Arthroscopic retrieval of bullet from knee

Knee joint can be commonly afflicted by foreign bodies which may be of varied nature. The problems associated with foreign body in the knee joint are associated soft tissue injuries, morbidity due to removal surgery, late onset infection, and arthritis. Arthroscopic retrieval of the foreign body can help decrease the morbidity associated with surgery. Bullet is an extremely unusual foreign body and has been rarely described in literature. We describe a rare case report of an intra-articular bullet caused by misfiring of a gun and its early arthroscopic retrieval. The 45-year-old policeman recovered well from surgery and had complete range of motion (0–130°) with no synovitis and minimal pain. Early arthroscopic-assisted retrieval can help achieve a satisfactory result and long-term outcome.