Tibial tuberculosis, if more severe, may cause the following consequences. 1. Inflammation of the epiphysis or premature closure of the epiphysis. Most often seen in adolescents, the presence of inflammation can cause lesions in the epiphysis, resulting in bony protrusions that are not very obvious, and in severe cases can even lead to shortening of the patellar ligament. The knee joint will have a series of abnormal activities, and subsequently prone to damage such as cartilage, meniscus, and ligaments.2. Excessive osteophytes, which occur in more severe cases of osteophytes, can lead to excessive calcium salt deposition, which in turn has excessive bony protrusions.3. Decreased muscle strength of the knee joint, which produces inflammation when the patient is afraid to move due to pain. The inflammation, if severe, may cause avulsion fractures during strenuous activity.