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EVALUATION OF THE EFFICACY AND SAFETY OF RF GENICULAR NEUROTOMY COMBINED WITH INRAARTICULAR PULSED RF FOR KNEE OSTEOARTHRITIS
ESRA Academy. Abbas Sobhi D. Sep 8, 2016; 138208; 0023 Topic: Chronic Pain Management
Assoc. Prof. Dina Nabil Abbas Sobhi
Assoc. Prof. Dina Nabil Abbas Sobhi

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Abstract
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Background and Aims:

Background

 Knee osteothritis (OA) is a leading cause of disability in older adults. Conservative approaches, are not usually successful, that some of them have serious adverse effects

The aim of this study was to evaluate the efficacy and safety of intraarticular pulsed RF combined with RF neurotomy applied in patients with chronic knee pain due to OA after failure of conservative measures and intraarticular injection.

Methods:

This retrospective study was carried out with informed written and verbal consent on the intervention to be applied, the study and all inter-ventions were carried out in the pain treatment center of the National Cancer Institute, Cairo university hospital. The files of 50 patients, on whom knee joints Pulsed RF  and Conventional RF was applied between May 2014 and January 2016, were reviewed independently by a physician who was not involved in the study.

Percutaneous genicular RF neurotomy under fluoroscopic guidance was applied followed by intraarticular PRF .

Results:

Visual analogue scale (VAS), and Western Ontario and McMaster Universities (WOMAC) Index of Osteoarthritis were measured at baseline and at 1, 3,6,12 months post-procedure.

The rate of patients reporting a minimum decrease of 3 points in the VAS scores was 41 participants (82%) at 1 month,37(74%)at 3 months, 35(70 %) at 6 months and 34(68%) at 12 months.

 

 VAS scores and WOMAC index showed less values at all study period (p < 0.05) compared with baseline.

Conclusions:

RF genicular neurotomy and intrarticular PR appears to be an effective and safe method  for management of  kneeosteoarthritis

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