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172331

Radiofrequency Denervation of Genicular Nerves for Advanced Knee Osteoarthritis Pain: A retrospective Observational Study

Article

Last updated: 24 Dec 2024

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-

Tags

Internal Medicine

Abstract

Background: Knee joint osteoarthritis is a degenerative disorder resulting in pain and disability. The treatment of knee osteoarthritis pain includes the use of oral analgesics, oral glucosamine and chondroitin sulfate, intra-articular steroid, and viscous supplementation, but with limited efficacy.
Aim of the work: This retrospective observational study aimed to evaluate the efficacy of radiofrequency thermocoagulation of genicular nerves for control of the pain of knee joint osteoarthritis.
Material and methods: This study included patients with knee pain of Kellgren Lawrence grade 3 and 4 osteoarthritis who underwent radiofrequency neurotomy of the knee joint from July 2015 to July 2018. The 68 joints of 60 patients were evaluated for knee pain VAS score [0–10 mm], oxford knee score [12–60] and development of any adverse effect at pre and post-procedure at 1, 3, 6 and 12 months.
Results: The mean± SD values of Visual analog scale [VAS] [0–10] for knee joint pain were 7.93±1.21, 3.38±1.59, 4.10±2.30, 4.90±1.88, and 5.80±1.71 at pre-procedure and at 1, 3, 6 and 12 months post-procedure. The mean ± SD values for Oxford Knee Score [OKS] [12–60] were 40.87±7.66, 23.90±5.60, 25.93±5.48, 27.93 ± 5.48, and 31.43±5.62 at pre-procedure and at 1, 3, 6 and 12 months post-procedure. One-way repeated measures of ANOVA test showed a significant decrease in VAS and OKS scores between pre and post-procedure at 1, 3, 6 and 12 months [p <0.001].
Conclusion: Radiofrequency thermocoagulation of genicular nerves provides significant pain relief and functional improvement in advanced knee joint osteoarthritis patients for a duration of one year. 

DOI

10.21608/ijma.2021.68924.1286

Keywords

Radiofrequency ablation, Local anaesthetic block, knee pain, Ultrasound Guided, Fluoroscope guided

Authors

First Name

Sandeep

Last Name

Khuba

MiddleName

-

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

sandeepkhuba@gmail.com

City

Lucknow

Orcid

0000-0002-1840-1131

First Name

Sanjay

Last Name

Kumar

MiddleName

-

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

drsanjaygupta9@gmail.com

City

Lucknow

Orcid

0000-0003-2875-5838

First Name

Sujeet

Last Name

Gautam

MiddleName

-

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

docsksg@gmail.com

City

Lucknow

Orcid

0000-0001-9462-521X

First Name

Anil

Last Name

Agarwal

MiddleName

-

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

anil_sgpgi@hotmail.com

City

Lucknow

Orcid

0000-0002-5231-9609

First Name

Chetna

Last Name

Shamshery

MiddleName

-

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

drchetna@rediffmail.com

City

Lucknow

Orcid

0000-0002-9175-0514

First Name

Keshav

Last Name

Garg

MiddleName

Kumar

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

keshavmckdoc@gmail.com

City

Lucknow

Orcid

0000-0003-1413-7596

First Name

Rajput

Last Name

Kumar

MiddleName

Abhishek

Affiliation

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

Email

drrajputabhishek@gmail.com

City

Lucknow

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-03-22

Publish Date

2021-07-01

Page Start

1,576

Page End

1,583

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1576-1583.pdf

PDF . 1.8MB

Link

https://ijma.journals.ekb.eg/article_172331.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=172331

Order

11

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Radiofrequency Denervation of Genicular Nerves for Advanced Knee Osteoarthritis Pain: A retrospective Observational Study

Details

Type

Article

Created At

22 Jan 2023