Efficacy of Genicular Nerve Radiofrequency in Patients With Knee Pain After Total Knee Replacement
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Post intervention analgesic effect
研究概览
简要总结
In patients with knee pain, local anesthetics and radiofrequency applications to superolateral, superomedial and inferomedial genicular nerves that innervate the knee joint are also preferred methods besides analgesic and physical therapy. When necessary, total knee replacement is the preferred method for primary knee arthrosis.
However, continuing knee pain is reported in approximately 20% of patients after total knee replacement. In similar cases; In the painful knees, the blockages of the genicular nerves are successfully applied.
In this study; the efficacy of imaging-guided radiofrequency application will be investigated in patients presenting with knee pain after total knee replacement.
详细描述
Although simple analgesic and physical therapy methods are applied, some patients suffer from pain. Genicular nerve blocks and radiofrequency methods are performed usually for this reason. This procedure is performed with ultrasound and / or fluoroscopy, sterile staining and covering of painful knee to the middle of thigh and leg, localization of superomedial, superolateral, inferomedial genicular nerves are tested and then conventional radiofrequency is applied to all 3 nerve regions.Fifty patients who had total knee prosthesis for gonarthrosis in the Orthopedics and Traumatology Clinic at least 3 months postoperatively had knee pain (infection, mechanical causes and radicular pain) were included in the study.The VAS and WOMAC values recorded at the time of application and the VAS and WOMAC values recorded at the 1st week, 1st month and 3rd month after the procedure will be used to evaluate the effectiveness of the method.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •knee pain
排除标准
- •with communication problems (VAS and WOMAC scores could not be evaluated)
- •infectious-mechanical pain-related conditions,
- •with radicular pain
研究组 & 干预措施
Operated
Genicular block will aply to the patients with knee pain who was operated before
干预措施: Genicular block was applied (Procedure)
Nonoperated
Genicular block will aply to the patients with knee pain who wasn't operated before
干预措施: Genicular block was applied (Procedure)
结局指标
主要结局
Post intervention analgesic effect
时间窗: at first 3 months
Post intervention analgesic effects of genicular block on patients will be recorded. Postoperative pain, digital evaluation scale (Visual analogue scale -VAS; 0= absence of pain, 100= unbearable pain) of all patients will be performed and recorded.
次要结局
- Ultrasound versus fluoroscopy(at first 3 months)
研究者
Alp ALPTEKIN
University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital
Diskapi Teaching and Research Hospital