Radiofrequency Neurotomy In Relieving Chronic Knee Pain

Assiut University

Status: Completed

Conditions: Pain, Chronic; Osteo Arthritis Knee

Treatments: Drug: Ketorolac Tromethamine (conventional); Procedure: radiofrequency; Drug: Paracetamol (conventional)

Study type: Interventional

Funder types: Other

Identifiers

NCT03224637

IRB00009913

Details and patient eligibility

About

Osteoarthritis (OA) affects aged above 45 years. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.

Full description

Osteoarthritis (OA) is commonest chronic arthritis affecting patients usually aged above 45 years. OA decreased health-related quality of life and increased economic costs. Radiofrequency (RF), was used for the treatment of chronic pain unresponsive to conservative therapies. RF has been used for several painful conditions. There have been a few attempts to use RF current for the treatment of painful conditions of joints of the extremities. It was also used for the treatment of painful conditions of the hip joint.

Enrollment: 60 patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• chronic arthritis according to the American College of Rheumatology criteria
• diagnosed radiologically patients in stage 3 and 4, according to the Kellgren-Lawrence classification

Exclusion criteria

• other causes of pain such as radiculopathy, neurological disorders, or intermittent claudication.
• patients receive intraarticular steroid or hyaluronic acids during previous three months.
• patients did previous knee surgery.
• Patients with general contraindication to the application of invasive intervention such as hemorrhage, coagulation disorder, systemic infection or local infection.
• patients with other connective tissue disease affecting the knee. And 6-psychiatric disorders.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

60 participants in 2 patient groups

radiofrequency group

Active Comparator group

Description:

radiofrequency was done in the three genicular nerves upper medial and upper lateral and lower medial

Treatment:

Procedure: radiofrequency

conventional group

Active Comparator group

Description:

the patients received conventional paracetamol and non steroidal antiinflammatory

Treatment:

Drug: Ketorolac Tromethamine (conventional)

Drug: Paracetamol (conventional)