Robotic Total Knee Arthroplasty for Severe Post-Tuberculous Bone Defect: Case Report and Surgical Insights

Management of Severe Post-Tuberculous Tibial Defect with Robotic Guidance

Autores/as

  • Laurence José Conway Restrepo National Rehabilitation Institute
  • César Alejandro Jiménez-Aroche National Rehabilitation Institute
  • Victoria Carranza Aranda National Rehabilitation Institute
  • Carlos Pineda National Rehabilitation Institute
  • Carlos Enrique Suarez Ahedo INR

Palabras clave:

Robotic assistance, Total knee arthroplasty, CORI, Tuberculosis, Bone deffect, Surgical technique

Resumen

Osteoarticular tuberculosis is a rare but potentially serious cause of joint destruction. In the knee, infection with Mycobacterium tuberculosis can cause bone cavitation and progressive structural damage, leaving significant mechanical sequelae even after the infectious process has resolved. We present the case of a patient with a history of previously treated bone tuberculosis of the knee who developed advanced gonarthrosis and was treated with cemented total knee arthroplasty. We review the diagnostic, surgical, and therapeutic aspects, highlighting considerations regarding the appropriate timing for surgery and the available evidence regarding the use or non-use of antituberculosis therapy in the postoperative period.

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Biografía del autor/a

Laurence José Conway Restrepo, National Rehabilitation Institute

Nothing to disclose.

César Alejandro Jiménez-Aroche, National Rehabilitation Institute

Nothing to disclose.

Victoria Carranza Aranda, National Rehabilitation Institute

Nothing to disclose.

Carlos Pineda, National Rehabilitation Institute

Nothing to disclose.

Citas

Tuli SM. Tuberculosis of the skeletal system. 5th ed. Jaypee Brothers; 2016.

Kim YH, Kim JS. Total knee arthroplasty for tuberculous arthritis. J Bone Joint Surg Am. 1988;70(9):1321–1330.

Zeng M, et al. Total knee arthroplasty in advanced tuberculous arthritis of the knee. Int Orthop. 2016;40(7):1433–1439.

Wang J, et al. Total knee arthroplasty in advanced active tuberculous arthritis. J Surg Res. 2022;275:85–91.

Yadav S, et al. Total knee arthroplasty in a case of tuberculosis knee in healing stage. J Postgrad Med Educ Res. 2015;49(3):139–142.

Sultan AA, et al. TKA in the face of a previous tuberculosis infection of the knee. Expert Rev Med Devices. 2018;15(10):717–724.

Nizar A, et al. Systematic review of total knee arthroplasty in tuberculosis. Cureus. 2024;16(5):e63425.

Habaxi A, et al. One-stage total knee arthroplasty in active tuberculosis arthritis. Eur Rev Med Pharmacol Sci. 2014;18(9):123–128.

Shinde V, Veerendra K. Total knee arthroplasty in tuberculous arthritis: case report. J Orthop Case Rep. 2025;15(2):78–83.

Abdel MP, et al. The use of constrained components in complex primary TKA. Bone Joint J. 2017;99-B(3):325–329.

Kadakia AP, et al. Tuberculous infection in a total knee replacement: case report. Acta Orthop Belg. 2007;73(5):660–663.

Wang Q, et al. Tuberculous infection in total knee arthroplasty: review. Orthop Surg. 2020;12(4):1153–1161.

Leclere FM, et al. Tuberculous arthritis of the knee treated with two-stage TKA. J Bone Joint Surg Am. 2009;91(12):2920–2924.

Bhattacharjee S, et al. Outcomes of TKA following incidental tuberculosis. Indian J Tuberc. 2024;71(4):460–464.

Kim JH, et al. Reactivation of tuberculosis after TKA. Clin Orthop Relat Res. 2010;468(6):1757–1762.

Parmar VD, et al. Post-operative changes in inflammatory markers following TKA. J Clin Orthop Trauma. 2021;18:126–131.

Abdel MP, et al. Complications and outcomes in constrained TKA. Bone Joint J. 2017;99-B(3):325–329.

Habaxi A, et al. Outcomes of TKA in tuberculosis of the knee. Eur Rev Med Pharmacol Sci. 2014;18(9):123–128.

Zeng M, et al. Long-term results of TKA in healed TB knee. Int Orthop. 2016;40(7):1433–1439.

Ngim HLJ, Van Bavel D, De Steiger R, et al. Robotic-assisted revision total knee arthroplasty: a novel surgical technique. Arthroplasty. 2023;5(1):5.

Wu XD, Zhou Y, Shao H, et al. Robotic-assisted revision total joint arthroplasty: a state-of-the-art scoping review. EFORT Open Rev. 2023;8(1):18–25.

Tian R, Duan X, Kong N, et al. Robotic-assisted total knee arthroplasty improves implant position and early functional recovery for the knee with severe varus/valgus deformity. BMC Musculoskelet Disord. 2024;25(1):92.

Song EK, Seon JK, Yim JH, et al. Robotic-assisted TKA reduces postoperative alignment outliers and improves gap balance compared to conventional TKA. Clin Orthop Relat Res. 2013;471(1):118–126.

Publicado

2026-09-17

Cómo citar

1.
Conway Restrepo LJ, Jiménez-Aroche CA, Carranza Aranda V, Pineda C, Suarez Ahedo CE. Robotic Total Knee Arthroplasty for Severe Post-Tuberculous Bone Defect: Case Report and Surgical Insights: Management of Severe Post-Tuberculous Tibial Defect with Robotic Guidance. Invest. Discapacidad [Internet]. 17 de septiembre de 2026 [citado 15 de octubre de 2026];. Disponible en: https://dsm.inr.gob.mx/indiscap/index.php/INDISCAP/article/view/411

Número

Sección

Reportes de caso y series de casos

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