Knee Osteoarthritis
Conditions
Keywords
Genicular nerve radio-frequency ablation
Brief summary
The study is designed to evaluate and compare the efficacy of three needles approach as a new technique in radiofrequency neurotomy of genicular nerve versus the traditional single needle approach as a treatment of advanced knee osteoarthritic pain. Primary outcome: 1. Pain intensity via the visual analogue score (VAS). 2. Function and pain via the Oxford Knee Score. Evaluated after 6 months of the procedure Secondary outcome: 1. Failure rate. 2. Incidence of any complication. 3. Total analgesic requirement during the period of follow up.
Interventions
Ablation of the genicular nerves for pain relief in advanced knee osteoarthritis
Sponsors
Study design
Eligibility
Inclusion criteria
* 1- Age 35-85 years old 2- Patients with stage 3 or higher OA-related radiological changes based on Kellgren-Lawrence (K/L) rating scale 3- Knee pain for at least 3 months 4-Patients are clinically unresponsive to conservative treatment modalities (physical therapy and rehabilitation practices, orally administered analgesics and anti-inflammatory drugs).
Exclusion criteria
* 1- Patients with other causes of pain as radiculopathy, neurological disorders or intermittent claudication. 2- Previous knee trauma. 3- Previous knee surgery. 4- Patients received intra-articular injection during the previous three months. 5- Acute knee pain. 6- Crystal arthropathy. 7- Joint effusion. 8- Serious neurological or psychiatric disorders. 9- On anticoagulant medication. 10- Any other connective tissue disorder that affects the knee joint. 11- skin infection at the site of injection. 12-patient refusal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue score | 6 months after the procedure | Pain intensity via the visual analogue score (VAS). |
| Oxford knee score | 6 months after the procedure | Follow up of pain and function via the Oxford knee score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Failure rate | 6 months after the procedure | Persistence of pain after the procedure |
| Incidence of complication | 6 months after the procedure | Any infection, heamatoma |
Countries
Egypt