Effects of fluoroscopy-guided conventional radiofrequency ablation in dissatisfied patients after total knee arthroplasty

Edip Gönüllü 1, Sezgin Bahadır Tekin 2 *
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1 Department of Algology, Dr. Ersin Arslan Education and Research Hospital, Gaziantep, Turkey
2 Department of Orthopaedic Surgery, Dr. Ersin Arslan Education and Research Hospital, Gaziantep, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 5, Issue 59, pp. 34-37. https://doi.org/10.23950/1812-2892-JCMK-00807
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ABSTRACT

Objective: Osteoarthritis is a chronic progressive disease that can be treated with several conservative and surgical methods. One commonly used surgical method is total knee arthroplasty. However, some patients have persistent annoying pain afterward. The aim of our study was to investigate the effectiveness of radiofrequency treatment accompanied by fluoroscopy in patients who underwent total knee arthroplasty and had no other reason for their persistent pain.
Material and methods: Twenty-eight patients who had undergone total knee arthroplasty for osteoarthritis were retrospectively analyzed and included in the study. Patients who are dissatisfied after total knee arthroplasty procedure, were performed radiofrequency ablation by fluoroscopy. All patients were examined in terms of visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores preoperatively and 2 weeks and 1 and 3 months postoperatively.
Results: The VAS and WOMAC scores at postoperative week 2 and months 1 and 3 were statistically significantly different than the preoperative values for all patients (P=0.001).
Conclusion: Patients with persistent pain after total knee arthroplasty obtained good results in terms of pain and knee function after conventional radiofrequency ablation accompanied by fluoroscopy but more studies with more patients are needed.
Keywords: radiofrequency, total knee, dissatisfied patients

CITATION

Gönüllü E, Tekin SB. Effects of fluoroscopy-guided conventional radiofrequency ablation in dissatisfied patients after total knee arthroplasty. J Clin Med Kaz. 2020;5(59):34-7. https://doi.org/10.23950/1812-2892-JCMK-00807

REFERENCES

  • Nguyen US, Zhang Y, Zhu Y, Niu J,Zhang B, Felson DT. Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Ann Intern Med. 2011; 155 (11):725-732. https://doi.org/10.7326/0003-4819-155-11-201112060-00004
  • Losina E, Weinstein AM, Reichmann WM, Burbine SA, Solomon DH, Daigle ME, Rome BN, Chen SP, Hunter DJ, Suter LG, Jordan JM, Katz JN. Lifetime risk and age at diagnosis of symptomatic knee osteoarthritis in the US. Arthritis Care Res (Hoboken). 2013; 65(5):703-711. https://doi.org/10.1002/acr.21898
  • Karlsson J, SjoÅNgren LS, Lohmander LS. Comparison of two hyaluronan drugs and placebo in patients with knee osteoarthritis: a controlled, randomized, double- blind, parallel-design multicentre study. Rheumatology. 2002; 41(11):1240-1248 https://doi.org/10.1093/rheumatology/41.11.1240
  • Lowry AM, Simopoulos TT. Spinal cord stimulation for the treatment of chronic knee pain following total knee replacement. Pain Physician. 2010; 13(3):251-256.
  • Vallejo R, Benjamin RM, Aliaga L. Radiofrequency vs. pulse radiofrequency: The end of controversy. Tech Region Anesth Pain Manage. 2010; 14(3):128-132. https://doi.org/10.1053/j.trap.2010.06.003
  • Choi WJ, Hwang SJ, Song JG, Leem JG, Kang YU, Park PH, Shin JW. Radiofrequency treatment relieves chronic knee osteoarthritis pain: A double-blind randomized controlled trial. Pain. 2011; 152(3):481-487. https://doi.org/10.1016/j.pain.2010.09.029
  • Iannaccone F, Dixon S, Kaufman A. A Review of Long-Term Pain Relief after Genicular Nerve Radiofrequency Ablation in Chronic Knee Osteoarthritis. Pain Physician. 2017; 20(3):E437-E444. https://doi.org/10.36076/ppj.2017.E444
  • Gupta A, Huettner DP, Dukewich M. Comparative Effectiveness Review of Cooled Versus Pulsed Radiofrequency Ablation for the Treatment of Knee Osteoarthritis: A Systematic Review. Pain Physician. 2017; 20(3):155-171. https://doi.org/10.36076/ppj.2017.171
  • Karaman H, Tüfek A, Kavak G., Yildirim ZB, Uysal E, Celik F, Kaya S. Intra-articularly applied pulsed radiofrequency can reduce chronic knee pain in patients with osteoarthritis. J Chin Med Assoc. 2011; 74(8):336-340. https://doi.org/10.1016/j.jcma.2011.06.004
  • Ogalla IR, Martin AM, Pineda MMS, Huertas FR. Eficacia de la radiofrecuencia convencional de los geniculados para el tratamiento del dolor en la gonartrosis moderada- severa. Rev. Soc Esp Dolor. 2014; 21:212-218. https://doi.org/10.4321/S1134-80462014000400005
  • Protzman NM, Gyi J, Malhotra AD, Kooch JE. Examining the feasibility of radiofrequency treatment for chronic knee pain after total knee arthroplasty. PM R. 2014; 6:373-376. https://doi.org/10.1016/j.pmrj.2013.10.003
  • Ogalla IR, Martin AM, Pineda MMS, Huertas FR. Eficacia de la radiofrecuencia convencional de los geniculados para el tratamiento del dolor en la gonartrosis moderada- severa. Rev. Soc Esp Dolor. 2014; 21:212-218. https://doi.org/10.4321/S1134-80462014000400005
  • Mata J, Valentí P, Hernández B, Mir B, Aguillar. Study protocol for a randomised con- trolled trial of ultrasound-guided pulsed radiofrequency of the genicu- lar nerves in the treatment of patients with osteoarthritis knee pain. BMJ Open. 2017; 7(11): e016377
  • Choi WJ, Hwang SJ, Song JG, Leem JG, Kang YU, Park PH, Shin JW. Radiofrequency treatment relieves chron- ic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain. 2011; 152(3):481-87. https://doi.org/10.1016/j.pain.2010.09.029
  • Franco CD, Buvanendran A, Petersohn JD, Menziez RD, Menziez LP. Innervation of the anterior capsule of the human knee: Implications for radiofrequency ablation. Reg Anesth Pain Med. 2015; 40(4): 363-68. https://doi.org/10.1097/AAP.0000000000000269
  • Yasar E, Kesikburun S, Kılıç C, Güzelküçük Ü, Yazar F, Tan AK. Accuracy of ultrasound-guided genicu- lar nerve block: A cadaveric study. Pain Physician. 2015; 18(5):899-904
  • Cheng PH, Kim HJ, Ottestad E, Narouze S. Ultrasound-guided injections of the knee and hip joints. Tech Reg Anaesth Pain Manag. 2009; 13:191-97 https://doi.org/10.1053/j.trap.2009.06.022
  • Huntoon MA: Ultrasound in pain medicine: Advanced weaponry or just a fad? Reg Anesth Pain Med. 2009; 34(5):387-88. https://doi.org/10.1097/AAP.0b013e3181b494f5
  • Patel N, Cohen SP, Response to: Cheng. Comparative outcomes of cooled versus traditional radiofrequency ablation of the lateral branches for sacroiliac joint pain. Clin J Pain. 2013; 29(2):132-137. https://doi.org/10.1097/AJP.0b013e31828c88e0