"To compare the effect of thermal radiofrequency ablation of the genicular nerves, along with ultrasound-guided i-PACK block, in providing pain relief in patients with osteoarthritis of the knee joint, using the classical versus revised target technique."
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- 1. To compare the effect of thermal Radio frequency of the genicular nerve along with ultrasound guided i-PACK block in providing pain relief in patients of osteoarthritis of the knee joint using classical versus the new revised target technique
研究概览
简要总结
this study will involve clinically diagnosed patients of osteoarthritis knee joint from 1st January 2025 for next two years. they will be randomly assigned into two groups of group I is classical anatomical target approach and group II is revised anatomical target approach. the procedure will be done under C-arm guided radiofrequency ablation of genicular nerves followed by with USG guided i-pack block given in both the groups. Pain relief will be assesd by VAS at 1,2,4,8 weeks. in case if any complication patient will be excluded from the study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 40.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with stage 1, 2 and Stage 3 of Kellgren-Lawrence classification based on X-ray knee joint
- •Criteria age from 40 to 70 years
- •Pain localized to knee joint with no referred pain or any other cause of knee pain
- •Patients without visible gross structural deformity of the knee joint
- •Patients with American Society of Anaesthesiologists Grade I and II
- •patients with Visual Analogue Scale more than 4
- •Patients on conservative treatment such as physical therapy, analgesic drugs including NSAIDs or opioids, for at least six months.
排除标准
- •â€¢ Patient refusal • Patient’s with gross deformity of the knee joint or associated tendon pain and bursitis.
- •â€¢ Existence of general contraindications against application of invasive intervention (such as hemorrhagic diathesis, on antiplatelets and anticoagulant therapy, systemic infection, or local infection at the area to be intervened and patient with pacemakers • Psychiatric disorders and drug dependence/abuse • Acute knee pain and prior knee surgeries.
结局指标
主要结局
1. To compare the effect of thermal Radio frequency of the genicular nerve along with ultrasound guided i-PACK block in providing pain relief in patients of osteoarthritis of the knee joint using classical versus the new revised target technique
时间窗: post procedure , 1, 4, 8,12 weeks
次要结局
- 2. To compare the total analgesic intake in both patient groups throughout the observation period.(post procedure, 1 , 4, 8, 12 weeks)
研究者
ANUPAM SHARMA
dr Yashwant Singh Paramar Govt medical college Nahan