![]() There are limited options of non-surgical management of a loose body in the knee joint as it mainly leads to mechanical symptoms which are relieved only after removal. Loose body is typically diagnosed with the help of radiographs. These loose fragments can lead to severe damage to the articular cartilage, causing advanced osteoarthritis. They can cause severe pain and hinder the joint movement by getting caught in flexion and extension movements. Loose bodies in the knee joint can be small (11 mm). This may also be seen in inflammatory conditions of knee (fibrinous loose body), synovial chondromatosis, OCD, or charcoat’s disease. Loose body is usually encountered in day-to-day cases of DJD knee. Loose body is formed after injury to cartilage or osteophytes during trauma or sports. Loose bodies in the knee joint are small fragments of cartilage or bone that moves freely inside the knee in joint fluid, or synovium. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. ![]() In review of literature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. The surgical technique most commonly utilized is arthroscopy. This is managed surgically most of the times when it becomes symptomatic. Patients with loose bodies in knee joint presented to orthopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. Received 10 July 2015 accepted 2 August 2015 published 5 August 2015 This work is licensed under the Creative Commons Attribution International License (CC BY). RML Hospital, New Delhi, IndiaĮmail: * © 2015 by authors and Scientific Research Publishing Inc. RML Hospital, New Delhi, IndiaģDepartment of Orthopaedics, Dr. Praveen Kumar Pandey 1*, Inder Pawar 1, Jyoti Gupta 2, Raaghav Rai Verma 3ġDepartment of Orthopaedics, ESI-PGIMSR Model Hospital, Basaidarapur, New Delhi, IndiaĢDepartment of Anaesthesia, Dr.
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