Salaya, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTuberculous arthritis of the knee is an uncommon manifestation of extrapulmonary tuberculosis that can be misdiagnosed and lead to severe joint destruction. CASE PRESENTATION: We report a rare case of a 40-year-old Buddhist male patient from Bhutan with an 18-year history of progressive knee stiffness and pain following sports-related knee injury, later diagnosed as tuberculous arthritis. After delayed diagnosis and treatment, the patient underwent successful total knee arthroplasty performed by an international surgical team.

resultPostoperatively, the patient regained 90° of flexion with full extension at 6 months, with no evidence of recurrence.

conclusionThis case highlights the importance of maintaining a high index of suspicion for tuberculous arthritis in endemic regions and illustrates how delayed but appropriate surgical intervention can restore function and quality of life.

Indexed as

Arthroplasty, Replacement, KneeKnee JointTuberculosis, OsteoarticularAdultAntitubercular AgentsDelayed DiagnosisHumansMaleRange of Motion, ArticularTreatment DelayTreatment OutcomeAntitubercular AgentsMusculoskeletal tuberculosisTotal knee arthroplastyTuberculous arthritis

Identifiers

PMID41555348

DOI10.1186/s13256-025-05823-w

PMCPMC12895593

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LicenceCC BY-NC-ND

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