Clinial Application of Park et al.(The Knee 27 (2020) 1577-1584)'s Study
- Conditions
- Knee Osteoarthritis
- Registration Number
- NCT05202847
- Lead Sponsor
- Gangnam Severance Hospital
- Brief Summary
The goal of this study was to perform pulsed radiofrequency ablation with a modified target suggested in the cadaver study by Park et al. (The Knee 27 (2020) 1577-1584) on knee osteoarthritis patients, and to evaluate the effect of reducing the frequency of intravascular injection and reducing pain.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- chronic knee pain that does not respond to conservative treatment (physiotherapy, oral analgesic, steroid intra-articular injection, Hyruan injection) for more than 6 months
- A score of 6 or higher (out of 10) on the target knee's numerical rating scale
- Knee osteoarthritis 1-4 confirmed in knee X ray within 6 months of study enrollment
- Systemic inflammatory diseases such as rheumatic diseases
- uncontrolled diabetes
- malignant tumor
- If the target knee has a previous surgical history (arthroscopy, arthroscopy, autologous or allograft osteochondral transplantation and autologous cartilage cell transplantation, osteotomy, arthritis surgery)
- Patients with lidocaine and contrast agent allergy
- history of nerve block in the target knee within 2 weeks
- Body mass index over 40 kg/m2
- bleeding disorder
- Pregnant/lactating women
- Inability to understand informed consent and respond to research questionnaires due to cognitive impairment
- Unable to read consent form (e.g. illiterate, foreigner, etc.)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method The rate at which vascular uptake is confirmed when the first contrast agent is given after the needle is positioned at the target point during the ablation procedure Whether vascular uptake is confirmed on the x-ray image is a binary response.
- Secondary Outcome Measures
Name Time Method numeric rating score Before the pulsed radiofrequency ablation, after 4 weeks of the ablaion, after 8 weeks of the ablation, after 12 weeks of the ablation A score of 0 indicates no pain and a score of 10 indicates maximum pain.
functional status Before the pulsed radiofrequency ablation, after 4 weeks of the ablaion, after 8 weeks of the ablation, after 12 weeks of the ablation The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a widely used, proprietary set of standardized questionnaires used by health professionals to evaluate the condition of patients with osteoarthritis of the knee and hip, including pain, stiffness, and physical functioning of the joints
quality of life Before the pulsed radiofrequency ablation, after 4 weeks of the ablaion, after 8 weeks of the ablation, after 12 weeks of the ablation Q-5D is a standardised measure of health-related quality of life developed by the EuroQol Group to provide a simple, generic questionnaire for use in clinical and economic appraisal and population health surveys.
medication Before the pulsed radiofrequency ablation, after 4 weeks of the ablaion, after 8 weeks of the ablation, after 12 weeks of the ablation The Medication Quantification Scale (MQS) is an instrument with potential clinical and research applications for quantifying medication regimen use in chronic pain populations.