A MISSED CASE OF SYNOVIAL HYPERTROPHY WITH MULTIPLE LOOSE BODY (SYNOVIAL CHONDROMATOSIS) DURING TOTAL KNEE REPLACEMENT SURGERY

Dr. Yash Pandey*, Dr. Suraj Sundarraj Joseph, Dr. Venkata Kiran Pillella, Dr. Madhukar

Synovial Chondromatosis is a condition in which cartiledginous osteocartiledginous bodies develop in the synovial membrane of Joints or their communicating bursae remesembling sago (snowstorm knee). These loose body tends to go for calcification by metaplasia and further cause enchondral ossification. It can be managed by Synovectomy and Removal of loose bodies with favourable outcome but in cases with the damage to the articular surface simply synovectomy might not be sufficient. Here We present a case of 62 Years Male with Bilateral Osteoartherites of Knee With Right more than Left. Xray showed Kellegren Lawerence type 4 with range of movement of 0 degree to 90 degree with no Fixed Flexion Deformity with failure of all the conservative management planned for Total Knee Replacement. Intraoperatively Loose body were appreciated and synovial hypertrophy was found, were removed and send for biopsy. Artheroplasy was performed and paitent was discharged after removal of sutures. Patient was advised to review after 1 week 1 month and 3 month and outocme was assessed with knee society score.