Pulsed Radiofrequency Rhizotomy of the Genicular Nerves of the Knee Guided by Radioscopy and Ultrasonography: Step-By-Step Technique.


Journal

Arthroscopy techniques
ISSN: 2212-6287
Titre abrégé: Arthrosc Tech
Pays: Netherlands
ID NLM: 101597442

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 23 09 2021
accepted: 09 11 2021
entrez: 8 3 2022
pubmed: 9 3 2022
medline: 9 3 2022
Statut: epublish

Résumé

Osteoarthritis (OA) of the knee is highly prevalent and causes pain, stiffness, and harms the quality of life of millions of patients. Scientific evidence about radiofrequency ablation or rhizotomy of genicular nerves has been presented with increasing frequency in the literature for the treatment of chronic pain related to knee OA as an alternative to total knee arthroplasty. The main indication for this procedure is symptomatic OA unresponsive to conservative treatment, regardless of the disease evolution, although more common indications are in Kellgren-Lawrence grade III or IV, in post-total knee arthroplasty residual pain without an identified cause, in patients with comorbidities and high surgical risk, and those who do not want to undergo surgery. The aim of this study is to describe the step-by-step rhizotomy technique with pulsed radiofrequency of the 3 genicular nerves, guided by radioscopy and ultrasonography.

Identifiants

pubmed: 35256981
doi: 10.1016/j.eats.2021.11.006
pii: S2212-6287(21)00321-2
pmc: PMC8897599
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e391-e396

Informations de copyright

© 2021 The Authors.

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Auteurs

Douglas Mello Pavão (DM)

National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.
Beneficencia Portuguesa Hospital. Petrópolis. RJ, Brazil.
Ribeirão Preto Medical School, University of São Paulo, Brazil.

José Leonardo Rocha Faria (JL)

National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.
Ribeirão Preto Medical School, University of São Paulo, Brazil.

Marcelo Mandarino (M)

National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.

Phelippe Augusto Valente Maia (PAV)

National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.

Alan de Paula Mozella (AP)

National Institute of Traumatology and Orthopedics (INTO/MS), Rio de Janeiro, Brazil.

Gustavo Vinagre (G)

Hospital Lusíadas Porto, Porto, Portugal.
Complexo Hospital do Médio Ave, Porto, Portugal.

Ignacio Dallo (I)

O.A.S.I. Bioresearch Foundation Gobbi NPO, Milan, Italy.

Fernando Carneiro Werneck (FC)

Beneficencia Portuguesa Hospital. Petrópolis. RJ, Brazil.

Vinicius Bonfante (V)

Hospital de Traumatologia e Ortopedia Dona Lindú.

Rodrigo Salim (R)

Ribeirão Preto Medical School, University of São Paulo, Brazil.

Fabricio Fogagnolo (F)

Ribeirão Preto Medical School, University of São Paulo, Brazil.

Classifications MeSH